Dear Colleagues,
In Europe (I am based in Holland / the Netherlands) it is mainly
Cochlear implants that have been used for facial prosthetics. However,
eversince Nobel sold their extra-oral implantology package to Entific
(about ten years ago?) which was later sold to Cochlear, the implant-
technology had not been changed anymore. This where every implant
company developed other surface characteristics for its implants, to
give their implants better osseointegration chances. For the mastoid
region we still using the Cochlear implants, for the nasal and orbital
region we use more often intra-oral implants (in general from
NobelBiocare TiUnite) where ever the bone quantity allows us. One of
the advantages of working in the NobelBiocare-line is the fast amount
of prosthetic solutions that can be thought of!
Straumann has been selling short implants as wel,l at leats in the
past (in my memory with 4 or 5 mm length), however their prosthetics
components were not really directed for extra-oral use, we thought. We
talked to them in 2004 and eversince it became silent. How they doing
these days I do not really know, as we have not been using it for
extra oral cases since long times.
From South Africa Southern Implants are distributed and they seem very
interested in different applications, like for facial prosthesis. It
is not in their catalogue, but I know e.g. Keith Thomas has contacts
with them as well. They have short implants. Graham Blackbeard is
their man to talk to, I think.
In the last place you can think of the extra-oral plates for retention
of facial prostheses, like the EpiPlating system (medicon) or the
Epitec system (which turned out recently no longer to be supported by
Stryker, and thus no longer available in Holland) We have no
experience with those systems, But are interested for larger midface
defects where it might be the only solution remaining. In some of the
German spoken countries these systems are used more often; however not
very well documented. There was some discussion on these systems on
the site lately.
So far our experiences,
Regards, Harry Reintsema
dr. H. Reintsema
Center for Special Dental Care and Maxillofacial Prosthetics, Dept.
for Oral and Maxillofacial Surgery
University Medical Center Groningen
PO-box 30.001, BB70
NL-9700 RB Groningen, The Netherlands
tel:
+31-50 3613859
fax
+31-50 3612831
e-mail:
h.rei...@kchir.umcg.nl