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Awadalkreem F, Khalifa N, Ahmad AG, Osman M, Suliman AM. Rehabilitation of mandibular resected patients using fixed immediately loaded corticobasal implant -supported prostheses. A case series. Int J Surg Case Rep 2024; 119:109707. [PMID: 38677251 PMCID: PMC11067364 DOI: 10.1016/j.ijscr.2024.109707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Revised: 04/19/2024] [Accepted: 04/22/2024] [Indexed: 04/29/2024] Open
Abstract
INTRODUCTION AND IMPORTANCE Aliments such as congenital conditions, pathological, and iatrogenic circumstances may result in mandibular defects that can severely disturb the patients' oral health, functions (mastication, speech), aesthetics, and quality of life and present a rehabilitating challenge. CASE PRESENTATION we present a multidisciplinary treatment approach for three cases presented with mandibular resection as a consequence of cystic, benign, and malignant tumour eradication that were rehabilitated with immediately loaded fixed corticobasal implant-supported prostheses and a follow-up period of 5,5 and 4 years. The reported cases present with excellent implant survival, along with healthy peri-implant tissues, stable prostheses, enhanced speech, chewing ability, aesthetics, superior patient satisfaction, and improved overall self-esteem. CLINICAL DISCUSSION A multidisciplinary oral and maxillofacial team is mandatory for the successful rehabilitation of patients with mandibular resection and to restore soft and hard tissue loss. The reported treatment modality offers the patient immediate fixed implant-supported prostheses omitting the need for a bone grafting procedure, with optimum peri-implant tissue health, excellent biomechanical and prosthetic results, and significant improvement in function and satisfaction. CONCLUSION Corticobasal fixed implant-supported prostheses can be a reliable treatment modality for mandibular resection, resulting in notable enhancements in the patients' oral health, appearance, mastication, speech, and self-esteem.
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Affiliation(s)
- Fadia Awadalkreem
- RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al Khaimah, United Arab Emirates.
| | - Nadia Khalifa
- Department of Preventive and Restorative Dentistry, University of Sharjah/Faculty of Dental Medicine, Sharjah, United Arab Emirates
| | - Abdelnasir G Ahmad
- International University of Africa, Oral and Maxillofacial Surgery Department, Khartoum, Sudan
| | - Motaz Osman
- Implant Department, Khartoum Teaching Dental Hospital, Federal Ministry of Heath, Khartoum, Sudan
| | - Ahmed Mohamed Suliman
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan
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R SA, Inbarajan A, Ks A, Raju K, Ks M. Esthetic Rehabilitation of a Young Patient With Immediately Loaded Single-Piece Basal Implants Following a Trauma Involving the Anterior Maxilla: Case Report With Five-Year Follow-Up. Cureus 2023; 15:e42782. [PMID: 37664316 PMCID: PMC10469946 DOI: 10.7759/cureus.42782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/31/2023] [Indexed: 09/05/2023] Open
Abstract
Traumatic injuries to the anterior maxilla usually lead to loss of teeth by means of avulsion or extraction due to fracture. Rehabilitation of such a clinical scenario is complex as it involves various anatomic and esthetic challenges. Single-piece basal implants have been widely used in the rehabilitation of resorbed ridges because they gain adequate anchorage from the basal cortical bone, allowing immediate temporization or loading. However, the use of basal implants in the anterior esthetic zone is not much documented. This case report with a five-year follow-up period describes the rehabilitation of lost teeth in the anterior esthetic zone of the anterior maxilla caused due to trauma following a train accident using single-piece axial basal implants with immediate temporization.
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Affiliation(s)
- Shakir Ahmed R
- Prosthodontics, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
| | - Athiban Inbarajan
- Prosthodontics, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
| | - Anusha Ks
- Prosthodontics, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
| | - Kapil Raju
- Prosthodontics, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
| | - Maheshwaran Ks
- Prosthodontics, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
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Hassan S, Dhadse P, Mundada BP, Bajaj P, Subhadarsanee C, Oza RR. Single Tooth Replacement Using Immediately Loaded Basal Implant-Supported Fixed Prosthesis in a Hyperdense Lesion: A Case Report. Cureus 2023; 15:e34946. [PMID: 36938222 PMCID: PMC10022544 DOI: 10.7759/cureus.34946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 02/13/2023] [Indexed: 02/16/2023] Open
Abstract
Osseous modifications in the periapical areas are related to chronic endodontic infections. Often, teeth with periapical infections and hopeless prognosis are removed and replaced with dental implants. In this clinical report, a patient with a radiopaque lesion on the root apex of the mandibular right first molar root is presented. Bone- and tissue-borne lesions were the differential diagnoses for the radiopaque mass. Based on the clinical and radiological characteristics, condensing osteitis (CO) was the final diagnosis of osseous growth (bone density and trabeculation of the bone). Under local anesthesia, tooth 46 was atraumatically extracted, and the immediate basal implant was placed. This case report investigated the effectiveness and safety of dental implantation in the vicinity of hyperdense lesions.
