Prosthodontic Rehabilitation Strategies for Patients Following Maxillofacial Surgery and Tissue Transplantation
Prosthodontic rehabilitation; Maxillofacial surgery; Dental implants; Tissue transplantation; Oral rehabilitation
AuthorsAbstractMaxillofacial surgery and tissue transplantation remain essential interventions for the management of extensive defects resulting from oncologic, traumatic, congenital, and post-infectious conditions. Despite advances in surgical reconstruction, functional and esthetic rehabilitation frequently requires comprehensive prosthodontic intervention. Evidence evaluating outcomes of different prosthodontic rehabilitation strategies following such complex surgical procedures remains limited. The study aimed to retrospectively evaluate prosthodontic rehabilitation strategies following maxillofacial surgery and tissue transplantation, assess associated functional, esthetic, and prosthetic outcomes, and identify clinical factors influencing long-term rehabilitation success. A retrospective observational study evaluated clinical records of 90 patients who underwent definitive prosthodontic rehabilitation following maxillofacial surgery and/or tissue transplantation at a tertiary care centre. Demographic and clinical variables underwent descriptive analysis. Follow-up duration across rehabilitation modalities was assessed using the mean and standard deviation. Functional and esthetic outcomes between implantsupported and removable prostheses were compared using independent t-tests. Correlation analysis examined associations between follow-up duration and prosthetic complications, while multiple linear regression identified predictors of prosthodontic outcomes. Oncologic etiology and maxillary defects predominated within the cohort. Implant-supported rehabilitation demonstrated significantly higher mastication efficiency, speech intelligibility, and esthetic satisfaction compared with removable prostheses (p < 0.05). Prosthetic survival remained high, with complications largely limited to minor mechanical issues. Regression analysis identified implant utilisation and reconstructive approach as significant predictors of favourable prosthodontic outcomes. Prosthodontic rehabilitation following maxillofacial surgery and tissue transplantation demonstrated favourable functional, esthetic, and prosthetic outcomes, particularly with implant-supported modalities. A prosthodontic-centred, multidisciplinary approach enhances rehabilitation predictability and long-term performance. 1. Introduction Maxillofacial surgery and tissue transplantation represent essential therapeutic interventions for managing extensive defects resulting from oncologic resections, traumatic injuries, congenital anomalies, and post-infectious conditions. The interventions assist in the restoration of anatomical continuity and structure of the face, but frequently functional and esthetic rehabilitation is still incomplete after surgical reconstruction itself. The importance of dental factors and prosthodontic role in facial transplantation and maxillofacial reconstruction is great, and to achieve long-term rehabilitation outcomes, it is essential to organise their restorative planning.1 Maxillofacial resections may also leave behind chronic dysfunctions of mastication, speech, swallowing, facial appearance, and psychosocial functioning. A meta-analysis of the results of post-maxillectomy rehabilitation demonstrates the key role of prosthodontic •••••••••••••••••••••••••••••••• ejprd.org - Published by Riset Publishing Services LLC.
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