私と顎顔面補綴との関わり

抄録

My relationship with maxillofacial prostheses began in 1986 when I was in charge of a patient with partial maxillary resection. While considering the treatment plan, I came across the Journal of Maxillofacial Prosthetics and immediately joined the Society. The case that I treated was presented at the Annual Meeting.
The problems at that time were as follows: 1） We could not deal with facial defects. 2） In some patients, the defective palate was covered with a flap, so undercutting of the defect could not be used for retention. 3） In patients with partial maxillary resection, we could not use the healthy central incisor as an abutment tooth. 4） When the mandibular defect area was covered with tongue tissue and sutured to the buccal mucosa, it was impossible to make an appropriate removable prosthesis.
These results showed that surgery was being led by otolaryngology and oral surgery and preoperative discussions with prosthodontists were not held; this seemed to be the biggest problem at that time.
In order to help patients, researchers at the Japanese Academy of Maxillofacial Prosthetics have extracted various problems and have been studying breakthrough measures.