Bone cements and their potential use in a mandibular endoprosthesis.
Bone cement was first used in the 1950s. Since then many modifications have been made and alternatives developed to the original polymethylmethacrylate (PMMA) cement. In view of the use of bone cement in a novel mandibular endoprosthetic system, we performed a review of the current literature on this material. Different cements are described and their potential use in a mandibular endoprosthetic system discussed. The PMMA-based cements are currently the most suitable choice. Plain PMMA has the longest track record and is the default choice for the initial development phase of this system. If there is a significant risk of infection, then an antibiotic-loaded PMMA cement can be selected. However, modified PMMA cements, composite resin cements, osteoinductive calcium phosphate compounds, and cementless fixation are options that offer advantages over PMMA cements, and further research should be conducted to study their suitability.
Lye
Kok Weng
KW
Department of Oral and Maxillofacial Surgery, National Dental Centre , Singapore, Singapore. kokwenglye@yahoo.com
Tideman
Henk
H
Merkx
Matthias A W
MA
Jansen
John A
JA
D000818:Animals; D001843:Bone Cements / Q000494:pharmacology*; D005592:Fracture Fixation; D006801:Humans; D008334:Mandible / Q000187:drug effects*; D010012:Osteogenesis / Q000187:drug effects; D019736:Prostheses and Implants
D001843:Bone Cements