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Prosthetic rehabilitation in post-oncological patients: Report of two cases

Identifieur interne : 004B90 ( Main/Exploration ); précédent : 004B89; suivant : 004B91

Prosthetic rehabilitation in post-oncological patients: Report of two cases

Auteurs : Edoardo Brauner ; Andrea Cassoni ; Andrea Battisti ; Davina Bartoli ; Valentino Valentini

Source :

RBID : PMC:3254376

Abstract

Summary

Prosthetic rehabilitation in post-oncologic patients after bone reconstruction are not substantially different than those of patients affected by severe atrophia of upper or lower jaw after bone reconstruction.

Aim of this paper is to evaluate the possibilities of prosthetic rehabilitation on these patients and to present our method. Prosthesis-based oral rehabilitation of such tumor cases rapresents a challenge.

The report analyses two cases of patients who underwent ablative oral surgery. Both have received a fibula free vascularised flap. The first was rehabilitated with a removable prosthesis fixed on the residual teeth, while the second with an implant supported prosthesis.

In case of carcinoma resection of the oral mucosa, the removable prosthesis guarantees a simplification in dental care operations. On the other hand, irradiated mucosa is frequentely unable to tolerate the friction created by the acrylic base. However, the fixed prosthesis can limit the view during follow-up controls.

In our school, according to all exposed reasons, we consider the implant supported overdenture prosthesis to be the best choice for those patients.


Url:
PubMed: 22238701
PubMed Central: 3254376


Affiliations:


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<name sortKey="Cassoni, Andrea" sort="Cassoni, Andrea" uniqKey="Cassoni A" first="Andrea" last="Cassoni">Andrea Cassoni</name>
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<name sortKey="Battisti, Andrea" sort="Battisti, Andrea" uniqKey="Battisti A" first="Andrea" last="Battisti">Andrea Battisti</name>
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<p>Prosthetic rehabilitation in post-oncologic patients after bone reconstruction are not substantially different than those of patients affected by severe atrophia of upper or lower jaw after bone reconstruction.</p>
<p>Aim of this paper is to evaluate the possibilities of prosthetic rehabilitation on these patients and to present our method. Prosthesis-based oral rehabilitation of such tumor cases rapresents a challenge.</p>
<p>The report analyses two cases of patients who underwent ablative oral surgery. Both have received a fibula free vascularised flap. The first was rehabilitated with a removable prosthesis fixed on the residual teeth, while the second with an implant supported prosthesis.</p>
<p>In case of carcinoma resection of the oral mucosa, the removable prosthesis guarantees a simplification in dental care operations. On the other hand, irradiated mucosa is frequentely unable to tolerate the friction created by the acrylic base. However, the fixed prosthesis can limit the view during follow-up controls.</p>
<p>In our school, according to all exposed reasons, we consider the implant supported overdenture prosthesis to be the best choice for those patients.</p>
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