Many Suffering Unnecessarily…
In a culture where beauty and health has become almost a measure of human worth and social standing, it is not difficult to imagine the practical and social consequences of facial damage and defects by neighboring fellow beings.
White teeth and beautiful features belong to the ideal of the perfect human being as promoted by the media and advertising. Any imperfection is often regarded in a very negative light which can result in thoughtless fun making of disabilities.
In reality, few people can live up to our society’s definition of the perfect beauty ideal. For some, it turns life into a kind of prison. Accidents, birth defects, cancer and other illnesses can result in the loss if important parts of the body, not only in the face. The most obvious consequence is loss of functions. A person may not be able to eat properly, may suffer hearing loss or be unable to participate in sports and other social activities. Equally as painful as the functional loss which deals with the ability to perform, is that which deals with the desire to try.
Activities which most of us take for granted to give quality of life are for theses people often fraught with anxiety. This could be meeting friends, enjoying good food, travel and entertainment, close relations with others or simply a visit to the supermarket. Often the consequence is that a person goes into a deep depression and isolates them self from others in order to avoid showing their insecurity and anguish.
Depression leads to long periods on the sick list, which in turn lead to total isolation. Under such conditions, life is taken over completely by handicap or illness and the desire to keep apart from others, even those who can offer help and support. The damage is no longer a problem of life, it is life.
Knowledge and commitment is needed in order to help these people back to a normal, active and worthwhile existence. Part of this must come from the patient seeking a change and part must come from the doctor the patient meets, who has not only the information about what is possible but also the desire and resources needed to achieve results.
Affected people’s needs can vary greatly just like the possibilities for rehabilitation. One thing we have learnt – there is no helpless case
What is Osseointegretion?…
The first dental patient was treated 1965 with the Osseointegration method by professor Brånemark. Today this treatment has become routine all over the world, while the development work on new advance progresses.
The treatment always begins with a precise and individually tailored assessment of the bone tissue. In certain cases the bone tissue may be so damaged or reduced that bone has to be transplanted from other parts of the skeleton. Usually, however, the existing bone suffices.
The next stage is to insert the titanium anchorage elements, the so called fixtures, in the bone tissue. This is the most sensitive and critical moment for the future course of events, and a successful outcome is entirely dependant on the method’s special recipe for minimal damage to the living tissue.
If the tissue is handled with the respect it needs, it will heal together with the fixture as though it was a part of the body. To fulfill this need, it requires a careful clinical adaptation to the patient’s particular tissue situation and healing capacity. Osseointegration’s first and most critical step has just passed.
The complete adaptation of the tissue to the anchorage element continues even after the prosthesis is in place. When, via the prosthesis, the titanium screw begins to be loaded, for example by chewing, the next step takes place. The tissue around the fixture remodels itself in a way which is dependent on the size, direction and frequency of the loading force.
After 12 to 18 months the whole process reaches a state of balance. The bone has remodeled itself and come into balance with the forces which load the fixture. The risk that something unforeseen will happen is now minimal.
Progress and Development…
A facial prosthesis comes into consideration when plastic surgery and other biologic reconstructive methods cannot provide an answer. Traditionally, such prostheses have been attached by means of adhesive, double sided sticky tape or glasses which creates a feeling of unease and constant anxiety for the patient.
Instead, today, we can attach individually and very realistic prostheses to the face in the same way that we replace teeth. How many fixtures are used depends on the extent of the size and dimension of the defect to the face. For eye, ear and nose prostheses, two or three fixtures are normally placed in the surrounding bone tissue and the final ‘abutments’ are connected after three to six months. Especially in irradiated tissue the surgery in those cases is done in 2 stages with a healing period between installation of the fixture and the subsequent abutment which is the part penetrating through the skin.
Then a specially made prosthesis is connected firmly to this construction. Now the patient does not have to feel anxious that the new body component will come loose.
Bone conduction hearing aids are a well proven method to provide a hearing path to the inner ear past damaged or non existing middle ear bones. Until now practical devices have had to be pressed firmly to the skin behind the ear which gives many patients pressure sores and headaches. In addition, the sound reduces considerably as it passes through the skin.
All these negative effects can be eliminated, if through the use of Osseointegration a specially designed hearing aid is anchored in the skull bone. The direct contact between the device and bone gives a dramatically improved hearing effect to which a large number of patients can testify since the method was devised in 1977.
This cooperation with the human frame, established through the Osseointegration principle, has only just begun. Experience gained from the facial region has created opportunities for a range of new advances. A logical development has been Osseointegrated finger joint prostheses for rheumatic sufferers and patients with other joint difficulties. It is also possible to attach a thumb or finger prosthesis in patients who have lost this part of their body
Application to the Patient…
Selection of patients follows the non-profit philosophy of the Institution. At least 80% of care is free of charge.
All patients are carefully assessed to evaluate if their deficiency allows utilization of the Osseointegration technique applied by the Institution.
The cost of procedures ranges from Rs 15000 to Rs 20.000,00, according to each case, and is afforded by donations. However, all patients are evaluated as to their socioeconomic status by a social worker, for detection of patients with or without financial conditions to pay for the treatment.
Application will be made available shortly. But if you want apply in mean time contact us
-Prof. Dr. Vikas Gowd
M.D.S., FICO oral and maxillofacial prosthodontist and implantologist