CLINICAL ADVANCES AND FUNCTIONAL REHABILITATION IN MAXILLOFACIAL PROSTHESIS TREATMENT
DOI:
https://doi.org/10.56238/arev8n6-050Keywords:
Maxillofacial Prosthetics, Facial Reconstruction, Digital Technology, Functional Rehabilitation, Dental Implants, 3D PrintingAbstract
Maxillofacial prosthetics constitutes an important area of restorative dentistry, responsible for the aesthetic and functional reconstruction of intraoral and extraoral structures compromised by congenital deformities, facial trauma, or surgical resections resulting from neoplasms. This study aimed to analyze the clinical and technological advances related to functional rehabilitation in maxillofacial prosthetic treatment, highlighting the impact of contemporary digital technologies on therapeutic outcomes. This is a narrative literature review conducted in the PubMed database, using the descriptors "Maxillofacial Prosthesis" and "Prosthodontics," combined with the Boolean operators AND and OR. Articles published in the last ten years, available in full in Portuguese and English, that directly addressed the proposed theme were included. The results showed that the introduction of advanced digital technologies, such as three-dimensional scanning, virtual planning software, CAD/CAM systems, and 3D printing, promoted greater clinical predictability, prosthetic precision, and a reduction in surgical and rehabilitation time. Studies analyzed demonstrated high success rates in the use of dental implants in complex maxillofacial rehabilitations, achieving a cumulative survival rate of 97.1% after functional loading. Furthermore, integrated digital workflows, such as the BARI 2.0 technique, have allowed for the precise transfer of intermaxillary relationships to definitive 3D-printed hybrid prostheses. Advances in skin color reproduction in extraoral prostheses have also been observed, favoring better aesthetic and psychosocial outcomes. Despite the clinical benefits obtained, limitations persist related to the high cost of the technologies, the need for professional training, and the difficulties in implementing these resources on a large scale. It is concluded that digital and biomechanical advances have significantly transformed maxillofacial prosthetics, providing greater therapeutic efficiency, clinical predictability, and improved quality of life for rehabilitated patients.
Downloads
References
AGHALOO, T. et al. Group 2 ITI Consensus Report: Prosthodontics and implant dentistry. Clinical Oral Implants Research, v. 29, n. S16, p. 215-223, 2018.
AZHARI, M.; HABIBOU, A.; BENTAHAR, O. Epidemiological profile of patients attending the maxillofacial prosthodontics unit at Ibn Sina University Hospital in Rabat, Morocco: a cross-sectional study. PanAfrican Medical Journal, v. 48, n. 21, p. 1-13, 2024.
BRAUNER, E. et al. Maxillofacial Prosthesis in Dentofacial Traumas: A Retrospective Clinical Study and Introduction of New Classification Method. BioMed Research International, v. 2017, art. ID 8136878, 8 p., 2017.
PAWAR, P. G. G. et al. Facial skin color assessment and proposed skin shade guide for maxillofacial prosthesis using cluster analysis in a cohort of Indian adults. Journal of Indian Prosthodontic Society, v. 24, n. 4, p. 366-373, 2024.
VENEZIA, P. et al. Full Digital Workflow for the Treatment of an Edentulous Patient with Guided Surgery, Immediate Loading and 3D-Printed Hybrid Prosthesis: The BARI Technique 2.0. A Case Report. International Journal of Environmental Research and Public Health, v. 16, n. 24, p. 5160, 13 p., 2019.
WOLFAARDT, J. F. et al. The future of maxillofacial prosthodontics in North America: The role of advanced digital technology and artificial intelligence discussion document. The Journal of Prosthetic Dentistry, v. 131, n. 6, p. 1253.e1-1253.e34, 2024.
