Best Jaw Implant Material???

[poopmaster22]

What is the best material for jaw/orbital implants? Is it Peek or Titanium or Solicone? Like which will last forever and gives best results?

 

[randomvanish]

peek

 

[poopmaster22]

peek

How long does it last before you have to replace it? Is it actually better than titanium?

 

[randomvanish]

How long does it last before you have to replace it? Is it actually better than titanium?

titanium always sounds like bullshit to me. since it's much harder than the jaw itself, if you take an impact, it can shatter your jaw into pieces.
I saw papers from the 1960s, about silicone facial implants. i couldn't find a horror story about silicone, that causes life-altering bone erosion. there was even a guy who carried his chin implant for 42 years.
peek looks even better than that, since it's using for cranial for almost 20 years. however, it's a fairly new material, so long-term results might vary.

 

[poopmaster22]

titanium always sounds like bullshit to me. since it's much harder than the jaw itself, if you take an impact, it can shatter your jaw into pieces.
I saw papers from the 1960s, about silicone facial implants. i couldn't find a horror story about silicone, that causes life-altering bone erosion. there was even a guy who carried his chin implant for 42 years.
peek looks even better than that, since it's using for cranial for almost 20 years. however, it's a fairly new material, so long-term results might vary.

Aids. Idk I want it to be in their for life and not have to pay more down the road so just curious what was best

 

[Carpediem]

Also depends which company,
Shit materials are silicone( mostly used by us plastic surgeons) and medpor
Good Materials: Peek, Titan Mesh (not the normal titanium implants),
New materials: marpor (not medpor), ct bone (made from calcium phosphate like real bone but not available now), ceramic implants

 

[Realism]

Also depends which company,
Shit materials are silicone( mostly used by us plastic surgeons) and medpor
Good Materials: Peek, Titan Mesh (not the normal titanium implants),
New materials: marpor (not medpor), ct bone (made from calcium phosphate like real bone but not available now), ceramic implants

Why do you think silicone is a shit material?

 

[MrRubiks]

PEEK. It's as strong as bone and doesn't cause any resorption. It can also be customized to produce no step-off.

 

[MrRubiks]

Why do you think silicone is a shit material?

Lack of strength, it doesn't feel like bone, and it causes bone resorption.

 

[Realism]

Lack of strength, it doesn't feel like bone, and it causes bone resorption.

Is this realistically of any concern with infraorbital/wraparound implants? (the resorption that is)

 

[MrRubiks]

Is this realistically of any concern with infraorbital/wraparound implants? (the resorption that is)

I'm not sure tbh. i just know that it's not ideal. I literally threw away 7k just because of the difference. I forfeited my deposit with Eppley to go to Pagnoni. Pagnoni's use of PEEK was one of the reasons.

 

[poopmaster22]

I'm not sure tbh. i just know that it's not ideal. I literally threw away 7k just because of the difference. I forfeited my deposit with Eppley to go to Pagnoni. Pagnoni's use of PEEK was one of the reasons.

So peek regardless where it is put is safe for life and won’t cause issues or need changes?

 

[Deleted member 7098]

PEEK. It's as strong as bone and doesn't cause any resorption. It can also be customized to produce no step-off.

One big disadvantage is that it is harder to replace or remove than silicone or titanium as it has significant bone and tissue ingrowth.

 

[MrRubiks]

One big disadvantage is that it is harder to replace or remove than silicone or titanium as it has significant bone and tissue ingrowth.

In theory, of course, you don't want to replace anything. You want it there permanently.

 

[MrRubiks]

So peek regardless where it is put is safe for life and won’t cause issues or need changes?

No, not that I'm aware of.

 

[Deleted member 7098]

In theory, of course, you don't want to replace anything. You want it there permanently.

Of course that would be ideal, but the vast majority of guys i know that got a jaw implant had at least one revision as they weren‘t fully satisfied with the initial result

 

[poopmaster22]

In theory, of course, you don't want to replace anything. You want it there permanently.

Oh it grows into the tissues?

 

[Deleted member 7098]

Oh it grows into the tissues?

Other way around, the tissue grows into the implant, but yes.

 

[MrRubiks]

Oh it grows into the tissues?

I believe he's referring to porosity of the material combined with natural bone remodeling causing the material and bone to fuse over time. Honestly though, this is what you want.

 

[poopmaster22]

I believe he's referring to porosity of the material combined with natural bone remodeling causing the material and bone to fuse over time. Honestly though, this is what you want.

Oh bone and peek become one ? Shiz ya that is what I want innit

 

[poopmaster22]

So implant becomes bone?

Other way around, the tissue grows into the implant, but yes.

 

[MrRubiks]

Oh bone and peek become one ? Shiz ya that is what I want innit

Exactly. You want it to be a natural extension of the bone.

 

[MrRubiks]

So implant becomes bone?

No. They're discrete materials, but they fuse together over time.

 

[PubertyMaxxer]

Shape and Size (Design) is 10000x more important than material

 

[MrRubiks]

Of course that would be ideal, but the vast majority of guys i know that got a jaw implant had at least one revision as they weren‘t fully satisfied with the initial result

It's a double-edged sword for sure. Adhering to the implant material is ideal though in the long run. We can't have our cake and eat it too. It's a little different for me though as I'm just doing my eyes.

 

[crosshold]

like i said before, PEEK is best right now

 

[poopmaster22]

like i said before, PEEK is best right now

Titanium or calcium ohosophate though?

 

[crosshold]

Titanium or calcium ohosophate though?

what do you mean by that? the coating?

 

[MrRubiks]

A little o/t, but I just got off the phone with somebody from Eppley's office and was told that I would be getting most of my deposit refunded. Legally, they had no obligation to do this, so I'm quite happy about it. I appreciate their professionalism and helpfulness.

 

[poopmaster22]

what do you mean by that? the coating?

Isn’t titanium or the calcium phosphate better material though than Peek?

 

[Carpediem]

Why do you think silicone is a shit material?

It s never used by european maxfacs, silicone can easy lead to infections and granuloma, it releases chemical softeners over time.
The advantage is that it can be easilly removed, but it's also softer as real bone.

Peek is the gold standart but the body creates a capsule around the implant.

Titan mesh should be better (but normall titan implants are worse)

 

[Carpediem]

It s never used by european maxfacs, silicone can easy lead to infections and granuloma, it releases chemical softeners over time.
The advantage is that it can be easilly removed, but it's also softer as real bone.

Peek is the gold standart but the body creates a capsule around the implant.

Titan mesh should be better (but normall titan implants are worse)

normal titan implants looks like this

 

[CristianT]

I talked today with a surgeon who uses Bone Cement implants. It's the first time I am hearing this. Any1 knows about this?

Polymethylmethacrylate (PMMA) Bone Cement Guidance

Developed as a special control guidance to support the reclassification of PMMA bone cement into class II.

www.fda.gov

 

[poopmaster22]

I talked today with a surgeon who uses Bone Cement implants. It's the first time I am hearing this. Any1 knows about this?

Polymethylmethacrylate (PMMA) Bone Cement Guidance

Developed as a special control guidance to support the reclassification of PMMA bone cement into class II.

www.fda.gov

Really hmm is that better or worse though?

 

[CristianT]

Really hmm is that better or worse though?

not sure tbh

 

[poopmaster22]

not sure tbh

Is it calcium phosphate ?

 

[Deleted member 6756]

I talked today with a surgeon who uses Bone Cement implants. It's the first time I am hearing this. Any1 knows about this?

Polymethylmethacrylate (PMMA) Bone Cement Guidance

Developed as a special control guidance to support the reclassification of PMMA bone cement into class II.

www.fda.gov

I wonder who that is

 

[poopmaster22]

I wonder who that is

Sailer? Doesn’t he use basically bone or cement?

 

[Deleted member 6756]

Sailer? Doesn’t he use basically bone or cement?

He uses lyophilized cartilage for the cheekbones

 

[poopmaster22]

Oh what he use for jawline?

He uses lyophilized cartilage for the cheekbones

 

[Deleted member 6756]

Oh what he use for jawline?

Medpor. I am told by multiple people that peek is no longer offered. Supposedly he has become entirely money hungry and no longer listens to your desires. You are offered a streamlined experience where you follow his vision. Not very impressive results according to a few people that had their consultations. To summarize, they stated you are paying big money for an average surgery when you go to Sailer.

 

[poopmaster22]

Medpor. I am told by multiple people that peek is no longer offered. Supposedly he has become entirely money hungry and no longer listens to your desires. You are offered a streamlined experience where you follow his vision. Not very impressive results according to a few people that had their consultations. To summarize, they stated you are paying big money for an average surgery when you go to Sailer.

Then he needs to be done

 

[Wallenberg]

It s never used by european maxfacs, silicone can easy lead to infections and granuloma, it releases chemical softeners over time.
The advantage is that it can be easilly removed, but it's also softer as real bone.

Peek is the gold standart but the body creates a capsule around the implant.

Is the infection rate any higher with silicone jaw implants than with PEEK jaw implants?

 

[Deleted member 2729]

PEEK. It's as strong as bone and doesn't cause any resorption. It can also be customized to produce no step-off.

You know alot about anti step off maxxing and jaw surgery?

 

[MrRubiks]

You know alot about anti step off maxxing and jaw surgery?

Not much about the jaw because I got very lucky there, but I do about the eyes. For starters, just stay away from silicone.