Multidisciplinary approaches in oral rehabilitation of patients with severe bone loss: integration of maxillofacial surgery, implantology and orthodontics for functional and aesthetic optimization – a narrative review
DOI:
https://doi.org/10.56183/plepist.v3i1.656Palavras-chave:
Digital planning, orthognathic surgery, implantology, severe malocclusions, functional outcomes, aesthetic outcomes, virtual surgical planning, 3D imaging.Resumo
Background: Severe bone loss in the maxillofacial region poses a significant challenge in oral rehabilitation, often resulting in functional impairment, aesthetic concerns, and reduced quality of life. Traditional removable dentures exacerbate bone resorption, necessitating a multidisciplinary approach integrating maxillofacial surgery, implantology, and orthodontics. This narrative review explores the evidence-based strategies for optimizing functional and aesthetic outcomes in such cases. Methods: A systematic literature search was conducted using PubMed, Scopus, and Google Scholar, focusing on studies published between 2014 and 2024. Keywords included 'oral rehabilitation with severe bone loss,' 'maxillofacial surgery and implants,' 'orthodontics in implantology,' and 'functional outcomes of implant-supported rehabilitation.' Studies were included if they addressed the integration of maxillofacial surgery, implantology, and orthodontics in treating severe bone loss, emphasizing clinical efficacy and patient outcomes. Results: Multidisciplinary interventions significantly improve oral rehabilitation outcomes. Maxillofacial surgery facilitates bone grafting and reconstruction, enhancing implant stability. Implantology provides fixed prosthetic solutions that restore function and aesthetics, reducing the adverse effects of edentulism. Orthodontic approaches optimize occlusal alignment and prosthetic fit, further improving treatment predictability. Advances in digital imaging and minimally invasive techniques enhance precision and long-term success. These combined approaches foster better treatment outcomes and patient satisfaction, demonstrating the importance of integrated care in oral healthcare. Conclusion: Oral rehabilitation of patients with severe bone loss requires a comprehensive, multidisciplinary strategy. The collaboration of maxillofacial surgeons, implantologists, and orthodontists ensures optimal functional and aesthetic outcomes. Future advancements in digital planning, biomaterials, and minimally invasive techniques will further refine treatment protocols, enhancing patient care and quality of life.
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Copyright (c) 2025 Jorge Erick Fernandez Hidalgo, Wilmer Israel Morocho Sánchez, Fabiana Nicole Cueva Quezada, María Sol Paredes Gavilanes, Carlos Alfredo Alarcón Mayorga, Gabriel Mateo Ríos Parra
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