Postsurgical Prosthetic Rehabilitation after Mandibular Ameloblastoma Resection: A 7-Year Follow-Up Case Report

Abstract

Ameloblastomas are benign but locally invasive odontogenic tumors most frequently located in the mandible. The gold standard of treatment is the surgical resection of the tumor with safety margins. Postsurgical defects generate a significant morbidity that needs reconstruction and oral rehabilitation to restore the oral functions. This case report describes the prosthetic rehabilitation of a 42-year-old male after resection of a mandibular ameloblastoma. Excision of the lesion by segmental mandibulectomy and mandibular reconstruction by microvascularized fibula flap was performed. After placement of 6 dental implants, the patient was rehabilitated with a lower hybrid prosthesis fabricated using computer-aided design-computer-aided manufacturing. During a 7-year and 5-month follow-up, some clinical complications were observed.

Ameloblastoma uniquístico Ameloblastoma uniquístico de mandíbula

“…Es posible la reconstrucción funcional de grandes segmentos mandibulares con colgajos microvascularizados e implantes dentales como mejor opción. 14 La eficacia de la terapia adyuvante no está decidida porque se han descrito muy pocos casos. 2,7 Los ameloblastomas malignos pueden presentar múltiples recidivas y producir metástasis a pulmones, ganglios linfáticos locales, hueso, hígado, cerebro y medula espinal.…”

Possibility of Using Flexible Dentures over Iliac Bone Graft in Adolescent Patients with Ameloblastoma: A 9-Month Follow-Up Clinical Report

“…Ameloblastoma is a rare tumor, but it affects all ages, especially between the second and fifth decades, and equally, in both sexes, its incidence in the lower jaw is 80% compared to the upper jaw. Although it is a benign tumor, it has a pandemic effect because it grows without symptoms and tends to be recurrent in 90% of conservative approach (enucleation, marsupialization, or curettage) [ 1 – 4 ]. Therefore, to get the best results, 1 to 2 cm of healthy bone around the tumor must be excised, whatever its type (multicystic, peripheral, and unicystic tumors) [ 5 – 7 ].…”

Possibility of Using Flexible Dentures Over Iliac Bone Graft in Adolescent Patients With Ameloblastoma: A Case Report

“…Ameloblastoma is a rare tumor, but it affects all ages, especially between the second and fth decade, and equally, in both sexes, its incidence in the lower jaw is 80% compared to the upper jaw, Although it is a benign tumor, it has a pandemic effect because it grows without symptoms and tends to be recurrent in 90% of conservative approach (enucleation, marsupialization, or curettage0 [1][2][3][4] . Therefore to get the best results 1 to 2 cm of healthy bone around the tumor must be excised, whatever its type (multicystic, perpheral, and unicystic tumors) [5][6][7] .…”