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 Table of Contents  
EDITORIAL
Year : 2021  |  Volume : 5  |  Issue : 2  |  Page : 35

Role of maxillofacial prosthetics in the head-and-neck cancer rehabilitation


Department of Clinical Dentistry, International College of Dentistry, Walailak University, Bangkok, Thailand

Date of Submission07-Dec-2021
Date of Acceptance08-Dec-2021
Date of Web Publication29-Dec-2021

Correspondence Address:
Dinesh Rokaya
Department of Clinical Dentistry, International College of Dentistry, Walailak University, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sidj.sidj_22_21

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How to cite this article:
Rokaya D. Role of maxillofacial prosthetics in the head-and-neck cancer rehabilitation. Saint Int Dent J 2021;5:35

How to cite this URL:
Rokaya D. Role of maxillofacial prosthetics in the head-and-neck cancer rehabilitation. Saint Int Dent J [serial online] 2021 [cited 2022 Jan 24];5:35. Available from: https://www.sidj.org/text.asp?2021/5/2/35/334157








Maxillofacial defects lead to esthetic problems and also compromise oral functions such as speech, mastication, and swallowing.[1] The common cause of maxillofacial defects includes cancer, trauma, and infections. There is a great role of maxillofacial prosthetics in the diagnosis and rehabilitation of head-and-neck cancer patients.[2]

The treatment of head and neck cancers includes surgery, radiotherapy, chemotherapy, or in combination. General surgical procedures for the removal of a tumor in the head-and-neck region include maxillectomy, mandibulectomy, glossectomy, and eye surgery (enucleation and exenteration). Following surgical resection, prosthetic rehabilitation should be done by fabricating extraoral/facial (ocular, orbital, facial, nasal, or lip) prostheses or intraoral prostheses (obturator, tongue, and/or mandibular denture).[3] Recently, there has been considerable advancement in clinical dentistry and the current state of the art in maxillofacial prosthetics. These include 3D diagnosis and treatment planning, digital technologies aiding treatment procedures, and computer-designed fabrication of prostheses.[4] Various new biomaterials have been developed which can be used for the prosthetic rehabilitation of maxillofacial defects.[5],[6],[7]

For large and aggressive tumors, radiotherapy is given in addition to surgery. The common debilitating side effects of radiotherapy in the head and neck include mucositis and pain, sore throat, dry mouth, taste changes, radiation caries, osteoradionecrosis, lethargy, and weakness.[8],[9] Such complications require short-term and long-term care.

Successful maxillofacial prosthetic care includes a multidisciplinary approach for the rehabilitation of head-and-neck cancer patients. Still, apparent barriers to services exist, particularly the availability of materials, skilled manpower, and cost.[2] The service providers should be aware of such debilitating problems and treatment options in head-and-neck cancer patients.



 
  References Top

1.
Amornvit P, Rokaya D, Shrestha B, Srithavaj T. Prosthetic rehabilitation of an ocular defect with post-enucleation socket syndrome: A case report. Saudi Dent J 2014;26:29-32.  Back to cited text no. 1
    
2.
Rosen EB, Palin CL, Huryn JM, Wong RJ. The role of maxillofacial prosthetics for the surgically treated patient at national cancer institute-designated comprehensive cancer centers. Laryngoscope 2019;129:409-14.  Back to cited text no. 2
    
3.
Schaaf NG. Maxillofacial prosthetics and the head and neck cancer patient. Cancer 1984;54:2682-90.  Back to cited text no. 3
    
4.
Humagain M, Rokaya D. Integrating digital technologies in dentistry to enhance the clinical success. Kathmandu Univ Med J (KUMJ) 2019;17:256-7.  Back to cited text no. 4
    
5.
Alqurashi H, Khurshid Z, Syed AU, Rashid Habib S, Rokaya D, Zafar MS. Polyetherketoneketone (PEKK): An emerging biomaterial for oral implants and dental prostheses. J Adv Res 2021;28:87-95.  Back to cited text no. 5
    
6.
Da Costa GC, Aras MA, Chalakkal P, Da Costa MC. Ocular prosthesis incorporating IPS e-max press scleral veneer and a literature review on non-integrated ocular prosthesis. Int J Ophthalmol 2017;10:148-56.  Back to cited text no. 6
    
7.
Babu AS, Manju V, Nair VP, Thomas CT. Prosthetic rehabilitation of surgically treated orbital defects – Evisceration, enucleation, and exenteration: A case series. J Indian Prosthodont Soc 2016;16:216-20.  Back to cited text no. 7
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8.
Rose-Ped AM, Bellm LA, Epstein JB, Trotti A, Gwede C, Fuchs HJ. Complications of radiation therapy for head and neck cancers. The patient's perspective. Cancer Nurs 2002;25:461-7.  Back to cited text no. 8
    
9.
Sroussi HY, Epstein JB, Bensadoun RJ, Saunders DP, Lalla RV, Migliorati CA, et al. Common oral complications of head and neck cancer radiation therapy: Mucositis, infections, saliva change, fibrosis, sensory dysfunctions, dental caries, periodontal disease, and osteoradionecrosis. Cancer Med 2017;6:2918-31.  Back to cited text no. 9
    




 

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