Affiliation:
1. Clinic of Maxillofacial Surgery, Faculty of Dental Medicine, Belgrade
2. Clinic of Dental Prosthetics, Faculty of Dental Medicine, Belgrade
Abstract
Introduction. Mandible reconstruction is still very challenging for surgeons.
Mandible defects could be the consequence of ablative surgery for
malignancies, huge jaw cysts, infection and trauma. Segmental resection of
the mandible may compromise orofacial function and often lead to patients
psychological disorders. Despite very frequent use of microvascular flaps,
autogenous bone grafts are still very reliable technique for mandible
reconstruction. Comprehensive therapy means not only mandible reconstruction,
but prosthodontic rehabilitation supported by dental implants, which can
significantly improve patients quality of life. The aim of this paper was to
evaluate possible techniques of mandible reconstruction and to present a
patient who had been submitted to mandible resection and reconstruction with
autogenous iliac bone graft and prosthodontic rehabilitation with fixed
denture anchoraged by disc-shaped implants in early loading protocol. Case
report. Mandible reconstruction was performed simultaneously with resection.
Autogenous iliac bone graft was taken, reshaped and placed in two parts, to
the required optimal contour of the mandible. After graft consolidation,
decision was made for prosthodontics rehabilitation with fixed dentures
supported by implants. In addition to the standard preoperative procedures,
planning was done based on a biomodel gained by rapid prototyping after CT
scan. It offered a real 3D planning to obtain a proper shape, dimension and
the position of implants. Conclusion. If bone dimensions of a reconstructed
mandible are insufficient, like in the presented case, the use of basal
osseointegrated implants may be a method of choice. Avoiding bone
augmentation procedures, as well as early loading protocol for this type of
implants, shorten the total rehabilitation time, which is very convenient for
patients. Fixed denture supported by dental implants is the best solution for
comprehensive rehabilitation after mandible resection.
Funder
Ministry of Education, Science and Technological Development of the Republic of Serbia
Publisher
National Library of Serbia
Subject
Pharmacology (medical),General Medicine
Cited by
5 articles.
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