Links to Exploration step
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Treatment of Odontogenic Myxoma: A Multidisciplinary Approach—6-Year Follow-Up Case</title><author><name sortKey="De Souza, Joao Gustavo Oliveira" sort="De Souza, Joao Gustavo Oliveira" uniqKey="De Souza J" first="João Gustavo Oliveira" last="De Souza">João Gustavo Oliveira De Souza</name><affiliation><nlm:aff id="I1">Department of Implant Dentistry, School of Dentistry, Federal University of Santa Catarina, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Claus, Jonathas Daniel Paggi" sort="Claus, Jonathas Daniel Paggi" uniqKey="Claus J" first="Jonathas Daniel Paggi" last="Claus">Jonathas Daniel Paggi Claus</name><affiliation><nlm:aff id="I2">Residence of Oral and Maxillofacial Surgery Program, HU/UFSC, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Ouriques, Felipe Damerau" sort="Ouriques, Felipe Damerau" uniqKey="Ouriques F" first="Felipe Damerau" last="Ouriques">Felipe Damerau Ouriques</name><affiliation><nlm:aff id="I1">Department of Implant Dentistry, School of Dentistry, Federal University of Santa Catarina, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Gil, Luiz Fernando" sort="Gil, Luiz Fernando" uniqKey="Gil L" first="Luiz Fernando" last="Gil">Luiz Fernando Gil</name><affiliation><nlm:aff id="I1">Department of Implant Dentistry, School of Dentistry, Federal University of Santa Catarina, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Gil, Jose Nazareno" sort="Gil, Jose Nazareno" uniqKey="Gil J" first="José Nazareno" last="Gil">José Nazareno Gil</name><affiliation><nlm:aff id="I3">Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Santa Catarina, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Cardoso, Antonio Carlos" sort="Cardoso, Antonio Carlos" uniqKey="Cardoso A" first="Antonio Carlos" last="Cardoso">Antonio Carlos Cardoso</name><affiliation><nlm:aff id="I1">Department of Implant Dentistry, School of Dentistry, Federal University of Santa Catarina, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Bianchini, Marco Aurelio" sort="Bianchini, Marco Aurelio" uniqKey="Bianchini M" first="Marco Aurélio" last="Bianchini">Marco Aurélio Bianchini</name><affiliation><nlm:aff id="I1">Department of Implant Dentistry, School of Dentistry, Federal University of Santa Catarina, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25580309</idno><idno type="pmc">4279879</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4279879</idno><idno type="RBID">PMC:4279879</idno><idno type="doi">10.1155/2014/795808</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002986</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002986</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Treatment of Odontogenic Myxoma: A Multidisciplinary Approach—6-Year Follow-Up Case</title><author><name sortKey="De Souza, Joao Gustavo Oliveira" sort="De Souza, Joao Gustavo Oliveira" uniqKey="De Souza J" first="João Gustavo Oliveira" last="De Souza">João Gustavo Oliveira De Souza</name><affiliation><nlm:aff id="I1">Department of Implant Dentistry, School of Dentistry, Federal University of Santa Catarina, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Claus, Jonathas Daniel Paggi" sort="Claus, Jonathas Daniel Paggi" uniqKey="Claus J" first="Jonathas Daniel Paggi" last="Claus">Jonathas Daniel Paggi Claus</name><affiliation><nlm:aff id="I2">Residence of Oral and Maxillofacial Surgery Program, HU/UFSC, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Ouriques, Felipe Damerau" sort="Ouriques, Felipe Damerau" uniqKey="Ouriques F" first="Felipe Damerau" last="Ouriques">Felipe Damerau Ouriques</name><affiliation><nlm:aff id="I1">Department of Implant Dentistry, School of Dentistry, Federal University of Santa Catarina, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Gil, Luiz Fernando" sort="Gil, Luiz Fernando" uniqKey="Gil L" first="Luiz Fernando" last="Gil">Luiz Fernando Gil</name><affiliation><nlm:aff id="I1">Department of Implant Dentistry, School of Dentistry, Federal University of Santa Catarina, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Gil, Jose Nazareno" sort="Gil, Jose Nazareno" uniqKey="Gil J" first="José Nazareno" last="Gil">José Nazareno Gil</name><affiliation><nlm:aff id="I3">Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Santa Catarina, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Cardoso, Antonio