CASE REPORT
Implantoprosthetic rehabilitation of a patient after mandibular resection
due to neoplasm and reconstruction with microvascular free fibular flap
– a case report
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Katedra Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny Wydział Lekarsko-Dentystyczny, Polska
Submission date: 2022-10-17
Acceptance date: 2022-12-12
Publication date: 2022-12-12
Corresponding author
Dariusz Rolski
Katedra Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny Wydział Lekarsko-Dentystyczny, Nowogrodzka 59 paw. XI A, 02-006, Warszawa, Polska
Prosthodontics 2022;72(4):369-374
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ABSTRACT
The article presents a case report of the
implantoprosthetic rehabilitation of an edentulous
patient who underwent a mandibular tumour
resection in the mental section due to squamous
cell carcinoma of the floor of the oral cavity. The
immediate postoperative defect was reconstructed
with a microvascular free fibular flap.
As part of the patient’s prosthetic
rehabilitation, intraosseous implants were used,
which is particularly advantageous in the group
of edentulous patients undergoing mandibular
resection procedures, where the functional
conditions and topography of the prosthetic area
exclude satisfactory stabilization of the prosthetic
restoration. The process of adaptation to the
new prosthetic restoration in the case of this
patient was quick due to a radical improvement
of their functioning. In particular, the lower
overdenture showed a very satisfactory retention
and stabilization on a prosthetic area. The
applied implantoprosthetic treatment brought
the expected clinical results and significantly
improved the patient’s quality of life.