RESEARCH PAPER
Implant-supported prosthetic rehabilitation after mandibular reconstruction with iliac crest free flap after segmental mandibular resection due to ameloblastoma
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Zakład Chirurgii Stomatologicznej, Warszawski Uniwersytet Medyczny
2
Katedra Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny
Acceptance date: 2019-10-10
Publication date: 2019-12-04
Corresponding author
Dariusz Mateńko
Zakład Chirurgii Stomatologicznej, Warszawski Uniwersytet Medyczny
Prosthodontics 2019;69(4):401-408
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ABSTRACT
In a group of patients undergoing tumor surgery in the area of head and neck, especially in the lower part of the face, the golden standard of rehabilitation is the reconstruction of the mandibular bone simultaneous with the resection of the tumor. The graft taken from the hip-bone plate enables reconstruction of the original size and shape of the mandibular bone. The paper presents a clinical case of implantsupported prosthodontic rehabilitation in a patient diagnosed with ameloblastoma in the body of the mandible. Using the NobelClinician system, four intraosseous implants were planned and inserted using a surgical template into a healed graft from the hip-bone plate. The prosthetic suprastructure was prepared in the form of a zirconium-ceramic bridge replacing six missing teeth. Good functional and aesthetic effect was achieved. Adaptation to the implant-supported FPD occurred without further complications.