Marginal Mandibulectomy and Oral Rehabilitation of Xeroderma Pigmentosum Patient

Author:

da Silva Isadora França Vieira1ORCID,de Toledo Guilherme Lacerda2,Jardilino Francisca Daniele Moreira1,Bhering Cláudia Lopes Brilhante3,Moreno Amália1

Affiliation:

1. Department of Oral Surgery, Pathology, and Clinical Dentistry

2. Private Dental Clinic, Belo Horizonte, Brazil

3. Department of Restorative Dentistry; School of Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG

Abstract

Xeroderma pigmentosum (XP) may cause tissue deformation in patients who have undergone oral cancer surgery requiring resection of any part of the mandible. Oral rehabilitation is a pivotal factor in the restoration of function and esthetics. The aim of this study was to report a clinical case of successful prosthetic rehabilitation of a 57-year-old woman who presented with marginal mandibulectomy and a significant reduction in maximal mouth opening after treatment for XP. With her reduced opening and considerable loss of structure and tissue, she had difficulty speaking, swallowing, and altered esthetics. The oral rehabilitation was performed with complete maxilla denture and mandible overdenture retained by 2 implants. This case demonstrates that the rehabilitation with mandible overdentures and complete maxilla dentures provide function and esthetic improvement in the mutilated area for XP patients with marginal mandibulectomies.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine,Otorhinolaryngology,Surgery

Reference10 articles.

1. Xeroderma pigmentosum;Lehmann;Orphanet J Rare Dis,2011

2. The Iberian legacy into a young genetic xeroderma pigmentosum cluster in central Brazil;Castro;Mutat Res - Genet Toxicol Environ Mutagen,2020

3. Xeroderma pigmentosum. Cutaneous, ocular, and neurolog1. Kraemer KH, Lee MM, Scotto J. Xeroderma pigmentosum. Cutaneous, ocular, and neurologic abnormalities in 830 published cases;Kraemer;Arch Dermatol,1987

4. Prosthetic management of edentulous mandibulectomy patients. Part I. Anatomic, physiologic, and psychologic considerations;Cantor;J Prosthet Dent,1971

5. Quality of life assessment of implant-retained overdentures and fixed metal-acrylic resin prostheses in patients with marginal mandibulectomy;Karayazgan-Saracoglu;In: J Prosthet Dent,2017

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