Five years follow-up of implant-prosthetic rehabilitation on a patient after mandibular ameloblastoma removal and ridge reconstruction by fibula graft and bone distraction
Identifieur interne : 003275 ( Main/Exploration ); précédent : 003274; suivant : 003276Five years follow-up of implant-prosthetic rehabilitation on a patient after mandibular ameloblastoma removal and ridge reconstruction by fibula graft and bone distraction
Auteurs : Giacomo Oteri [Italie] ; Francesco Saverio De Ponte [Italie] ; Michele Pisano [Italie] ; Marco Cicciù [Italie]Source :
- Dental Research Journal [ 1735-3327 ] ; 2012.
Abstract
This case report presents a combination of surgical and prosthetic solutions applied to a case of oral implant rehabilitation in post-oncologic reconstructed mandible. Bone resection due to surgical treatment of large mandibular neoplasm can cause long-span defects. Currently, mandibular fibula free flap graft is widely considered as a reliable technique for restoring this kind of defect. It restores the continuity of removed segment and re-establishes the contour of the lower jaw. However, the limited height of grafted fibula does not allow the insertion of regular length implants, therefore favouring vertical distraction osteogenesis as an important treatment choice. This report presents a patient affected by extensive mandibular ameloblastoma who underwent surgical reconstruction by fibula free flap because of partial mandibular resection. Guided distraction osteoneogenesis technique was applied to grafted bone, in order to obtain adequate bone height and to realize a prosthetically guided placement of 8 fixtures. After osseointegration, the patient was rehabilitated with a full arch, screw-retained prosthetic restoration. At five-years follow up, excellent integration of grafted tissue, steady levels of bone around the fixtures and healthy peri-implant tissues were reported.
Url:
PubMed: 22623943
PubMed Central: 3353703
Affiliations:
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first="Francesco Saverio De" last="Ponte">Francesco Saverio De Ponte</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Maxillofacial Surgery, University of Messina, ME, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Maxillofacial Surgery, University of Messina, ME</wicri:regionArea><wicri:noRegion>ME</wicri:noRegion></affiliation></author><author><name sortKey="Pisano, Michele" sort="Pisano, Michele" uniqKey="Pisano M" first="Michele" last="Pisano">Michele Pisano</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Odontostomatology, University of Messina, ME, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Odontostomatology, University of Messina, ME</wicri:regionArea><wicri:noRegion>ME</wicri:noRegion></affiliation></author><author><name sortKey="Cicciu, Marco" sort="Cicciu, Marco" uniqKey="Cicciu M" first="Marco" last="Cicciù">Marco Cicciù</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Human Pathology, University of Messina, ME, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Human Pathology, University of Messina, ME</wicri:regionArea><wicri:noRegion>ME</wicri:noRegion></affiliation></author></analytic><series><title level="j">Dental Research Journal</title><idno type="ISSN">1735-3327</idno><idno type="eISSN">2008-0255</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>This case report presents a combination of surgical and prosthetic solutions applied to a case of oral implant rehabilitation in post-oncologic reconstructed mandible. Bone resection due to surgical treatment of large mandibular neoplasm can cause long-span defects. Currently, mandibular fibula free flap graft is widely considered as a reliable technique for restoring this kind of defect. It restores the continuity of removed segment and re-establishes the contour of the lower jaw. However, the limited height of grafted fibula does not allow the insertion of regular length implants, therefore favouring vertical distraction osteogenesis as an important treatment choice. This report presents a patient affected by extensive mandibular ameloblastoma who underwent surgical reconstruction by fibula free flap because of partial mandibular resection. Guided distraction osteoneogenesis technique was applied to grafted bone, in order to obtain adequate bone height and to realize a prosthetically guided placement of 8 fixtures. After osseointegration, the patient was rehabilitated with a full arch, screw-retained prosthetic restoration. At five-years follow up, excellent integration of grafted tissue, steady levels of bone around the fixtures and healthy peri-implant tissues were reported.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Rekhi, B" uniqKey="Rekhi B">B Rekhi</name></author><author><name sortKey="Saxena, S" uniqKey="Saxena S">S Saxena</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Grucia, B" uniqKey="Grucia B">B Grucia</name></author><author><name sortKey="Stauffer, E" uniqKey="Stauffer E">E Stauffer</name></author><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author><author><name sortKey="Bornstein, M" uniqKey="Bornstein M">M Bornstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kahairi, A" uniqKey="Kahairi A">A Kahairi</name></author><author><name sortKey="Ahmad, Rl" uniqKey="Ahmad R">RL Ahmad</name></author><author><name sortKey="Wan Islah, L" 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Rohner</name></author><author><name sortKey="Tan, Bk" uniqKey="Tan B">BK Tan</name></author><author><name sortKey="Song, C" uniqKey="Song C">C Song</name></author><author><name sortKey="Yeow, V" uniqKey="Yeow V">V Yeow</name></author><author><name sortKey="Hammer, B" uniqKey="Hammer B">B Hammer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nocini, Pf" uniqKey="Nocini P">PF Nocini</name></author><author><name sortKey="Wangerin, K" uniqKey="Wangerin K">K Wangerin</name></author><author><name sortKey="Albanese, M" uniqKey="Albanese M">M Albanese</name></author><author><name sortKey="Kretschmer, W" uniqKey="Kretschmer W">W Kretschmer</name></author><author><name sortKey="Cortelazzi, R" uniqKey="Cortelazzi R">R Cortelazzi</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Oteri, Giacomo" sort="Oteri, Giacomo" uniqKey="Oteri G" first="Giacomo" last="Oteri">Giacomo Oteri</name></noRegion><name sortKey="Cicciu, Marco" sort="Cicciu, Marco" uniqKey="Cicciu M" first="Marco" last="Cicciù">Marco Cicciù</name><name sortKey="Pisano, Michele" sort="Pisano, Michele" uniqKey="Pisano M" first="Michele" last="Pisano">Michele Pisano</name><name sortKey="Ponte, Francesco Saverio De" sort="Ponte, Francesco Saverio De" uniqKey="Ponte F" first="Francesco Saverio De" last="Ponte">Francesco Saverio De Ponte</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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