Carlos" sort="Cardoso, Antonio Carlos" uniqKey="Cardoso A" first="Antonio Carlos" last="Cardoso">Antonio Carlos Cardoso</name><affiliation><nlm:aff id="I1">Department of Implant Dentistry, School of Dentistry, Federal University of Santa Catarina, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</nlm:aff></affiliation></author><author><name sortKey="Bianchini, Marco Aurelio" sort="Bianchini, Marco Aurelio" uniqKey="Bianchini M" first="Marco Aurélio" last="Bianchini">Marco Aurélio Bianchini</name><affiliation><nlm:aff id="I1">Department of Implant Dentistry, School of Dentistry, Federal University of Santa Catarina, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</nlm:aff></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The most aggressive diseases that affect the oral environment are considered tumors of the jaw. The surgical treatment is preferably done by surgical resection of the lesion, resulting in a great loss of tissue and esthetics. Multidisciplinary planning is required for the rehabilitation of these cases. Autogenous grafting techniques or vascularized flaps allow ridge reconstruction for implant placement, restoring function, and esthetics. This paper reports a 6-year follow-up case of an odontogenic myxoma treated with wide resection and mandibular bone reconstruction for posterior rehabilitation with dental implants.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Simon, E N M" uniqKey="Simon E">E. N. M. Simon</name></author><author><name sortKey="Merkx, M A W" uniqKey="Merkx M">M. A. W. Merkx</name></author><author><name sortKey="Vuhahula, E" uniqKey="Vuhahula E">E. Vuhahula</name></author><author><name sortKey="Ngassapa, D" uniqKey="Ngassapa D">D. Ngassapa</name></author><author><name sortKey="Stoelinga, P J W" uniqKey="Stoelinga P">P. J. W. Stoelinga</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leiser, Y" uniqKey="Leiser Y">Y. Leiser</name></author><author><name sortKey="Abu El Naaj, I" uniqKey="Abu El Naaj I">I. Abu-El-Naaj</name></author><author><name sortKey="Peled, M" uniqKey="Peled M">M. Peled</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Noffke, C E E" uniqKey="Noffke C">C. E. E. Noffke</name></author><author><name sortKey="Raubenheimer, E J" uniqKey="Raubenheimer E">E. J. Raubenheimer</name></author><author><name sortKey="Chabikuli, N J" uniqKey="Chabikuli N">N. J. Chabikuli</name></author><author><name sortKey="Bouckaert, M M R" uniqKey="Bouckaert M">M. M. R. Bouckaert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tripplet, R G" uniqKey="Tripplet R">R. G. Tripplet</name></author><author><name sortKey="Schow, S R" uniqKey="Schow S">S. R. Schow</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pogrel, M A" uniqKey="Pogrel M">M. A. Pogrel</name></author><author><name sortKey="Podlesh, S" uniqKey="Podlesh S">S. Podlesh</name></author><author><name sortKey="Anthony, J P" uniqKey="Anthony J">J. P. Anthony</name></author><author><name sortKey="Alexander, J" uniqKey="Alexander J">J. Alexander</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chiapasco, M" uniqKey="Chiapasco M">M. Chiapasco</name></author><author><name sortKey="Colletti, G" uniqKey="Colletti G">G. Colletti</name></author><author><name sortKey="Romeo, E" uniqKey="Romeo E">E. Romeo</name></author><author><name sortKey="Zaniboni, M" uniqKey="Zaniboni M">M. Zaniboni</name></author><author><name sortKey="Brusati, R" uniqKey="Brusati R">R. Brusati</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Esposito, M" uniqKey="Esposito M">M. Esposito</name></author><author><name sortKey="Hirsch, J M" uniqKey="Hirsch J">J.-M. Hirsch</name></author><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U. Lekholm</name></author><author><name sortKey="Thomsen, P" uniqKey="Thomsen P">P. Thomsen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schliephake, H" uniqKey="Schliephake H">H. Schliephake</name></author><author><name sortKey="Neukam, F W" uniqKey="Neukam F">F. W. Neukam</name></author><author><name sortKey="Schmelzeisen, R" uniqKey="Schmelzeisen R">R. Schmelzeisen</name></author><author><name sortKey="Wichmann, M" uniqKey="Wichmann M">M. Wichmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yoshimura, H" uniqKey="Yoshimura H">H. Yoshimura</name></author><author><name sortKey="Ohba, S" uniqKey="Ohba S">S. Ohba</name></author><author><name