Prosthetic rehabilitation of a patient after a partial mandibulectomy
Identifieur interne : 001B35 ( Pmc/Curation ); précédent : 001B34; suivant : 001B36Prosthetic rehabilitation of a patient after a partial mandibulectomy
Auteurs : Marcelo Coelho Goiato ; Rodrigo Antonio De Medeiros ; Aljomar José Vechiato Filho ; Emily Vivianne Freitas Da Silva ; Mariana Vilela Sônego ; Karina Helga Turcio De Carvalho ; Aimée Maria Guiotti ; Stefan Fiuza De Carvalho Dekon ; Aldiéris Alves Pesqueira ; Daniela Micheline Dos SantosSource :
- Annals of Medicine and Surgery [ 2049-0801 ] ; 2015.
Abstract
The treatment of orofacial tumors may cause facial deformities by losses of structures that affect basic functions, i.e. feeding, speech, and the reduction of patient self-steam.
A white male patient was diagnosed with epidermoid cancer on the mandibular alveolar ridge with infiltration staging IV A. The patient was submitted to a mandibulectomy associated with a complete extraction of mandibular teeth. For rehabilitation, a conventional denture for the mandibular arch and a removable partial denture for the maxillary arch were fabricated. A correct occlusal adjustment and a satisfactory amount of alveolar bone was favorable for conventional dentures of the prostheses bases improve their retention and stability. After one year of follow-up, the patient was adapted to the prostheses, satisfied with their retention, and reported an improvement on his feeding.
The prosthetic rehabilitation of patients after a partial mandibulectomy is essential for their self-steam. Conventional dentures may have their retention and stability improved if they are well fabricated, recorded and have a balanced occlusion.
A correct occlusal adjustment and an adequate retention of the prostheses bases may improve their retention and stability. Patients without xerostomy and with a satisfactory amount of alveolar bone may have a favorable prognosis for conventional dentures.
Url:
DOI: 10.1016/j.amsu.2015.05.004
PubMed: 26052437
PubMed Central: 4454786
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<author><name sortKey="Goiato, Marcelo Coelho" sort="Goiato, Marcelo Coelho" uniqKey="Goiato M" first="Marcelo Coelho" last="Goiato">Marcelo Coelho Goiato</name>
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<author><name sortKey="De Medeiros, Rodrigo Antonio" sort="De Medeiros, Rodrigo Antonio" uniqKey="De Medeiros R" first="Rodrigo Antonio" last="De Medeiros">Rodrigo Antonio De Medeiros</name>
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<author><name sortKey="Vechiato Filho, Aljomar Jose" sort="Vechiato Filho, Aljomar Jose" uniqKey="Vechiato Filho A" first="Aljomar José" last="Vechiato Filho">Aljomar José Vechiato Filho</name>
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<author><name sortKey="Da Silva, Emily Vivianne Freitas" sort="Da Silva, Emily Vivianne Freitas" uniqKey="Da Silva E" first="Emily Vivianne Freitas" last="Da Silva">Emily Vivianne Freitas Da Silva</name>
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<author><name sortKey="Sonego, Mariana Vilela" sort="Sonego, Mariana Vilela" uniqKey="Sonego M" first="Mariana Vilela" last="Sônego">Mariana Vilela Sônego</name>
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<author><name sortKey="De Carvalho, Karina Helga Turcio" sort="De Carvalho, Karina Helga Turcio" uniqKey="De Carvalho K" first="Karina Helga Turcio" last="De Carvalho">Karina Helga Turcio De Carvalho</name>
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<author><name sortKey="Guiotti, Aimee Maria" sort="Guiotti, Aimee Maria" uniqKey="Guiotti A" first="Aimée Maria" last="Guiotti">Aimée Maria Guiotti</name>
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<author><name sortKey="De Carvalho Dekon, Stefan Fiuza" sort="De Carvalho Dekon, Stefan Fiuza" uniqKey="De Carvalho Dekon S" first="Stefan Fiuza" last="De Carvalho Dekon">Stefan Fiuza De Carvalho Dekon</name>
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<author><name sortKey="Pesqueira, Aldieris Alves" sort="Pesqueira, Aldieris Alves" uniqKey="Pesqueira A" first="Aldiéris Alves" last="Pesqueira">Aldiéris Alves Pesqueira</name>
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<author><name sortKey="Dos Santos, Daniela Micheline" sort="Dos Santos, Daniela Micheline" uniqKey="Dos Santos D" first="Daniela Micheline" last="Dos Santos">Daniela Micheline Dos Santos</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Prosthetic rehabilitation of a patient after a partial mandibulectomy</title>
<author><name sortKey="Goiato, Marcelo Coelho" sort="Goiato, Marcelo Coelho" uniqKey="Goiato M" first="Marcelo Coelho" last="Goiato">Marcelo Coelho Goiato</name>
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<author><name sortKey="De Medeiros, Rodrigo Antonio" sort="De Medeiros, Rodrigo Antonio" uniqKey="De Medeiros R" first="Rodrigo Antonio" last="De Medeiros">Rodrigo Antonio De Medeiros</name>
