Oral findings and treatment of patients with face transplants in Helsinki
| Autor: | Karita Nylund, Jari Mauno, Hellevi Ruokonen, Aaro Haapaniemi, Annika Emilia Norrman, Jaana Helenius-Hietala, Patrik Lassus, Karri Mesimäki |
|---|---|
| Přispěvatelé: | Department of Oral and Maxillofacial Diseases, HUS Head and Neck Center, Plastiikkakirurgian yksikkö, Suu- ja leukakirurgian yksikkö, Clinicum, Korva-, nenä- ja kurkkutautien klinikka, HUS Musculoskeletal and Plastic Surgery |
| Rok vydání: | 2021 |
| Předmět: |
Face transplant
medicine.medical_treatment Dentistry Mandible Dental Caries Osseointegration Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine stomatognathic system Quality of life QUALITY-OF-LIFE Occlusion MANAGEMENT Maxilla medicine Humans Radiology Nuclear Medicine and imaging Dentistry (miscellaneous) Sialoendoscopy Oral mucosa RESTORATION Dental Implants business.industry 030206 dentistry 3126 Surgery anesthesiology intensive care radiology 313 Dentistry 3. Good health Transplantation stomatognathic diseases surgical procedures operative medicine.anatomical_structure 030220 oncology & carcinogenesis Quality of Life Surgery Dental Prosthesis Implant-Supported Oral Surgery business Facial Transplantation Follow-Up Studies |
| Zdroj: | Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 132:44-51 |
| ISSN: | 2212-4403 |
| DOI: | 10.1016/j.oooo.2021.01.006 |
| Popis: | Objectives. Oral health and balanced occlusion are important aspects of a well-functioning face transplant. This study describes the oral and dental status, dental management, and sialoendoscopy of the first 2 patients in Helsinki who underwent face transplantations. Study Design. Two patients received near-full face transplantations in 2016 and 2018, respectively. The transplanted tissues included a Le Fort type II maxilla, angle-to-angle mandible, all oral mucosa, ventral tongue tissue, and the muscles of the floor of the mouth. Comprehensive oral examinations and all required dental treatment, including follow-up examinations, were performed for both patients after the transplantations. Results. Both patients rehabilitated well, and their quality of life improved. Stable, functioning dentition and occlusion were achieved for both patients. Hyposalivation and dental caries were issues for both patients. Patient 1 also experienced infections in the jaws. Implants were placed in the transplanted jaws of patient 2 with successful osseointegration. Conclusions. We report successful tooth-bearing face transplantations in 2 patients. Patient selection, particularly regarding oral health, is crucial in avoiding posttransplantation complications. Moreover, the oral and dental status of the donor should be examined by a dentist before transplantation, and regular follow-up dental examinations should be performed after transplantation. |
| Databáze: | OpenAIRE |
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