Titanium implants

[BlueShark7]

Are there any surgeons who do custom titanium implants for the border of the mandible?

[BlueShark7]

hi,

i do remember Dr Eppley saying that he is open to using these types of materials for augmentation, however he also said that becasue titanium is rigid the scar would be a lot bigger (as the insicion has to be larger to get it in there, wheras silicon can be folded around). He also said that getting titanium made in the custom size/shape would be extremely expensive (i THINK it was something like 30k for just the implant to be made, but i don't know if i am remembering that part correctly)

Thanks for response, that's helpful info. I'm wary of silicon implants due to possibility of bone erosion beneath the implant, so a larger incision is the trade off for titanium.

[PloskoPlus]

I think the big disadvantage about Titanium implants is that the underlying/attached bone loses its function because of the overlying Titanium implant and starts to resorb.

For example: There is no function for the jaw bone if no teeth or implants are present. So over time the bone will collapse.

But I am not sure about that. Can someone please ask Dr. Eppley?

Do they not cause bone erosion because of osseointegration?

BTW Silicon implants do not cause bone erosion!!! The Silicon implant will often (although not always) settle a millimeter or two into the bone as a form of pressure relief. The discussion and concern about bone resorption under a silicon implant is overblown and not an issue that patients need to be concerned about. It is not resorption but implant settling, is just a 1mm or 2mm is some cases, and many patient do not develop it at all. It does not weaken the bone and does not cause the bone to be smaller if the implant is eventually removed.

Lestat

Can silicone implants be secured with screws or is this only done with medpor?

[Lestat]

Can silicone implants be secured with screws or is this only done with medpor?

Also Silicone implants can be secured with screws.

http://images.google.de/imgres?imgurl=http://www.facechange.org/images/cheek-implants-3-b.jpg&imgrefurl=http://www.facechange.org/new-york-cheek-augmentation/&h=300&w=400&tbnid=VcTdUZf7f5th9M:&tbnh=90&tbnw=120&docid=1hq70oOu5aYKwM&usg=__d40razKWvFdaubArijTPxSdVBZ8=&sa=X&ved=0ahUKEwiojv-TlfrNAhWIyRQKHTMBBsYQ9QEIMzAE

See the link. I think Dr. Slupchynskyi is one of the best surgeons for facial implants worldwide!

[PloskoPlus]

Also Silicone implants can be secured with screws.

http://images.google.de/imgres?imgurl=http://www.facechange.org/images/cheek-implants-3-b.jpg&imgrefurl=http://www.facechange.org/new-york-cheek-augmentation/&h=300&w=400&tbnid=VcTdUZf7f5th9M:&tbnh=90&tbnw=120&docid=1hq70oOu5aYKwM&usg=__d40razKWvFdaubArijTPxSdVBZ8=&sa=X&ved=0ahUKEwiojv-TlfrNAhWIyRQKHTMBBsYQ9QEIMzAE

See the link. I think Dr. Slupchynskyi is one of the best surgeons for facial implants worldwide!

Not very impressive tbh.

[boyo]

Why are you guys talking about medpor, silicone and titanium implants? These are obsolete and would do long term damage on the bone underneath. It's all about the implant being able to integrate to your own bone thus calcium phosphate is the only choice.

[Lestat]

Why are you guys talking about medpor, silicone and titanium implants? These are obsolete and would do long term damage on the bone underneath. It's all about the implant being able to integrate to your own bone thus calcium phosphate is the only choice.

Do titanium implants damage the bone underneath? Are you sure Boyo? Do they not osseointegrate?

[mike888miller]

mm in belgium. he references this in his latest paper

https://www.researchgate.net/publication/291384320_The_ideal_male_jaw_angle_-_An_Internet_survey

[molestrip]

Titanium plates can cause bone demineralization through stress shielding but I wouldn't think degradation. They don't osseointegrate as well as bone so eventually they may dislodge but I wouldn't think of resorption. They can become infected at any time, same issues with TJR and plates. They do break down slowly and you find traces around the body but it's thought to be harmless. I'd guess you'd probably feel them with pressure and temperature changes. Overall I'd say it's a good material to have in your body but bone grafts would be preferable if possible. They tend not to take well in that location unfortunately.