9-Year Follow-Up on Maxillofacial Implant-Supported Framework Designed to Accommodate Childhood Growth


Thomas J. Balshi DDS, PhD, FACP1 Glenn J.Wolfinger DMD, FACP1, Robert Pellecchia DDS, FACS2 William Reiger DMD, MS3 James W. Blakely MBE3, Stephen F. Balshi MBE1,4 Mamdouh O. Kachlan DMD1,5

1Pi Dental Center (Prosthodontics Intermedica, LLC), Institute for Facial Esthetics, Fort Washington, PA, USA, 2Chairman and Program Director, Lincoln Hospital, Bronx, NY, USA, 3Kornberg School of Dentistry, Temple University, Philadelphia, PA, USA, 4CM Prosthetic, Inc., Fort Washington, PA, USA, 5Division of Prosthodontics, University of Maryland School of Dentistry, Baltimore, MD, USA


Mamdouh O. Kachlan, DMD, University of Maryland Baltimore, School of Dentistry, 650 W. Baltimore Street, Baltimore, MA 21201. E-mail: [email protected]


This clinical report focuses on the challenges and solutions for a child subjected to craniofacial trauma from a wild hyena biting off his nose and anterior maxilla. Unique considerations in prosthodontics and biomedical engineering were required based on future craniofacial growth and development of the child. The physical requirement of a maximum retentive prosthesis for an active, athletic child required unique engineering designs and executions. The sequence of treatment and prosthesis fabrication are detailed. The patient has been followed for 9 years without physiologic complications and only minor prosthodontic complications.


Glabella, magnets, CAD-CAM, SFI-bar, craniofacial implants, maxillofacial prosthesis, nasal prosthesis

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Pi Dental Center, Fort Washington, PA