Assessment of treatment outcomes for facial prostheses in patients with craniofacial defects: A pilot retrospective study

dc.contributor.authorBrandão, Thais Bianca
dc.contributor.authorVechiato Filho, Aljomar José
dc.contributor.authorde Souza Batista, Victor Eduardo [UNESP]
dc.contributor.authorPrado Ribeiro, Ana Carolina
dc.contributor.authorFilho, Hugo Nary
dc.contributor.authorChilvarquer, Israel
dc.contributor.authorNunn, Martha E.
dc.contributor.authorSantos-Silva, Alan Roger
dc.contributor.authorBarão, Valentim Adelino Ricardo
dc.contributor.authorWee, Alvin G.
dc.contributor.institutionAnaplastology Service of Brånemark Institute
dc.contributor.institutionInstitute of Cancer of São Paulo São Paulo (ICESP)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionInstitute of Cancer of São Paulo (ICESP)
dc.contributor.institutionSurgery Service of Brånermark Institute
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionCreighton University
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionVeteran's Affairs Nebraska-Western Iowa Health Care System
dc.date.accessioned2018-12-11T17:09:37Z
dc.date.available2018-12-11T17:09:37Z
dc.date.issued2017-08-01
dc.description.abstractStatement of problem The longevity of silicone facial prostheses is short, and published data concerning this type of rehabilitation are limited. Purpose The purpose of this retrospective study was to identify predictive variables for prosthetic failure and to highlight the results that can be expected after treatment with silicone facial prostheses. Material and methods After institutional approval, patient records from a single Brazilian institution for the time period 2004 to 2015 were assessed. A standardized form was used to collect patient data. Frailty survival modeling (simple random effects survival model) was used to test whether age, sex, type of prosthesis, source of defect, number of implants, and type of retention have a direct impact on the prosthetic failure rate (α=.05). Results Auricular prostheses were the most frequently fabricated prostheses. Eighty-four prostheses were fabricated during the follow-up period. The overall survival rate for facial prostheses was 34.5%. Color alteration was the most common reason for new prostheses (27.38%). The implant success rate was 98.18%. The number of implants approached statistical significance (P=.06) with a reduced risk of failure when the patient had 2 implants compared with patients with zero implants and patients with more than 2 implants. Conclusions Patients should be recalled frequently so that retouches can be performed, avoiding the repeated fabrication of new prostheses. Well-designed studies are necessary to identify more relevant complications and factors that lead to prosthetic failure.en
dc.description.affiliationCoordinator Dental Oncology Service Institute of Cancer of São Paulo (ICESP) São Paulo Brazil; and Coordinator Anaplastology Service of Brånemark Institute
dc.description.affiliationAssistant Dental Oncology Service Institute of Cancer of São Paulo São Paulo (ICESP)
dc.description.affiliationDoctoral student Department of Dental Materials and Prosthodontics Aracatuba Dental School Sao Paulo State University (UNESP)
dc.description.affiliationAssistant Dental Oncology Service Institute of Cancer of São Paulo (ICESP)
dc.description.affiliationProfessor Department of Traumatology and Bucomaxillofacial Surgery University of Sagrado Coração (USC) Surgery Service of Brånermark Institute
dc.description.affiliationDepartment of Stomatology School of Dentistry University of Sao Paulo (USP)
dc.description.affiliationDirector Center of Oral Health Research School of Dentistry Academic Partners Center for Promoting Health and Health Equality Creighton University
dc.description.affiliationAssistant Professor Oral Diagnosis Department Piracicaba Dental School University of Campinas (UNICAMP)
dc.description.affiliationAssistant Professor Department of Prosthodontics and Periodontology University of Campinas (UNICAMP) Piracicaba Dental School
dc.description.affiliationSection head Maxillofacial Prosthodontics Veteran's Affairs Nebraska-Western Iowa Health Care System
dc.description.affiliationUnespDoctoral student Department of Dental Materials and Prosthodontics Aracatuba Dental School Sao Paulo State University (UNESP)
dc.format.extent235-241
dc.identifierhttp://dx.doi.org/10.1016/j.prosdent.2016.10.014
dc.identifier.citationJournal of Prosthetic Dentistry, v. 118, n. 2, p. 235-241, 2017.
dc.identifier.doi10.1016/j.prosdent.2016.10.014
dc.identifier.file2-s2.0-85011106070.pdf
dc.identifier.issn0022-3913
dc.identifier.scopus2-s2.0-85011106070
dc.identifier.urihttp://hdl.handle.net/11449/174156
dc.language.isoeng
dc.relation.ispartofJournal of Prosthetic Dentistry
dc.relation.ispartofsjr1,087
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.titleAssessment of treatment outcomes for facial prostheses in patients with craniofacial defects: A pilot retrospective studyen
dc.typeArtigo
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araçatubapt
unesp.departmentMateriais odontológicos e Prótese - FOApt

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