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 : 001C49 ( Pmc/Curation ); précédent : 001C48; suivant : 001C50Five 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.
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PubMed: 22623943
PubMed Central: 3353703
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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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<front><journal-meta><journal-id journal-id-type="nlm-ta">Dent Res J (Isfahan)</journal-id><journal-id journal-id-type="iso-abbrev">Dent Res J (Isfahan)</journal-id><journal-id journal-id-type="publisher-id">DRJ</journal-id><journal-title-group><journal-title>Dental Research Journal</journal-title></journal-title-group><issn pub-type="ppub">1735-3327</issn><issn pub-type="epub">2008-0255</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22623943</article-id><article-id pub-id-type="pmc">3353703</article-id><article-id pub-id-type="publisher-id">DRJ-9-226</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Five years follow-up of implant-prosthetic rehabilitation on a patient after mandibular ameloblastoma removal and ridge reconstruction by fibula graft and bone distraction</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Oteri</surname><given-names>Giacomo</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Ponte</surname><given-names>Francesco Saverio De</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Pisano</surname><given-names>Michele</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Cicciù</surname><given-names>Marco</given-names></name><xref ref-type="aff" rid="aff3">3</xref><xref ref-type="corresp" rid="cor1"></xref></contrib></contrib-group><aff id="aff1"><label>1</label>Department of Odontostomatology, University of Messina, ME, Italy</aff><aff id="aff2"><label>2</label>Department of Maxillofacial Surgery, University of Messina, ME, Italy</aff><aff id="aff3"><label>3</label>Department of Human Pathology, University of Messina, ME, Italy</aff><author-notes><corresp id="cor1"><bold>Address for correspondence:</bold> Dr. Marco Cicciù, Department of Oral Surgery and Odontostomatology, Messina University School of Dentistry, Via Consolare Valeria, 98100 Messina, Italy. E-mail: <email xlink:href="acromarco@yahoo.it">acromarco@yahoo.it</email></corresp></author-notes><pub-date pub-type="ppub"><season>Mar-Apr</season><year>2012</year></pub-date><volume>9</volume><issue>2</issue><fpage>226</fpage><lpage>232</lpage><history><date date-type="received"><month>11</month><year>2011</year></date><date date-type="accepted"><month>2</month><year>2012</year></date></history><permissions><copyright-statement>Copyright: © Dental Research Journal</copyright-statement><copyright-year>2012</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><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></abstract><kwd-group><kwd>Ameloblastoma</kwd><kwd>dental implants</kwd><kwd>distraction</kwd><kwd>osteogenesis</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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