sortKey="Nakamura, M" uniqKey="Nakamura M">M. Nakamura</name></author><author><name sortKey="Sano, K" uniqKey="Sano K">K. Sano</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wennstrom, J L" uniqKey="Wennstrom J">J. L. Wennström</name></author><author><name sortKey="Bengazi, F" uniqKey="Bengazi F">F. Bengazi</name></author><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U. Lekholm</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Heckmann, S M" uniqKey="Heckmann S">S. M. Heckmann</name></author><author><name sortKey="Schrott, A" uniqKey="Schrott A">A. Schrott</name></author><author><name sortKey="Graef, F" uniqKey="Graef F">F. Graef</name></author><author><name sortKey="Wichmann, M G" uniqKey="Wichmann M">M. G. Wichmann</name></author><author><name sortKey="Weber, H P" uniqKey="Weber H">H.-P. Weber</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bengazi, F" uniqKey="Bengazi F">F. Bengazi</name></author><author><name sortKey="Wennstrom, J L" uniqKey="Wennstrom J">J. L. Wennström</name></author><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U. Lekholm</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ferrigno, N" uniqKey="Ferrigno N">N. Ferrigno</name></author><author><name sortKey="Laureti, M" uniqKey="Laureti M">M. Laureti</name></author><author><name sortKey="Fanali, S" uniqKey="Fanali S">S. Fanali</name></author><author><name sortKey="Grippaudo, G" uniqKey="Grippaudo G">G. Grippaudo</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRID</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25580309</article-id><article-id pub-id-type="pmc">4279879</article-id><article-id pub-id-type="doi">10.1155/2014/795808</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Treatment of Odontogenic Myxoma: A Multidisciplinary Approach—6-Year Follow-Up Case</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>de Souza</surname><given-names>João Gustavo Oliveira</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Claus</surname><given-names>Jonathas Daniel Paggi</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-1596-7463</contrib-id><name><surname>Ouriques</surname><given-names>Felipe Damerau</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Gil</surname><given-names>Luiz Fernando</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Gil</surname><given-names>José Nazareno</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Cardoso</surname><given-names>Antonio Carlos</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-6135-701X</contrib-id><name><surname>Bianchini</surname><given-names>Marco Aurélio</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Implant Dentistry, School of Dentistry, Federal University of Santa Catarina, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</aff><aff id="I2"><sup>2</sup>Residence of Oral and Maxillofacial Surgery Program, HU/UFSC, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</aff><aff id="I3"><sup>3</sup>Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Santa Catarina, Rua Frei Evaristo 64, apto 703, Centro, 88015-410 Florianópolis, SC, Brazil</aff><author-notes><corresp id="cor1">*Felipe Damerau Ouriques: <email>felipe.douriques@gmail.com</email></corresp><fn fn-type="other"><p>Academic Editor: Ricardo Alves Mesquita</p></fn></author-notes><pub-date pub-type="ppub"><year>2014</year></pub-date><pub-date pub-type="epub"><day>14</day><month>12</month><year>2014</year></pub-date><volume>2014</volume><elocation-id>795808</elocation-id><history><date date-type="received"><day>8</day><month>9</month><year>2014</year></date><date date-type="rev-recd"><day>12</day><month>11</month><year>2014</year></date><date date-type="accepted"><day>26</day><month>11</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 João Gustavo Oliveira de Souza et al.</copyright-statement><copyright-year>2014</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>The most aggressive diseases that affect the oral environment are considered tumors of the jaw. The surgical treatment is preferably done by surgical resection of the lesion, resulting in a great loss of tissue and esthetics. Multidisciplinary planning is required for the rehabilitation of these cases. Autogenous grafting techniques or vascularized flaps allow ridge reconstruction for implant placement, restoring function, and esthetics. This paper reports a 6-year follow-up case of an odontogenic myxoma treated with wide resection and mandibular bone reconstruction for posterior rehabilitation with dental implants.