Maxillo Facial (4-1)

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4th .

year class

Maxillofacial prosthesis
Lecture 1

Afeiaa lateef Jassim


MSC. Prosthetic Dental Technologies
Maxillofacial prosthetics: The art and science of anatomic,
functional or cosmetic reconstruction by means of artificial
substitutes in the maxilla, mandible and face that are missing or
defective because of acquired or congenital malformation.
Maxillofacial prosthesis: The term maxillofacial prosthesis
refers to the artificial restoration that replaces the missing part of
the human face.

Anaplastology: is a branch of medicine dealing with the


prosthetic rehabilitation of an absent, disfigured or malformed part
of human body.
Anaplastologist: specialist who creates artificial prosthetics. A
more common term is maxillofacial prosthetist.
Cleft palate :is a split or opening in the roof of the mouth due to
the failure of palatal shelves to come fully together during the first
months of pregnancy .

Cleft lip: is an opening in the upper lip that may extend into the
nose that occur very early in pregnancy.

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The objective of maxillofacial prosthesis

1. It provides natural appearance& Improves esthetics.

2. A facial prosthesis restores normal anatomy.

3. It provides great psychological benefits to the patients.

4. The construct an appliance which restores the defect& it

protects the tissue& reconstruction of function.

Functions of a maxillofacial prosthesis

1. Preservation of residual structure.


2. Reconstruction of function and esthetic.
3. Decreased hospital stay.
There are three types of maxillofacial defects
1) Congenital: cleft palate, cleft lip, missing ear.
2) Acquired: accident, surgery, pathology.
3) Developmental: prognathism, retrognathism.

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Developmental defects:
Retrognathism: abnormal posterior positioning of the maxilla
or mandible.
Prognathism: refers to a protruding of jaw.

Micrognathia : is a condition in which the jaw is undersized.

Types of maxillofacial prosthesis


There are two types of maxillofacial prosthesis:
1) Extra-oral Prosthesis.
2) Intraoral Prostheses.

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3) Combination of intra and extra oral prostheses.
4) Cranial and facial Prosthesis.

1. Extra-oral Prosthesis

A. Ocular Prosthesis: - A prosthesis that replaces Eye.

B. Orbital Prosthesis: A prosthesis that replaces Eye and

surrounding tissues.

C. Auricular Prosthesis: A prosthesis that replace Ear.

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D. Nasal Prosthesis: A prosthesis that replaces Nose.

E. Mid facial Prosthesis: A prosthesis that replaces part of the


face which may involve more than one structure.

F. Somatic Prosthesis: A prosthesis that replaces a body part


like fingers, hands, etc.

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2. Intraoral Prostheses:

They are involve the soft & hard palate, mandibular jaw, tongue.

A. Obturators

Definition: Close congenital or acquired defects.


Obturator parts
i. Teeth.
ii. Clasps.
iii. Acrylic base.

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 Surgical Obturator Prosthesis (splint)

A prosthesis that covers palate after partial or total loss of the

maxilla (Upper jaw). It is used after surgery to provide closure.

 Interim & Definitive Obturator


A prosthesis that covers the palate after partial or total loss of

maxilla or due to cleft palate. It restores teeth and gums and has an

extension which closes the defect or hole for swallowing, eating,

chewing, and speaking.

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B. Feeding plate:

It is a prosthetic aid that designed to seal the cleft and restore the

separation between oral and nasal cavities.

C. Mandibular Resection Prosthesis: A prosthesis that

replaces portion of the jaw that has been lost and restores gums

and teeth.

3. Combination of intra and extra oral prostheses:

Used in case partial lossof the maxilla or mandible that includes

facial structures.

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4. Cranial and facial Prosthesis: to compensate for cranial
bone loss due to skull injury.

References:
• Beumer J III, Curtis TA, Marunick M. Maxillofacial
Rehabilitaion- Prosthodontic and surgical.
• Considerations, Ishiyaku Euro America, Inc Publishers.
St. Louis.1996. 378-453.
• The Armies of Industry: Our Nation's Manufacture of
Munitions for a World in Arms, 1917-1918.

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