Dental implant-supported rehabilitation on a vascular-grafted mandible: A long-term and multidisciplinary approach

Autor: Cláudio Marcantonio, Elcio Marcantonio, Rafael Scaf de Molon, Marisa A. Cabrini Gabrielli, Jônatas Caldeira Esteves, Thallita Pereira Queiroz, Rogério Margonar, M.F.R. Gabrielli, Eloisa Marcantonio Boeck
Přispěvatelé: Universidade Estadual Paulista (Unesp), UNIARA Dental School, Universidade Federal do Rio de Janeiro (UFRJ)
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Scopus
Repositório Institucional da UNESP
Universidade Estadual Paulista (UNESP)
instacron:UNESP
Popis: Made available in DSpace on 2020-12-12T01:54:19Z (GMT). No. of bitstreams: 0 Previous issue date: 2019-07-01 Background: Facial trauma may lead to severe fractures and loss of bone and dental structures. Depending on the magnitude of the trauma, whole segments of the jaws may be lost due to comminution, exposure of internal structures, or infection. The treatment of such lesions can be challenging, and success is often hindered by unsatisfactory esthetic, phonetic, and functional outcomes. The aim of this case report was to describe a multidisciplinary approach for implant rehabilitation in a complex case of trauma in the maxillofacial region in a young patient. Case description: A 22-year-old female patient was referred with extensive loss of soft and hard tissues in the mandible as well as loss of several teeth due to facial trauma. The patient was submitted to innumerous surgical reconstructive procedures throughout years of treatment, which included vascularized soft and hard tissue grafts, installation of dental implants, Le Fort I osteotomy for maxillary repositioning, and subsequent implant-supported prosthetic rehabilitation. Conclusion: A 24-year follow-up of comprehensive surgical and prosthodontic reconstruction of a facial injury with several fractures due to motorcycle accidents using the multidisciplinary approach was described. The multidisciplinary approach employed in this case demonstrated successful outcomes for the reconstruction of the maxillofacial region after extensive facial trauma. After six years postoperatively no complications with the rehabilitation treatment has been detected to the present date. Clinical significance: The multidisciplinary treatment planning employed was able to restore masticatory function and facial esthetics, enhancing patient quality of life and satisfaction. Department of Diagnosis and Surgery School of Dentistry at Araraquara Sao Paulo State University UNESP Department of Health Sciences Centro Universitario de Araraquara UNIARA Dental School Department of Clinical Dentistry Federal University of Rio de Janeiro UFRJ Department of Diagnosis and Surgery School of Dentistry at Araraquara Sao Paulo State University UNESP
Databáze: OpenAIRE
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