</p></abstract></article-meta></front><body><sec id="sec1"><title>1. Introduction</title><p>Odontogenic myxoma is a rare benign tumor unencapsulated aggressive and located character, originating from mesenchymal cells. Although both jaws can be affected, this tumor is slightly more common in the mandible [<xref rid="B1" ref-type="bibr">1</xref>–<xref rid="B3" ref-type="bibr">3</xref>]. If the treatment is neglected, it can result in complications with an increased possibility of morphological and functional damage. Treatment and therapeutic modalities vary from curettage to large block resections and subsequently bone grafts for reestablishment of hard tissue.</p><p>The skull, iliac crest, rib, and tibia are the most commonly used [<xref rid="B4" ref-type="bibr">4</xref>] for bone reconstruction due to the need of large amounts, particulate or bone blocks. The rehabilitation of these cases is complicated by the necessity for bone reconstruction and soft components to allow correct support for the facial tissue and multidisciplinary professionals.</p><p>There is no consensus in the literature between autogenous-free bone grafts and vascularized grafts. Vascularized grafts show less rate of resorption, presenting higher proportional success for implants. On the other hand, it increases the time of the surgery and hospitalization, as well as the cost of treatment and the postoperative morbidity [<xref rid="B4" ref-type="bibr">4</xref>, <xref rid="B6" ref-type="bibr">5</xref>].</p><p>Implant-supported prosthesis (ISP) seems to be the best alternative for these cases due to the unfavorable features of the grafted area, extreme mobile mucosa and lack of vestibule. Moreover, compared to removable prostheses, ISPs offer better masticatory capacity, patient comfort, and speech improvement, among others [<xref rid="B7" ref-type="bibr">6</xref>].</p><p>The present paper, through a 6-year follow-up case, will focus upon the management of an odontogenic myxoma treated with wide resection and mandibular bone reconstruction for posterior rehabilitation with dental implants.</p></sec><sec id="sec2"><title>2. Case Report</title><p>A 36-year-old female patient was attended to with chief concern of swelling in her lower jaw (<xref ref-type="fig" rid="fig1">Figure 1</xref>). After completion of clinical and radiographic examination, a biopsy was performed, confirming the diagnosis of odontogenic myxoma (<xref ref-type="fig" rid="fig2">Figure 2</xref>). After a computed tomography (CT), the lesion limits were determined and a 3D prototype model was elaborated for planning the mandibulectomy and selecting and shaping the reconstruction plate.</p><p>The patient underwent segmental mandibulectomy, under general anesthesia, from the left ramus to the symphysis, by a surgical resection including a safety margin of 1.5 cm (Figures <xref ref-type="fig" rid="fig3">3</xref> and <xref ref-type="fig" rid="fig4">4</xref>). The patient was followed up with clinical and radiographic control (<xref ref-type="fig" rid="fig5">Figure 5</xref>).</p><p>Two months later, the patient underwent reconstruction with bone graft, from the right lateral iliac crest, only via extra oral submandibular access to eliminate the intraoral contamination (<xref ref-type="fig" rid="fig5">Figure 5</xref>). Intermaxillary fixation was applied for one month in order to reduce mobility to increase the predictability of the grafting.</p><p>After six months, a CT scan was requested for implant planning (<xref ref-type="fig" rid="fig6">Figure 6</xref>). Four implants of 3.75 × 11 mm diameter (Neodent Company, Brazil) were placed in the grafted area under local anesthesia (<xref ref-type="fig" rid="fig7">Figure 7</xref>). The second surgery stage was performed six months later and restoration was started (<xref ref-type="fig" rid="fig8">Figure 8</xref>). Any soft tissue surgery was performed to increase the width or keratinized mucosa (KM) [<xref rid="B8" ref-type="bibr">7</xref>].</p><p>Implant abutments similar to multiunit were selected. The impression of the abutments was taken with a custom tray and polyether impression material (Impregum Soft, 3M ESPE, Germany). In the next step, the patient was handled in centric relation to the contact to the antagonist arch, in the same vertical dimension of occlusion of the patient. After confirming the settlement of the metal structure and evidence of the teeth, the prosthesis was finally cured and installed (<xref ref-type="fig" rid="fig9">Figure 9</xref>).</p><p>The patient was clinically and radiographically followed up over 6 years without evidence of recurrence of the lesion with stability of the peri-implant bone tissue; all implants showed probing depth less than 3 mm, absence of visible biofilm, and no bleeding probing (Figures <xref ref-type="fig" rid="fig10">10</xref> and <xref ref-type="fig" rid="fig11">11</xref>).</p></sec><sec id="sec3"><title>3. Discussion</title><p>Resection of malignant or benign tumors of the jaw causes emotional, functional, and aesthetic complications if not diagnosed and treated properly. Rehabilitation consists of different options for bone grafting, type and origin of the graft, and the use or not of fixed prostheses and implants.</p><p>Use of vascularized grafts, in no larger than 6 cm bone defects, is not advocated by many authors due to high failure rates. However, a recent study obtained favorable results with the use of vascularized grafts not for large bone defects [<xref rid="B9" ref-type="bibr">8</xref>]. The disadvantage of using nonvascularized iliac crest bone grafts is its high rate of resorption [<xref rid="B6" ref-type="bibr">5</xref>]. However, a greater interaction creates a correlation between the placement of graft resorption and implant. There is a decrease in bone resorption due to the functional matrix theory [<xref rid="B8" ref-type="bibr">7</xref>, <xref rid="B9" ref-type="bibr">8</xref>].</p><p>The decision not to use vascular grafts is due to the excellent results and the authors of this work, with free grafts, performed the following with some basics: (1) tumor resection and bone graft at different surgical times (need for an intraoral approach for resection and contamination), graft after two months with only extraoral submandibular approach; (2) iliac crest bone graft (quality and quantity); (3) intermaxillary fixation to reduce local mobility; (4) avoiding dentures on the grafted areas. At the time of the first surgery, the authors did not have this protocol and this case has contributed to such information in accordance with the extensive resorption of the first graft. A 6-year follow-up has shown no recurrence, stable prosthesis, and health of peri-implant soft tissues. Although some expected graft resorption took place, there is no clinical or radiographic sign of implant failure. These results are similar to the case report presented by Yoshimura et al. (2013) [<xref rid="B10" ref-type="bibr">9</xref>].</p><p>Second reconstruction was performed aiming at fixed prosthodontics supported by long implants. This rehabilitation has to accomplish functional and esthetical outcomes. Despite the amount of artificial gengiva the result is biomechanically and biologically stable and patient is satisfied.</p><p>Several studies show that Perio-implant health can be maintained even in places without KM provide adequate control plate [<xref rid="B11" ref-type="bibr">10</xref>–<xref rid="B13" ref-type="bibr">12</xref>]. It was also observed that only the presence of a wide range of KM cannot result in an improvement of the peri-implant parameters when compared to sites with little or no amount of KM.</p><p>Oral rehabilitation of traumatized patients, infection, and/or tumor is a challenge that requires multidisciplinary treatment. The success rate of implants in reconstructed patients, regardless of the type of prosthesis used, is similar to the installed implants in healthy patients. It also happens when comparing the success of implants supporting overdentures or fixed prostheses [<xref rid="B14" ref-type="bibr">13</xref>].</p><p>Moreover patients who underwent segmental reconstruction should be informed about increased risk of marginal bone loss before implant placement. Professionals should perform a detailed examination during maintenance consultations and also maintain a track of the clinical parameters to allow proper control of additional bone loss progression.</p><p>This paper reports a case, which showed the possibility of rehabilitating patient's function and esthetics, using bone grafts, implants, and fixed prosthesis.