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The International Journal of Oral & Maxillofacial Implants



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Int J Oral Maxillofac Implants 32 (2017), No. 6     21. Nov. 2017
Int J Oral Maxillofac Implants 32 (2017), No. 6  (21.11.2017)

Online Article, Page e255-e258, doi:10.11607/jomi.4302, PubMed:29140385

Online Article: Virtual Treatment Planning for Implant-Retained Nasal Prosthesis: A Clinical Report
Buzayant, Muaiyed Mahmoud / Yunu, Norsiah Binti / Oon, Ha Kien / Tawfiq, Omar
Osseointegrated craniofacial implants have improved retention and patients' perceptions of implant-retained nasal prostheses; however, the determination of the available bone sites for implant placement post-rhinectomy is difficult. This case report describes the use of cone beam computed tomography scanning and computer-assisted virtual planning in conjunction with digital photographs for rehabilitation of a facial defect with an implant-retained silicon nasal prosthesis. Two implants were planned in the anatomical area with adequate bone volume to achieve favorable cosmetic outcomes and accessibility for hygiene maintenance. The implant-retained nasal prosthesis resulted in a meaningful improvement in the esthetics without the need for plastic surgery. In such cases, the post-rhinectomy reconstruction surgery should be limited to preparation of the surgical defect area for an implant-retained prosthesis. Silicone prostheses are reliable alternatives to surgery and should be considered in selected cases.

Keywords: bar attachment, implant retained, maxillofacial prosthesis, nasal prosthesis