Rehabilitation of a Patient with Central Giant Cell Granuloma of Mandible by Iliac Graft, Bone Distraction and Implant Retained Telescopic Prosthesis: a Two Year Follow Up

Abstract

Giant cell granulomas of the jaws are lesions that arise either peripherally in periodontal ligament, mucoperiosteum, or centrally in the bone. Histologically, both peripheral and central giant cell granuloma are characterized by the presence of numerous multinucleated giant cells in a prominent fibrous stroma. Traditional treatment has been local curettage, although aggressive sub-types have a high tendency to recur. This case report describes the rehabilitation procedure of a patient with central giant cell granuloma of left side of mandible. Marginal resection of the lesion was done followed by reconstruction of the resected mandible with iliac graft. Distraction of bone was done since there was partial uptake of the fibula graft. Five implants were placed once the distraction was complete. The patient was rehabilitated with implant retained removable telescopic prosthesis.

Implant supported prosthesis on edentulous mandible with multiple impacted teeth - a case report with 5 year follow up

“…Literature indeed reports on restorations that have been done on syndromic patients, wherein some of the remaining natural teeth were used for the fabrication of tooth-supported prosthesis, and the rest was replaced by implant-supported prosthesis. [ 18 19 20 21 22 23 ] The case reported here is very peculiar from those that have been reported earlier in the sense that all the mandibular teeth were impacted. As quoted earlier, this could be due to a total lack of eruptive force.…”