Citation Information :
Hazra R, Srivastava A, Khattak A. Cranioplasty—Beginning to End: A Case Series using Acrylic, Titanium Mesh Reinforced Acrylic and PEEK. Int J Prosthodont Restor Dent 2022; 12 (2):88-93.
Cranial defects are caused by certain congenital anomalies like Crouzon syndrome, or they may be acquired due to surgery, trauma, or pathological diseases. These cranial defects lead to disfigurement, mechanical vulnerability, social stigma, and neurological complications.
Cranioplasty is the procedure to restore the natural esthetics, provide a mechanical barrier to protect the brain, and maintain cerebrospinal fluid (CSF) pressure. But the outcome of this technique will mainly depend on a large number of factors like case selection, the timing of surgery, implant material to restore the defect, snuggly fitting cranial plate, and biocompatibility of the graft material used.
Out of these, the most important factor of a successful cranioplasty is the fabrication of an artificial cranial plate following accurate impression and fabrication principles. Different materials like metals, heat-polymerizing polymethyl methacrylate (PMMA) resin, polyethylene, and silicone have been used to fabricate cranial plates. Recently, polyether ether ketone (PEEK) and titanium have also been used with great success.
This article presents three case reports showing three techniques of fabrication of cranial prosthesis with basic to latest materials and modalities.
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