Cancer leaves important consequences in the shape, function and esthetics of the patient, especially when it is cancer of the oral cavity or upper aero-digestive tract. Although reconstruction with local and microvascular flaps is sometimes a viable option, maxillofacial rehabilitation with osseointegrated implants is a well-reported treatment alternative with a high success rate. The main advantages in this modality of rehabilitation are the decrease in biological and economic costs, simplifying the management of these defects by reducing surgical intervention, hospitalization time, postoperative morbidity and treatment time. There are several classification systems; however, there is no classification system that has accurately described the maxillofacial defect under a surgical, prosthetic and reconstructive approach with osseointegrated implants. The purpose of this study is to guide professionals in decision-making for maxillofacial rehabilitation using osseointegrated implants located in the anatomical buttresses of the maxillofacial region.
Part of the book: Oral and Maxillofacial Surgery
Various causes can be responsible for tooth loss. In general, caries, periodontal disease, facial trauma, pathology of the jaws, among other causes, could lead to the loss of a tooth or a group of teeth. As a consequence, the stimuli that participate in bone maintenance are compromised and bone reduction occurs gradually, making it difficult to use conventional prostheses. Fortunately, technological advances applied to dental implantology have allowed us to perform full-arch prosthetic treatments, managing to rehabilitate the form, function, esthetics and lost self-esteem in patients with severe atrophy of the jaws. The objective of this chapter is to describe the key and current aspects in full-arch rehabilitation with dental implants.
Part of the book: Current Concepts in Dental Implantology
The temporomandibular joint (TMJ) is an important structure of the facial skeleton and is an important source of pain when inflammatory processes are occurring in it. It is located inferior the skull base, above the neck and anterior to the ear. The principal components include: bone structures, ligaments, intrarticular content, and muscles. Because of the anatomic relations, the temporomandibular joint affections can produce a limitation of the masticatory function and express headache of dental, sinusal, nervous, or muscular type. For this reason, the patients require multiple medical and dental specialties in the search of a solution for the current illness. The myofascial pain refers to a chronic, inflammatory condition of the TMJ and the muscular system of the head and neck. It has an important demand in the health sector, can incapacitate significantly the quality of life of the patients, and requires an appropriate diagnosis and treatment. The aim of this chapter is to guide the clinical practice in the etiology, diagnosis, prevention, and treatment of the myofascial pain as a clinical presentation of the temporomandibular dysfunction.
Part of the book: Diagnosing and Managing Temporomandibular Joint Conditions [Working title]