On October 17, as part of the meeting of the Orthopedic Dentistry section of the VI Belarusian International Dental Congress, the II Eurasian Congress on Maxillofacial Prosthetics was held. The main organizers were the Dean of the Faculty of Dentistry, Associate Professor Sergey N. Parkhamovich and Head of the Department of Orthopedic Dentistry, professor Semen A. Naumovich.
Maxillofacial prosthetics is quite acute issue today. Anatomical and functional defects caused by congenital pathology, surgical interventions associated with oncopathology of the face and jaw, traumatic injuries lead to severe maladaptation and desocialization of patients. Violation of the integrity of the organs and systems of the maxillofacial region leads to serious deviations in the work of such basic functions as breathing, swallowing, chewing, speech, hearing, as well as pronounced changes in appearance and aesthetics. Rehabilitation requires a special approach, the availability of special knowledge, skills, material and technical base. The need for the integration of knowledge, the exchange of experience between dentists performing such interventions, the development of common techniques and approaches is obvious. The II Eurasian Congress on Oral and Maxillofacial Prosthetics in Minsk was intended to become a platform where leading specialists in the field of maxillofacial surgery, ENT surgery and orthopedic dentistry could exchange experience, knowledge and best practices in the field of surgical and orthopedic rehabilitation of patients with congenital and acquired defects and deformations of the face and jaw.
The congress was attended by honored and eminent doctors from Belarus, Russia, Bulgaria, Kazakhstan and Kyrgyzstan.
The reports made in the framework of the II Eurasian Congress on maxillofacial prosthetics highlighted a wide range of issues from materials science and hygiene to CAD-CAM technologies and plastic restoration of lost organs and tissues. The possibilities of modern comprehensive rehabilitation, including a combination of surgical preparation and subsequent orthopedic treatment, were reflected. Particular attention was paid to the use of digital computer technologies in the maxillofacial prosthetics, which having a computer tomogram and scans of the surfaces of the prosthetic bed tissue can be used to recreate the prototype of the future replacement prosthesis in 3-D format and translate it into reality using subtractive (milling) or additive (3D printing, selective laser sintering) technologies. Fundamentally new opportunities in planning orthopedic intervention open up methods of mathematical modeling. Their advantage lies in the ability to non-destructively predict and evaluate the impact of a future denture on the dentofacial system and, based on the information received, choose the right tactics for orthopedic treatment. So, the digital software package developed at the Department of Orthopedic Dentistry of the Belarusian State Medical University allows, based on the results of computer tomograms segmentation, to build three-dimensional models of teeth and dentitions, and based on a numerically implemented physical and mathematical model, to conduct a precision biomechanical analysis of the dentofacial system.
An extensive section was devoted to the comprehensive rehabilitation of adult patients with congenital cleft lip and palate. Presentations were made reflecting the possibilities of using the media to solve the problems of patients with facial defects, issues of jaw bone grafting in children with congenital malformations and tumors, and the main aspects of caring for maxillofacial orthopedic structures.
Between the presentations, participants could exchange views and talk in a relaxed, friendly atmosphere, visit a dental exhibition or go to the venue in front of the BelExpo National Exhibition Center, where there was wonderful autumn weather.
Expressing a common opinion, it should be said that such events are extremely important for expanding the professional horizons, creating and maintaining contacts between people united by one thing.
Author: Andrey V. Kuvshinov, Associate Professor of Department of Orthopedic Dentistry;