</p></sec></body><back><sec sec-type="conflict"><title>Conflict of Interests</title><p>The authors declare that there is no conflict of interests regarding the publication of this paper.</p></sec><ref-list><ref id="B1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Simon</surname><given-names>E. N. M.</given-names></name><name><surname>Merkx</surname><given-names>M. A. W.</given-names></name><name><surname>Vuhahula</surname><given-names>E.</given-names></name><name><surname>Ngassapa</surname><given-names>D.</given-names></name><name><surname>Stoelinga</surname><given-names>P. J. W.</given-names></name></person-group><article-title>Odontogenic myxoma: a clinicopathological study of 33 cases</article-title><source><italic>International Journal of Oral and Maxillofacial Surgery</italic></source><year>2004</year><volume>33</volume><issue>4</issue><fpage>333</fpage><lpage>337</lpage><pub-id pub-id-type="doi">10.1016/j.ijom.2003.12.004</pub-id><pub-id pub-id-type="other">2-s2.0-2942687073</pub-id><pub-id pub-id-type="pmid">15145033</pub-id></element-citation></ref><ref id="B2"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Leiser</surname><given-names>Y.</given-names></name><name><surname>Abu-El-Naaj</surname><given-names>I.</given-names></name><name><surname>Peled</surname><given-names>M.</given-names></name></person-group><article-title>Odontogenic myxoma—a case series and review of the surgical management</article-title><source><italic>Journal of Cranio-Maxillofacial Surgery</italic></source><year>2009</year><volume>37</volume><issue>4</issue><fpage>206</fpage><lpage>209</lpage><pub-id pub-id-type="doi">10.1016/j.jcms.2008.10.001</pub-id><pub-id pub-id-type="other">2-s2.0-67349111296</pub-id><pub-id pub-id-type="pmid">19027311</pub-id></element-citation></ref><ref id="B3"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Noffke</surname><given-names>C. E. E.</given-names></name><name><surname>Raubenheimer</surname><given-names>E. J.</given-names></name><name><surname>Chabikuli</surname><given-names>N. J.</given-names></name><name><surname>Bouckaert</surname><given-names>M. M. R.</given-names></name></person-group><article-title>Odontogenic myxoma: review of the literature and report of 30 cases from South Africa</article-title><source><italic>Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology</italic></source><year>2007</year><volume>104</volume><issue>1</issue><fpage>101</fpage><lpage>109</lpage><pub-id pub-id-type="doi">10.1016/j.tripleo.2007.01.026</pub-id><pub-id pub-id-type="other">2-s2.0-34250167173</pub-id></element-citation></ref><ref id="B4"><label>4</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Tripplet</surname><given-names>R. G.</given-names></name><name><surname>Schow</surname><given-names>S. R.</given-names></name></person-group><person-group person-group-type="editor"><name><surname>Nevins</surname><given-names>M.</given-names></name><name><surname>Mellonig</surname><given-names>J. T.</given-names></name></person-group><article-title>Osseous regeneration with bone harvested from the anterior mandible</article-title><source><italic>Implant Therapy: Clinical Approaches and Evidence of Success</italic></source><year>1998</year><publisher-name>Quintessence</publisher-name><fpage>209</fpage><lpage>217</lpage></element-citation></ref><ref id="B6"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pogrel</surname><given-names>M. A.</given-names></name><name><surname>Podlesh</surname><given-names>S.</given-names></name><name><surname>Anthony</surname><given-names>J. P.</given-names></name><name><surname>Alexander</surname><given-names>J.</given-names></name></person-group><article-title>A comparison of vascularized and nonvascularized bone grafts for reconstruction of mandibular continuity defects</article-title><source><italic>Journal of Oral and Maxillofacial Surgery</italic></source><year>1997</year><volume>55</volume><issue>11</issue><fpage>1200</fpage><lpage>1206</lpage><pub-id pub-id-type="doi">10.1016/S0278-2391(97)90165-8</pub-id><pub-id pub-id-type="other">2-s2.0-0030666358</pub-id><pub-id pub-id-type="pmid">9371107</pub-id></element-citation></ref><ref id="B7"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chiapasco</surname><given-names>M.</given-names></name><name><surname>Colletti</surname><given-names>G.