Facial plast Surg 2000; 16(2): 153-168
DOI: 10.1055/s-2000-12576
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Dental Implantation for Restoration of Posttraumatic Deformities: Avulsion Injuries

Allen Sclaroff1 , Ravindhra G. Elluru2 , W. Donald Gay3
  • 1Division of Oral and Maxillofacial Surgery, Washington University School of Medicine; Saint Louis, MO
  • 2Department of Otolaryngology, Head and Neck Surgery, Washington University School of Medicine; Saint Louis, MO
  • 3Division of Maxillofacial Prosthodontics, Washington University School of Medicine, Saint Louis, MO.
Further Information

Publication History

Publication Date:
31 December 2000 (online)

ABSTRACT

Soft and hard tissue defects of the cranio- and maxillofacial area, especially after an avulsion injury, are challenging to reconstruct. Sophisticated soft and hard tissue transfer techniques have allowed satisfactory reconstruction of the gross anatomic structure. However, these methods do not allow optimal restoration of fine anatomic detail or function. The advent of dental implants and modified dental implants for craniofacial applications has allowed maximization of cosmetic and functional restoration. Prosthodontists are capable of fabricating subunits of the cranio- and maxillofacial area with fine detail, reproducing the coloring, texture, and idiosyncrasies of a patient's native skin. Dental implant technology has allowed these prostheses to be bone anchored, yielding a reproducible and stable attachment. This method of attachment in turn allows flexibility in the design of the prosthesis, to maximize restoration, and imparts an increased sense of confidence to the patient. Illustrated are six examples demonstrating the versatility of dental implants in the reconstruction of avulsion injuries of the cranio- and maxillofacial complex.