Large defects of the skull leading to neurological defects and facial disfigurement can be traumatizing for the patient. Such defects can be rehabilitated using various biomaterials, polymethyl methacrylate being the most commonly used.
Defects of the cranial vault can result from the decompressive craniectomy secondary to trauma, cerebral infections, resection of intracranial processes, or bone invading skin tumors. Reconstruction of the cranial vault not only provides protection and esthetic reasons but also maintains and restores physiological circulatory system of the cerebrum essential for the regulation of intracranial pressure. This paper presents prosthetic rehabilitation of two patients, who suffered head injury resulting in extensive frontoparieto temporal defects that induced symptoms such as headache, fatigue, loss of concentration, loss of memory, and depression. Along with the physical dysfunction and disfigurement, the injury resulted in a deep psychological impact on overall well-being and self-esteem of the patient as well as the close family members. The patients were prosthetically rehabilitated with custom-made heat polymerized polymethyl methacrylate cranial prosthesis and the assessment of postrehabilitation outcome was done using a specific measurement tool; key behaviors change inventory (KBCI) a 64-item questionnaire that evaluates executive, interpersonal, and emotional functioning behaviors following traumatic brain injury. Rehabilitation resulted in the restoration of form, function, and esthetics along with the improvement in psychological status and general health as reflected in KBCI scores posttreatment. Based on the posttreatment scores obtained in the cases under study, it is suggested that KBCI may serve as an important prognostic tool for the assessment of treatment outcomes.
Teeth loss is a traumatic experience. It disturbs the total integrity of the masticatory system. Its successful rehabilitation should address a range of biomechanical problems, tolerances, and perceptions. Implant-supported overdenture with two implants placed in the interforamina region is a predictable treatment option in edentulous mandible rather than conventional complete denture as it offers increased stability, comfort, and patient compliance. Success in complete dentures is still an unanswered question as various authors have differing opinion. Patients and prosthodontists often disagree on a successful denture experience. Criteria for quality standards in denture fabrication have been articulated; however patients and prosthodontists often disagree on a successful denture experience. This study was carried out to determine patient satisfaction with implant-supported overdentures and its impact on the treatment outcome. Thirty edentulous patients were randomly divided into two groups to receive implant-supported overdentures supported with two implants in the interforamina region of mandibular arch retained with either ball or ball attachment. Questionnaires were given to the patient before and after treatment at 3-and 6-month interval. Data collected were statistically analyzed. Results obtained from this study show that patients with implant-supported overdentures were more satisfied with the treatment outcome, and there was no significant difference in patient satisfaction between the two groups.
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