</given-names></name><name><surname>Romeo</surname><given-names>E.</given-names></name><name><surname>Zaniboni</surname><given-names>M.</given-names></name><name><surname>Brusati</surname><given-names>R.</given-names></name></person-group><article-title>Long-term results of mandibular reconstruction with autogenous bone grafts and oral implants after tumor resection</article-title><source><italic>Clinical Oral Implants Research</italic></source><year>2008</year><volume>19</volume><issue>10</issue><fpage>1074</fpage><lpage>1080</lpage><pub-id pub-id-type="doi">10.1111/j.1600-0501.2008.01542.x</pub-id><pub-id pub-id-type="other">2-s2.0-51849122388</pub-id><pub-id pub-id-type="pmid">18828825</pub-id></element-citation></ref><ref id="B8"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Esposito</surname><given-names>M.</given-names></name><name><surname>Hirsch</surname><given-names>J.-M.</given-names></name><name><surname>Lekholm</surname><given-names>U.</given-names></name><name><surname>Thomsen</surname><given-names>P.</given-names></name></person-group><article-title>Biological factors contributing to failures of osseointegrated oral implants. (I). Success criteria and epidemiology</article-title><source><italic>European Journal of Oral Sciences</italic></source><year>1998</year><volume>106</volume><issue>1</issue><fpage>527</fpage><lpage>551</lpage><pub-id pub-id-type="doi">10.1046/j.0909-8836..t01-2-.x</pub-id><pub-id pub-id-type="other">2-s2.0-0031989768</pub-id><pub-id pub-id-type="pmid">9527353</pub-id></element-citation></ref><ref id="B9"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schliephake</surname><given-names>H.</given-names></name><name><surname>Neukam</surname><given-names>F. W.</given-names></name><name><surname>Schmelzeisen</surname><given-names>R.</given-names></name><name><surname>Wichmann</surname><given-names>M.</given-names></name></person-group><article-title>Long-term results of endosteal implants used for restoration of oral function after oncologic surgery</article-title><source><italic>International Journal of Oral and Maxillofacial Surgery</italic></source><year>1999</year><volume>28</volume><issue>4</issue><fpage>260</fpage><lpage>265</lpage><pub-id pub-id-type="doi">10.1016/S0901-5027(99)80155-6</pub-id><pub-id pub-id-type="other">2-s2.0-0033169237</pub-id><pub-id pub-id-type="pmid">10416892</pub-id></element-citation></ref><ref id="B10"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yoshimura</surname><given-names>H.</given-names></name><name><surname>Ohba</surname><given-names>S.</given-names></name><name><surname>Nakamura</surname><given-names>M.</given-names></name><name><surname>Sano</surname><given-names>K.</given-names></name></person-group><article-title>Mandibular reconstruction using iliac bone and great auricular nerve grafts and oral rehabilitation using osseointegrated implants in a patient with a large ossifying fibroma: a 10-year follow-up study</article-title><source><italic>Journal of Oral and Maxillofacial Surgery</italic></source><year>2013</year><volume>71</volume><issue>12</issue><fpage>2176</fpage><lpage>2188</lpage><pub-id pub-id-type="doi">10.1016/j.joms.2013.04.034</pub-id><pub-id pub-id-type="other">2-s2.0-84887928314</pub-id><pub-id pub-id-type="pmid">23891010</pub-id></element-citation></ref><ref id="B11"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wennström</surname><given-names>J. L.</given-names></name><name><surname>Bengazi</surname><given-names>F.</given-names></name><name><surname>Lekholm</surname><given-names>U.</given-names></name></person-group><article-title>The influence of the masticatory mucosa on the peri-implant soft tissue condition</article-title><source><italic>Clinical Oral Implants Research</italic></source><year>1994</year><volume>5</volume><issue>1</issue><fpage>1</fpage><lpage>8</lpage><pub-id pub-id-type="doi">10.1034/j.1600-0501.1994.050101.x</pub-id><pub-id pub-id-type="other">2-s2.0-0028394579</pub-id><pub-id pub-id-type="pmid">8038340</pub-id></element-citation></ref><ref id="B12"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Heckmann</surname><given-names>S. M.</given-names></name><name><surname>Schrott</surname><given-names>A.</given-names></name><name><surname>Graef</surname><given-names>F.</given-names></name><name><surname>Wichmann</surname><given-names>M. G.</given-names></name><name><surname>Weber</surname><given-names>H.