International Journal of Prosthodontics and Restorative Dentistry

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VOLUME 1 , ISSUE 1 ( April-June, 2011 ) > List of Articles


Neuroprosthetic Rehabilitation of Acquired Skull Defects

Ankit Sharma

Citation Information : Sharma A. Neuroprosthetic Rehabilitation of Acquired Skull Defects. Int J Prosthodont Restor Dent 2011; 1 (1):65-70.

DOI: 10.5005/jp-journals-10019-1012

Published Online: 01-06-2013

Copyright Statement:  Copyright © 2011; The Author(s).


Cranial defects can be broadly classified as congenital and acquired defects. Among the congenital defects, encephalocele is the most common cause while trauma, infections and tumors form the bulk of the acquired skull defects. There has been large number of cranial injuries occurring in this modern age requiring the skull reconstruction not only for rehabilitating the skull cosmesis but also improving the neurological status of the patient. The reconstruction of the cranial defects using alloplastic materials opens a new field for the prosthodontist, in which he can render a worth-while health service to the society. This article illustrates a case report of neuroprosthetic rehabilitation of a patient who had a road traffic accident sustaining multiple bone fractures, including skull followed by decompressive craniectomy and cranioplasty using a Titanium cranial prosthesis with prosthodontists and neurosurgeons working as a team, thereby improving his neurological status and cosmesis.

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  1. Maxillofacial rehabilitation prosthodontic and surgical considerations. St Louis: Ishiyaku Euro America 1996:455-77.
  2. Current concepts in cranioplasty. J Prosthet Dent 1979;42:67-77.
  3. Cranial implant modification. J Prosthet Dent 1984;52:414-16.
  4. Technique for cranioplasty prosthesis fabrication. J Prosthet Dent August 1978;40(2).
  5. White Annals of Surgery, October 1948.
  6. Reconstruction of skull defects. Atlas Oral Maxillofacial Surg Clin N Am 18, 2010:139-49.
  7. Cranioplasty using polymethylmethacrylate implant constructed from an alginate impression and wax elimination technique. Ghana Medical Journal 2006;40(1):18-21.
  8. 2, 5th edition.
  9. Cranioplasty: A review of 1030 cases of penetrating head injury. Neurosurgery 1979;4:381-85.
  10. Cranioplasty: Cosmetic or therapeutic. Surg Neurol 1997;47:238-41.
  11. Cranioplasty and the post-traumatic syndrome. J Neurosurg 1948;15:19-22.
  12. Symptomatic patients after craniectomy. Surg Neurol 1997;47:231-37.
  13. Neurological recovery after cranioplasty. Neurosurgery 1994;34:729-31.
  14. Cranioplasty following decompressive craniectomy: Analysis of 300 cases. Neurol Surg 1977;5:345-53.
  15. Increased intracranial pressure. Clin Neurosurg 1968;16:436-71.
  16. Cranioplasty: Indications, techniques and results. Springer, Vienna 1984.
  17. Incidence des cranioplasties sur lafunction neurologique et le debit sangein cerebral. Neurochirurgia 1985;31:183-88.
  18. Calvarial and dural reconstruction, AANS Publication Committee. Benzel, USA: The American Association of Neurological Surgeons 1998:41-42.
  19. Titanium in cranioplasty. J neurosurgery 1965; 22:292-93.
  20. Titanium mesh cranioplasty for patients with large cranial defects: Technical notes. Romanian Neurosurgery 2010;XVII(4):456-60.
  21. Titanium in reconstructive surgery of the skull and face. Br J Plast Surg 1990;43:528-35.
  22. Imaging after titanium cranioplasty. Br J Neurosurg 1994;8:409-14.
  23. Prefabricated prostheses for the reconstruction of skull defects. Int J Oral Maxillofac Surg 1995;24:104-10.
  24. Reconstruction of craniofacial bone defects with individual alloplastic implants based on CAD/CAM manipulated CT data. J Craniomaxillofac Surg 1995;23:175-81.
  25. Custom-made cast titanium implants produced with CAD/CAM for the reconstruction of cranium defects. Int J Oral Maxillofac Surg 1998;27:334-38.
  26. Computer generated titanium cranioplasty: Report of a new technique for repairing skull defects. Br J Neurosurg 1992;6: 343-50.
  27. A retrospective study of 66 titanium cranioplasties. Br J Oral Maxillofac Surg 1993;31:144-48.
  28. Validation of computer-assissted manufacture of titanium plates for cranioplasty. Int J Oral Maxillofac Surg 1999;28:309-13.
  29. Preformed acrylic cranial implants using fused deposition modeling: A clinical report. J Prosthet Dent 2003;90:429-33.
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