Interdisciplinary innovative approach to an aggressive ossifying fibroma case: Integrating 3D surgery and customized reconstruction in maxillofacial and dental care.

Autor:	Aragón-Niño Í; Medical Resident. Oral and Maxillofacial Surgery Department. La Paz University Hospital. Madrid, Spain., Pardo-de Vera JDC; Physician attending / Faculty. Oral and Maxillofacial Surgery Department. La Paz University Hospital. Madrid, Spain., Garrido-Martínez P; Dentist. Oral and Maxillofacial Surgery Department. Hospital La Luz. Madrid, Spain., Losa-Muñoz PM; Physician attending / Faculty. Oral and Maxillofacial Surgery Department. La Paz University Hospital. Madrid, Spain., Moreiras-Sanchez ÁD; Physician attending / Faculty. Oral and Maxillofacial Surgery Department. La Paz University Hospital. Madrid, Spain., Cebrián-Carretero JL; Head of the Department. Oral and Maxillofacial Surgery Department. La Paz University Hospital. Madrid, Spain.
Jazyk:	angličtina
Zdroj:	Journal of clinical and experimental dentistry [J Clin Exp Dent] 2024 May 01; Vol. 16 (5), pp. e661-e665. Date of Electronic Publication: 2024 May 01 (Print Publication: 2024).
DOI:	10.4317/jced.61581
Abstrakt:	Aggressive ossifying fibroma is a benign fibro-osseous disorder characterized by its aggressive behavior, which complicates its management. In this article, we present a case involving the recurrence of this condition in the maxillary region, with orbital and dental involvement, in a patient who had previously undergone surgery and reconstruction with a microvascularized free fibula flap. A multidisciplinary approach involving maxillofacial surgery and dentistry was employed to deliver a customized and entirely satisfactory solution for the patient. The use of 3D surgery was integral to our approach, encompassing pre-surgical digital planning and the transfer of this planning to the operating room via navigation software. Customized surgical cutting guides facilitated precise resection, while a personalized polyether ether ketone (PEEK) prosthesis was utilized for reconstruction of the malar and infraorbital region. Pre-prosthetic computer-aided design/computer-aided manufacturing (CAD/CAM) surgery, along with dental rehabilitation using transepithelial abutments and dental prostheses on a titanium framework, were employed for dental restoration. During the postoperative period, mobility in the reconstructed maxilla was observed due to the loss of support from the initial reconstruction plate. This was addressed by replacing the plate with a custom-made titanium plate, designed to accommodate the location of the transepithelial abutments and prevent disruption of the dental rehabilitation. This case demonstrates the potential of new technologies when applied within the collaborative framework of maxillofacial surgeons and dentists, enabling effective and definitive solutions in complex reconstruction cases. Key words: Aggressive ossifying fibroma; 3D surgery; customized reconstruction; complex dental reconstruction. Competing Interests: None declared. (Copyright: © 2024 Medicina Oral S.L.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu