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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY
A Journal on Maxillofacial Surgery
Official Journal of the Italian Society of Maxillofacial Surgery
Italian Journal of Maxillofacial Surgery 2010 December;21(3):113-21
Intra- and extraoral implantology and anaplastology: clinical and instrumental evaluation to 7 years
Fini G., Pellacchia V., Ponzo L., Frontero L., D’itri L., Pacchiarotti A.
Department of Maxillofacial Surgery, La Sapienza University, Rome, Italy
aim. The aim of this work was to evaluate the follow-up of patients treated 7 years after the application of the implant, focusing on the following specific issues: the quality of osseointegration and the presence of adverse reactions, including views from a radiological point of view, the status of the implant and the impact of its success on the quality of life of the patient.
Methods. From January 2002 to December 2009, in the Epithesis Center of Sant’Andrea Hospital, 65 surgical patients (31 women and 34 men, mean age 44 years) were treated. This study includes only those with control at 7 years for a total of 12 patients including 7 women and 5 men with a mean age of 43 years. The diagnostic and therapeutic procedures were standard for all patients.
Results. With regard to the postoperative clinical control 57 patients had no detectable adverse skin reaction, 3 patients had mild skin redness, inflammatory exudate was present in 1 patient, and inflammation became severe in 1 other patient. Postoperative radiological assessment at 6 months showed no signs of osseointegration in 197 facilities out of 198 (98.9%).
Conclusion. Epitheses are an important alternative to conventional reconstructive surgery for patients with craniofacial deficits. Using implant osseointegration could solve the problems caused by using adhesives and the presence of phenomena of irritation to the skin in contact with such substances, greatly improving the quality of life of patients.