Abstract:
Craniofacial implants have evolved the practice of
maxillofacial prosthetics by enhancing prosthesis
design, aesthetics, retention and patient self-esteem.
This review aims to analyse past papers reporting
on the use of craniofacial implants as well as
factors affecting implants success. Success and
lifespan of implants varied with bone type, location,
radiotherapy exposure and patient hygiene.
Implants inserted in the mastoid bone showed
highest success rates followed by those inserted
in the inferior nasal bone. Those inserted in the
inferior orbital rim showed the lowest success due
to low bone quality and quantity.
Radiotherapy compromised bone quality and
vasculature, hence reducing implant-bone
integration and subsequent livelihood of the
implant. Hygiene and cleaning of the implant site
and abutment is crucial to prevent implant thread
exposure and bacterial adhesion, which could lead
to implant failure.
Regardless of these factors, studies with shorter
follow up periods generally reported higher success
rates than those with longer follow up periods.