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<author><name sortKey="Vechiato Filho, Aljomar Jose" sort="Vechiato Filho, Aljomar Jose" uniqKey="Vechiato Filho A" first="Aljomar José" last="Vechiato Filho">Aljomar José Vechiato Filho</name>
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<author><name sortKey="Da Silva, Emily Vivianne Freitas" sort="Da Silva, Emily Vivianne Freitas" uniqKey="Da Silva E" first="Emily Vivianne Freitas" last="Da Silva">Emily Vivianne Freitas Da Silva</name>
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<author><name sortKey="Sonego, Mariana Vilela" sort="Sonego, Mariana Vilela" uniqKey="Sonego M" first="Mariana Vilela" last="Sônego">Mariana Vilela Sônego</name>
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<author><name sortKey="De Carvalho, Karina Helga Turcio" sort="De Carvalho, Karina Helga Turcio" uniqKey="De Carvalho K" first="Karina Helga Turcio" last="De Carvalho">Karina Helga Turcio De Carvalho</name>
</author>
<author><name sortKey="Guiotti, Aimee Maria" sort="Guiotti, Aimee Maria" uniqKey="Guiotti A" first="Aimée Maria" last="Guiotti">Aimée Maria Guiotti</name>
</author>
<author><name sortKey="De Carvalho Dekon, Stefan Fiuza" sort="De Carvalho Dekon, Stefan Fiuza" uniqKey="De Carvalho Dekon S" first="Stefan Fiuza" last="De Carvalho Dekon">Stefan Fiuza De Carvalho Dekon</name>
</author>
<author><name sortKey="Pesqueira, Aldieris Alves" sort="Pesqueira, Aldieris Alves" uniqKey="Pesqueira A" first="Aldiéris Alves" last="Pesqueira">Aldiéris Alves Pesqueira</name>
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<author><name sortKey="Dos Santos, Daniela Micheline" sort="Dos Santos, Daniela Micheline" uniqKey="Dos Santos D" first="Daniela Micheline" last="Dos Santos">Daniela Micheline Dos Santos</name>
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<series><title level="j">Annals of Medicine and Surgery</title>
<idno type="eISSN">2049-0801</idno>
<imprint><date when="2015">2015</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Introduction</title>
<p>The treatment of orofacial tumors may cause facial deformities by losses of structures that affect basic functions, i.e. feeding, speech, and the reduction of patient self-steam.</p>
</sec>
<sec><title>Presentation of case</title>
<p>A white male patient was diagnosed with epidermoid cancer on the mandibular alveolar ridge with infiltration staging IV A. The patient was submitted to a mandibulectomy associated with a complete extraction of mandibular teeth. For rehabilitation, a conventional denture for the mandibular arch and a removable partial denture for the maxillary arch were fabricated. A correct occlusal adjustment and a satisfactory amount of alveolar bone was favorable for conventional dentures of the prostheses bases improve their retention and stability. After one year of follow-up, the patient was adapted to the prostheses, satisfied with their retention, and reported an improvement on his feeding.</p>
</sec>
<sec><title>Discussion</title>
<p>The prosthetic rehabilitation of patients after a partial mandibulectomy is essential for their self-steam. Conventional dentures may have their retention and stability improved if they are well fabricated, recorded and have a balanced occlusion.</p>
</sec>
<sec><title>Conclusion</title>
<p>A correct occlusal adjustment and an adequate retention of the prostheses bases may improve their retention and stability. Patients without xerostomy and with a satisfactory amount of alveolar bone may have a favorable prognosis for conventional dentures.</p>
</sec>
</div>
</front>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ann Med Surg (Lond)</journal-id>
<journal-id journal-id-type="iso-abbrev">Ann Med Surg (Lond)</journal-id>
<journal-title-group><journal-title>Annals of Medicine and Surgery</journal-title>
</journal-title-group>
<issn pub-type="epub">2049-0801</issn>
<publisher><publisher-name>Elsevier</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26052437</article-id>
<article-id pub-id-type="pmc">4454786</article-id>
<article-id pub-id-type="publisher-id">S2049-0801(15)00051-5</article-id>
<article-id pub-id-type="doi">10.1016/j.amsu.2015.05.004</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Prosthetic rehabilitation of a patient after a partial mandibulectomy</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Goiato</surname>
<given-names>Marcelo Coelho</given-names>
</name>
<email>goiato@foa.unesp.br</email>
<xref rid="cor1" ref-type="corresp">∗</xref>
</contrib>
<contrib contrib-type="author"><name><surname>de Medeiros</surname>
<given-names>Rodrigo Antonio</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Vechiato Filho</surname>
<given-names>Aljomar José</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>da Silva</surname>
<given-names>Emily Vivianne Freitas</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Sônego</surname>
<given-names>Mariana Vilela</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>de Carvalho</surname>
<given-names>Karina Helga Turcio</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Guiotti</surname>
<given-names>Aimée Maria</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>de Carvalho Dekon</surname>
<given-names>Stefan Fiuza</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Pesqueira</surname>
<given-names>Aldiéris Alves</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>dos Santos</surname>
<given-names>Daniela Micheline</given-names>
</name>
</contrib>
</contrib-group>
<aff id="aff1">Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP – Sao Paulo State University, Araçatuba, SP, Brazil</aff>
<author-notes><corresp id="cor1"><label>∗</label>
Corresponding author. Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP – Univ Estadual Paulista, José Bonifácio, 1193, Araçatuba, São Paulo, 16015-050, Brazil. <email>goiato@foa.unesp.br</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release"><day>16</day>
<month>5</month>
<year>2015</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="collection"><month>6</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>16</day>
<month>5</month>
<year>2015</year>
</pub-date>
<volume>4</volume>
<issue>2</issue>
<fpage>200</fpage>
<lpage>203</lpage>
<history><date date-type="received"><day>19</day>
<month>3</month>
<year>2015</year>
</date>
<date date-type="rev-recd"><day>8</day>
<month>5</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>8</day>
<month>5</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>© 2015 The Authors</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="CC BY-NC-ND" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0/"><license-p>This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).</license-p>
</license>
</permissions>
<abstract><sec><title>Introduction</title>
<p>The treatment of orofacial tumors may cause facial deformities by losses of structures that affect basic functions, i.e. feeding, speech, and the reduction of patient self-steam.</p>
</sec>
<sec><title>Presentation of case</title>
<p>A white male patient was diagnosed with epidermoid cancer on the mandibular alveolar ridge with infiltration staging IV A. The patient was submitted to a mandibulectomy associated with a complete extraction of mandibular teeth. For rehabilitation, a conventional denture for the mandibular arch and a removable partial denture for the maxillary arch were fabricated. A correct occlusal adjustment and a satisfactory amount of alveolar bone was favorable for conventional dentures of the prostheses bases improve their retention and stability. After one year of follow-up, the patient was adapted to the prostheses, satisfied with their retention, and reported an improvement on his feeding.</p>
</sec>
<sec><title>Discussion</title>
<p>The prosthetic rehabilitation of patients after a partial mandibulectomy is essential for their self-steam. Conventional dentures may have their retention and stability improved if they are well fabricated, recorded and have a balanced occlusion.</p>
</sec>
<sec><title>Conclusion</title>
<p>A correct occlusal adjustment and an adequate retention of the prostheses bases may improve their retention and stability. Patients without xerostomy and with a satisfactory amount of alveolar bone may have a favorable prognosis for conventional dentures.</p>
</sec>
</abstract>
<abstract abstract-type="author-highlights"><title>Highlights</title>
<p><list list-type="simple"><list-item id="u0010"><label>•</label>
<p>Oral Surgery oncology.</p>
</list-item>
<list-item id="u0015"><label>•</label>
<p>This study investigated the esthetic of the prosthesis rehabilitation.</p>
</list-item>
<list-item id="u0020"><label>•</label>
<p>Patient satisfaction after rehabilitation.</p>
</list-item>
</list>
</p>
</abstract>
<kwd-group><title>Keywords</title>
<kwd>Denture</kwd>
<kwd>Epidermoid carcinoma</kwd>
<kwd>Quality of life</kwd>
<kwd>Mouth rehabilitation</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="fig1"><label>Fig. 1</label>
<caption><p>(a) Pre-operative CT scan; (b) CT scan after the surgical resection.</p>
</caption>
<graphic xlink:href="gr1"></graphic>
</fig>
<fig id="fig2"><label>Fig. 2</label>
<caption><p>(a) Maxillary arch view after teeth extraction; (b) Mandibular arch view after partial mandibulectomy.</p>
</caption>
<graphic xlink:href="gr2"></graphic>
</fig>
<fig id="fig3"><label>Fig. 3</label>
<caption><p>(a) Definitive impressions of the maxillary and (b) mandibular arches.</p>
</caption>
<graphic xlink:href="gr3"></graphic>
</fig>
<fig id="fig4"><label>Fig. 4</label>
<caption><p>Final aspect of the (a) mandibular conventional denture and (b) maxillary removable partial denture.</p>
</caption>
<graphic xlink:href="gr4"></graphic>
</fig>
<fig id="fig5"><label>Fig. 5</label>
<caption><p>Extraoral view of the patient with prosthesis.</p>
</caption>
<graphic xlink:href="gr5"></graphic>
</fig>
</floats-group>
</pmc>
</record>
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