Maxillofacial Prosthesis in Dentofacial Traumas: A Retrospective Clinical Study and Introduction of New Classification Method.
Background. Maxillofacial trauma represents a field of common interest as regards both the maxillofacial surgery and prosthodontics, especially for the functional and aesthetic stomatognathic rehabilitation. This condition necessitates relationship between maxillofacial surgeon and prosthodontist, to achieve the ultimate treatment goal.Purpose. The purpose of this study is to make predictable patients outcomes classifying their clinical data, using certain parameters and introducing a new classification method.Materials and Methods. We have chosen 7 parameters to classify the entity of the damage of these patients and to make their treatment and their prognosis predictable: number of teeth lost (T1-T4), upper/lower maxilla (U/L), alveolar/basal bone (Alv/B), gingival tissues (G), soft tissues (S), adult/child (a/c), and reconstructed patient (R).Results and Conclusions. The multidisciplinary approach and the collaboration between multiple clinical figures are therefore critical for the success of the treatment of these patients. The presence and quantification of above parameters influence the treatment protocol; patients undergo different levels of treatment depending on the measured data. The recognition of certain clinical parameters is fundamental to frame diagnosis and successful treatment planning.
Dipartimento Scienze Odontostomatologiche e Maxillo Facciali, Università degli Studi di Roma La Sapienza Facolta di Medicina e Odontoiatria, Roma, Italy.
Edoardo
E
Brauner
Dipartimento Scienze Odontostomatologiche e Maxillo Facciali, Università degli Studi di Roma La Sapienza Facolta di Medicina e Odontoiatria, Roma, Italy.
Giorgio
G
Pompa
Dipartimento Scienze Odontostomatologiche e Maxillo Facciali, Università degli Studi di Roma La Sapienza Facolta di Medicina e Odontoiatria, Roma, Italy.
Alessandro
0000-0001-9151-2850
A
Quarato
Dipartimento Scienze Odontostomatologiche e Maxillo Facciali, Università degli Studi di Roma La Sapienza Facolta di Medicina e Odontoiatria, Roma, Italy.
Sara
S
Jamshir
Dipartimento Scienze Odontostomatologiche e Maxillo Facciali, Università degli Studi di Roma La Sapienza Facolta di Medicina e Odontoiatria, Roma, Italy.
Francesca
0000-0002-7922-8870
F
De Angelis
Dipartimento Scienze Odontostomatologiche e Maxillo Facciali, Università degli Studi di Roma La Sapienza Facolta di Medicina e Odontoiatria, Roma, Italy.
Stefano
S
Di Carlo
Dipartimento Scienze Odontostomatologiche e Maxillo Facciali, Università degli Studi di Roma La Sapienza Facolta di Medicina e Odontoiatria, Roma, Italy.
Valentino
V
Valentini
D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000503:physiopathology / Q000601:surgery*; D008437:Maxilla / Q000503:physiopathology / Q000601:surgery* / Q000637:transplantation; D008446:Maxillofacial Injuries / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D008447:Maxillofacial Prosthesis; D010347:Patient Care Planning; D016896:Treatment Outcome