Reconstruction and Mandibular Rehabilitation After Resection of Juvenile Aggressive Ossifying Fibroma Using Undifferentiated Mesenchymal Cells and Osseointegrated Implants: A Case Report.

Autor: Rodrigues Arantes EB; Postgraduate Student, Department of Oral Diagnosis and Pathology, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil., Cortezzi W; Head, Oral and Maxillofacial Surgery Service, Servidores do Estado Federal Hospital, Brazilian Government, Rio de Janeiro, Brazil., de Aguiar AB; Staff, Oral and Maxillofacial Surgery Service, Servidores do Estado Federal Hospital, Brazilian Government, Rio de Janeiro, Brazil., Merly F; Staff, Oral and Maxillofacial Surgery Service, Servidores do Estado Federal Hospital, Brazilian Government, Rio de Janeiro, Brazil., Júnior VM; Professor, Stomatology Service, Department of Oral Diagnosis and Pathology, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil., Netto R; Professor, Stomatology Service, Department of Oral Diagnosis and Pathology, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Jazyk: angličtina
Zdroj: Implant dentistry [Implant Dent] 2019 Aug; Vol. 28 (4), pp. 400-404.
DOI: 10.1097/ID.0000000000000912
Abstrakt: Purpose: The aggressive juvenile ossifying fibroma is a benign fibro-osseous neoplasm that affects the jaws of young patients. The treatment can range from careful curettage to complete bone resection. Early dental rehabilitation through osseointegrated implants is indicated for functional recovery and esthetics.
Materials and Methods: This article reports the case of a 20-year-old man submitted to osseous resection, installation of a titanium plate associated with bone graft and osteogenic substances with subsequent installation of osseointegrated dental implants.
Results: After 28 months of clinical and radiographic follow-up, there were no signs of tumor recurrence. As the patient showed good graft integration, 3 dental implants could be installed and are now waiting to receive a prosthetic work.
Conclusions: The use of a graft with morphogenetic proteins proved to be stable and efficient as it allowed the rehabilitation with dental implants.
Databáze: MEDLINE