Page 30 - Waterfall City Issue 2 February 2025
P. 30

Waterfall City Health














        BEYOND



        SMILES





        The art and science of
        facial prosthetics



                 By Dr Nadhir Biseswar
                 MChD – Prosthodontics








        F      acial prosthetics are a                                          earliest devices found in ancient Egypt

                                                                                serving both functional and symbolic
               remarkable fusion of
                                                                                purposes. The Greeks and Romans
               science and artistry, offering
               transformative solutions for
        individuals who have experienced                                        improved upon these rudimentary
                                                                                designs, introducing materials like
        facial disfigurement due to trauma,                                     bronze for durability. By the Middle Ages,
        congenital conditions, or medical                                       prosthetics evolved into highly crafted
        procedures. These prosthetics go                                        wood, leather, and metal tools.
        beyond restoring physical appearance
        – they help rebuild identity, confidence,                               In South Africa, the prosthetics field
        and functionality, addressing                                           grew significantly during the late 20th
        challenges like speaking, eating, or                                    century, particularly in response to war
        hearing that patients may face daily.                                   injuries and industrial accidents. Today,
                                                                                prosthetic advancements are driven by
        The journey of prosthetic care is                                       the unique needs of diverse populations,
        steeped in history, from its ancient   Dr Nadhir Biseswar, Specialist Prosthodontist,   with local institutions contributing
                                            Netcare Waterfall City Hospital
        origins to today’s cutting-edge                                         to global innovation. Collaborative
        innovations. Modern prosthetics have   commitment to patient-centred    efforts between academic researchers
        evolved to incorporate advanced     care and technological innovation.   and healthcare providers are ensuring
        materials, 3D imaging, and precision   Facilities such as Netcare Waterfall   that prosthetics become increasingly
        engineering, enabling prosthodontists   City Hospital lead the way in adopting   accessible, affordable, and functional.
        to craft devices that look and feel   state-of-the-art methods, from custom
        natural. These innovations restore   wax-up models and colour-matching   Understanding prosthesis
        anatomical features and mitigate the   techniques to the integration of metal   Facial prosthetics focus on
        psychological and emotional toll of   frameworks and osseointegrated    reconstructing features such as noses,
        disfigurement, helping patients regain   implants for long-term durability.   ears, eyes, and portions of the jaw.
        their place in society.                                                 These prosthetics are crafted with
                                            History                             immense care to ensure they mimic
        In South Africa, prosthetic         The concept of prosthetics dates back   the natural anatomy and blend
        advancements are driven by a        thousands of years, with some of the   seamlessly with the patient’s existing

        28  Waterfall City Issue 2   2025
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