CASE REPORT
Implant prosthetic rehabilitation after surgical treatment in a patient with myxoma of the mandible - case report
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1
Katedra Protetyki Stomatologicznej
Chair of Prosthodontics, Warszawski Uniwersytet Medyczny
Medical University of Warsaw, Polska
2
Klinika Chirurgii Czaszkowo-Szczękowo-Twarzowej, Chirurgii Jamy Ustnej i Implantologii, Warszawski Uniwersytet Medyczny, Polska
Submission date: 2021-11-10
Acceptance date: 2021-12-14
Publication date: 2021-12-15
Corresponding author
Konrad Juszczyszyn
Katedra Protetyki Stomatologicznej
Chair of Prosthodontics, Warszawski Uniwersytet Medyczny
Medical University of Warsaw, Binieckiego 6, 02-097, Warszawa, Polska
Prosthodontics 2021;71(4):373-379
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ABSTRACT
The article presents a clinical case of implantoprosthetic rehabilitation of a patient operated on
at the age of 14 years due to myxoma located in the area of the left angle of the lower jaw. The
surgical treatment included removal of the tumour with partial resection of the mandibular body and
branches, and simultaneous reconstruction of the postoperative defect with an autogenous iliac
crest graft. Due to the patient’s malocclusion, orthodontic treatment was initiated as a pre-prosthetic preparation. After removal of the
braces, a removable lower denture with a metal framework was made to replace missing
teeth and provide orthodontic retention. It was planned to replace the prosthesis with a fixed
prosthetic restoration supported on intraosseous implants after the end of bone growth. Due to
the significant resorption of the integrated bone graft an additional reconstructive procedure was
planned to improve the bone quality for future implants. The patient, however, discontinued
the treatment and it was six years later that it was resumed. Following another in-depth
radiological diagnosis and orthodonto-surgico-prosthetic consultations, a decision was made
to implement implantoprosthetic treatment. Three Global D intraosseous implants were
inserted in the reconstructed area. After the osseointegration process was completed, a fixed
bridge was prepared. The adaptation to the prosthetic restoration was very smooth. In
the opinion of the patient, chewing performance significantly improved compared to the situation
when the patient had been wearing a conventional prosthesis.