-P.</given-names></name></person-group><article-title>Mandibular two-implant telescopic overdentures: 10-year clinical and radiographical results</article-title><source><italic>Clinical Oral Implants Research</italic></source><year>2004</year><volume>15</volume><issue>5</issue><fpage>560</fpage><lpage>569</lpage><pub-id pub-id-type="doi">10.1111/j.1600-0501.2004.01064.x</pub-id><pub-id pub-id-type="other">2-s2.0-7944222277</pub-id><pub-id pub-id-type="pmid">15355398</pub-id></element-citation></ref><ref id="B13"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bengazi</surname><given-names>F.</given-names></name><name><surname>Wennström</surname><given-names>J. L.</given-names></name><name><surname>Lekholm</surname><given-names>U.</given-names></name></person-group><article-title>Recession of the soft tissue margin at oral implants: a 2-year longitudinal prospective study</article-title><source><italic>Clinical Oral Implants Research</italic></source><year>1996</year><volume>7</volume><issue>2</issue><fpage>303</fpage><lpage>310</lpage><pub-id pub-id-type="doi">10.1034/j.1600-0501.1996.070401.x</pub-id><pub-id pub-id-type="other">2-s2.0-0030322741</pub-id><pub-id pub-id-type="pmid">9151595</pub-id></element-citation></ref><ref id="B14"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ferrigno</surname><given-names>N.</given-names></name><name><surname>Laureti</surname><given-names>M.</given-names></name><name><surname>Fanali</surname><given-names>S.</given-names></name><name><surname>Grippaudo</surname><given-names>G.</given-names></name></person-group><article-title>A long-term follow-up study of non-submerged ITI-implants in the treatment of totally edentulous jaws. Part 1: ten-year life table analysis of a prospective multicenter study with 1286 implants</article-title><source><italic>Clinical Oral Implants Research</italic></source><year>2002</year><volume>13</volume><issue>3</issue><fpage>260</fpage><lpage>273</lpage><pub-id pub-id-type="doi">10.1034/j.1600-0501.2002.130305.x</pub-id><pub-id pub-id-type="other">2-s2.0-0036617303</pub-id><pub-id pub-id-type="pmid">12010156</pub-id></element-citation></ref></ref-list></back><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Initial frontal view.</p></caption><graphic xlink:href="CRID2014-795808.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>X-ray showing the lesion limits.</p></caption><graphic xlink:href="CRID2014-795808.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Transoperative view of the tumor.</p></caption><graphic xlink:href="CRID2014-795808.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Transoperative view after tumor resection.</p></caption><graphic xlink:href="CRID2014-795808.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Postoperative X-ray showing surgical margins and the continuity of the base of the mandible.</p></caption><graphic xlink:href="CRID2014-795808.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Reconstruction to increase the bone height to allow implant placement.</p></caption><graphic xlink:href="CRID2014-795808.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>Panoramic radiographic showing implants placed in position.</p></caption><graphic xlink:href="CRID2014-795808.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>Front view before second surgery stage.</p></caption><graphic xlink:href="CRID2014-795808.008"></graphic></fig><fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label><caption><p>Prosthesis installed 1 year after tumor resection.</p></caption><graphic xlink:href="CRID2014-795808.009"></graphic></fig><fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label><caption><p>Six-year follow-up after tumor resection, clinical view.</p></caption><graphic xlink:href="CRID2014-795808.010"></graphic></fig><fig id="fig11" orientation="portrait" position="float"><label>Figure 11</label><caption><p>Panoramic radiographic 6 years after tumor resection.</p></caption><graphic xlink:href="CRID2014-795808.011"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Pmc/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002986 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd -nk 002986 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= Pmc
|étape= Corpus
|type= RBID
|clé=
|texte=
}}
| This area was generated with Dilib version V0.6.32. |  |