Reconstruction and implant-prosthetic rehabilitation after loss of the body mandibular segment due to ressection an odontogenic myxoma

Abstract

Odontogenic myxoma is an uncommon benign neoplasm; it has mesenchymal origin and has the potential to be locally invasive, with greater predominance of the maxillary bones. It manifests clinically between the second and third decade of life, and the treatment of choice is surgical resection. Clinical and radiological manifestations are variable and non-specific and often lead to confusion with other benign and malignant lesions. The treatment of these lesions, which frequently involve large resections, can be followed by functional, aesthetic and psychological consequences for the patient. After removal of the tumor, the priority of prompt rehabilitation of the patient is discussed, given possible changes resulting from the treatment and the adoption of an expectant approach, until a greater risk of recurrence can be ruled out. The objective of this paper is to report a clinical case of resection of a mandibular odontogenic myxoma, with reconstruction using bone graft from the iliac crest and dental rehabilitation supported by implants