Immediate Oral Rehabilitation Using Dental Implants After Marginal Mandibulectomy: A Case Report

Abstract

Mandibular reconstruction techniques are always a challenge to oral and maxillofacial (OMF) surgeons. Techniques and treatment plans that offer the patient OMF rehabilitation should always be available. Technological innovations have enabled more rapid, safer, and secure treatment than in the past. This article describes a case using a different approach. The patient was treated with marginal mandibulectomy and immediate rehabilitation with osseointegrated implants; a hybrid prosthesis was fabricated a short time thereafter. This treatment plan demonstrated its utility and efficiency in this case. An approach with fewer surgeries and OMF rehabilitation needs be considered in all cases.

Implant-supported prosthetic rehabilitation after Ameloblastomas treatment: a systematic review

“…Most articles were published after 2013 (25: 71.4%). Four (24%) studies were conducted in India [ 42 , 44 , 55 , 58 ], Turkey [ 27 , 32 , 47 , 49 ] and Brazil [ 37 , 46 , 52 ], 3 (18%) in the USA [ 30 , 35 , 41 ], Spain [ 31 , 50 , 57 ], China [ 28 , 33 , 43 ], Korea [ 38 , 39 , 53 ], 2 (12%) in Italy [ 36 , 48 ], Finland [ 29 , 40 ] and other studies (6%) in Japan [ 54 ], Colombia [ 59 ], Iran [ 56 ], Taiwan [ 25 ], Austria [ 26 ] and Romania [ 45 ] (Tables 2 and 4 ).…”

“…The most affected anatomical region was the mandible (94%) [ 25 , 27 – 49 , 51 – 56 , 58 , 59 ], mainly the posterior (58.3%) and left side of the face (42%), followed by the posterior maxilla (75%) [ 26 , 50 , 57 ]. Clinically, 97% of patients were asymptomatic (did not report pain) [ 25 – 51 , 53 , 54 , 57 – 59 ], and 91% presented cortical expansion [ 25 – 41 , 44 – 47 , 49 – 52 , 55 , 56 , 59 ]. Radiographically, 97% of the lesions were radiolucent [ 25 – 53 , 55 , 56 , 58 , 59 ], multilocular (89.10%) [ 25 , 27 – 53 , 56 , 58 , 59 ], well-defined (73.43%) [ 26 – 43 , 45 – 53 , 56 , 58 , 59 ].…”

“…The survival rate was 98.1%, and the range of follow-up duration was 1–22 years. After implant placement, 38.3% were conventionally loaded [ 28 , 30 , 31 , 33 , 36 – 40 , 43 , 45 , 48 , 54 , 56 , 58 ], followed by the immediate loading protocol (28%) [ 25 , 34 , 35 , 41 , 42 , 52 ]. In total, 62 implant-supported restorations were placed, of which 79% corresponded to fixed dentures [ 25 , 28 , 29 , 31 – 36 , 38 , 39 , 41 – 44 , 46 – 52 , 54 – 59 ] and 21% to removable dentures [ 26 , 27 , 30 , 33 , 37 , 40 , 45 , 53 ].…”

“…After implant placement, 38.3% were conventionally loaded [ 28 , 30 , 31 , 33 , 36 – 40 , 43 , 45 , 48 , 54 , 56 , 58 ], followed by the immediate loading protocol (28%) [ 25 , 34 , 35 , 41 , 42 , 52 ]. In total, 62 implant-supported restorations were placed, of which 79% corresponded to fixed dentures [ 25 , 28 , 29 , 31 – 36 , 38 , 39 , 41 – 44 , 46 – 52 , 54 – 59 ] and 21% to removable dentures [ 26 , 27 , 30 , 33 , 37 , 40 , 45 , 53 ]. Regarding fixed prostheses, the most used types were hybrid prostheses (53%) [ 43 , 49 , 52 , 56 – 59 ], followed by cemented restorations (27%) [ 35 , 42 , 44 , 55 ].…”

“…In total, 62 implant-supported restorations were placed, of which 79% corresponded to fixed dentures [ 25 , 28 , 29 , 31 – 36 , 38 , 39 , 41 – 44 , 46 – 52 , 54 – 59 ] and 21% to removable dentures [ 26 , 27 , 30 , 33 , 37 , 40 , 45 , 53 ]. Regarding fixed prostheses, the most used types were hybrid prostheses (53%) [ 43 , 49 , 52 , 56 – 59 ], followed by cemented restorations (27%) [ 35 , 42 , 44 , 55 ]. Of the removable prosthesis, metal bar retention was the most frequently used anchorage system (86%) [ 26 , 27 , 30 , 33 , 37 , 55 ].…”