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Affiliation(s)
- Safiya Hassan
- Department of Periodontics and Implantology, Sharad Pawar Dental College and Hospital, Datta Meghe Institiute of Higher Education and Research, Wardha, IND
| | - Prasad Dhadse
- Department of Periodontics and Implantology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Bhushan P Mundada
- Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Pavan Bajaj
- Department of Periodontics and Implantology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Chitrika Subhadarsanee
- Department of Periodontics and Implantology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Ranu R Oza
- Department of Periodontics and Implantology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
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Verma A, Kumar L, Prasad V, Yadav A. Prosthetic challenges in rehabilitating maxillomandibular trauma case: a multidisciplinary approach. BMJ Case Rep 2023; 16:e253047. [PMID: 36697112 PMCID: PMC9884860 DOI: 10.1136/bcr-2022-253047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Although maxillofacial trauma is relatively common, it still presents a challenging management. Its management includes treatment of facial bone fractures, dentoalveolar trauma and soft tissue injuries as well as associated injuries. Plastic surgeons, maxillofacial surgeons and prosthodontists have an interest in the subject of maxillofacial injuries, particularly in the area of functional as well as aesthetical stomatognathic rehabilitation. Present case was a clinical scenario with maxillofacial trauma due to entanglement in agricultural equipment leading to fracture of palatal bone and fracture of mandible in symphysis region. The patient's mastication, phonetics, aesthetics and social life were affected. Initial management was performed by the plastic surgeons. Rehabilitation of maxillary defect was performed using fixed removable bridge with palatal extension to cover the cleft part, and cortical implant-supported fixed prosthesis was planned as the prosthetic treatment for mandibular arch. On follow-up, there was improvement in speech and mastication, and patient felt more confident in social interaction after prosthetic rehabilitation.
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Affiliation(s)
- Aditi Verma
- Prosthodontics, Crown & Bridge, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Lakshya Kumar
- Prosthodontics, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Veerendra Prasad
- Plastic and Reconstructive Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Akanksha Yadav
- Department of Oral and Maxillofacial Surgery,Faculty of dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
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Awadalkreem F, Khalifa N, Ahmad AG, Suliman AM, Osman M. Oral rehabilitation of maxillofacial trauma using fixed corticobasal implant-supported prostheses: A case series. Int J Surg Case Rep 2022; 100:107769. [PMID: 36302317 PMCID: PMC9615311 DOI: 10.1016/j.ijscr.2022.107769] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Accepted: 10/23/2022] [Indexed: 11/12/2022] Open
Abstract
Introduction Maxillofacial trauma is associated with severe loss of soft and hard tissues that lead to aesthetic and functional disfigurements, adverse psychological impacts on the patient's general and oral health, and decreased quality of life. Therefore, treatment of maxillofacial trauma is challenging. Presentation of case We present three patients with maxillofacial trauma owing to road traffic accidents that were rehabilitated by immediate use of loaded fixed corticobasal implant-supported prostheses with follow-up periods of 6, 5, and 7 years. All treated patients had a 100 % implant survival rate, healthy peri-implant tissues, stable prosthesis with significant improvement in mastication and phonation, and high patient satisfaction. Discussion Rehabilitation of patients with intensive maxillofacial trauma requires a multidisciplinary approach to ensure the standard of care during treatment. The described treatment eliminates the need for bone grafting, reduces susceptibility to grafting complications, shortens treatment time, and provides the patient with a fixed prosthesis with predictable success, excellent implant survival, healthy peri-implant tissue, improved prosthetic stability, and high satisfaction rates. Conclusion Corticobasal implant-supported prostheses are a feasible treatment modality to rehabilitate patients with maxillofacial trauma with high success and survival rates and patient satisfaction. Treatment of maxillofacial trauma requires a multidisciplinary approach. Hard and soft tissue loss complicates treatment. Corticobasal implants do not require bone grafting and reduce treatment time. They help achieve satisfactory peri-implant health and patient satisfaction. Corticobasal implant-supported prostheses are a feasible treatment modality.
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Affiliation(s)
- Fadia Awadalkreem
- RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al Khaimah, United Arab Emirates,Corresponding author.
| | - Nadia Khalifa
- Department of Preventive and Restorative Dentistry, University of Sharjah/Faculty of Dental Medicine, Sharjah, United Arab Emirates
| | - Abdelnasir G. Ahmad
- International University of Africa, Oral and Maxillofacial Surgery Department, Khartoum, Sudan
| | - Ahmed Mohamed Suliman
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan
| | - Motaz Osman
- Implant Department, Khartoum Teaching Dental Hospital, Federal Ministry of Heath, Khartoum, Sudan
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Brauner E, Laudoni F, Amelina G, Cantore M, Armida M, Bellizzi A, Pranno N, De Angelis F, Valentini V, Di Carlo S. Dental Management of Maxillofacial Ballistic Trauma. J Pers Med 2022; 12:jpm12060934. [PMID: 35743719 PMCID: PMC9225066 DOI: 10.3390/jpm12060934] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 05/30/2022] [Accepted: 06/02/2022] [Indexed: 11/16/2022] Open
Abstract
Maxillofacial ballistic trauma represents a devastating functional and aesthetic trauma. The extensive damage to soft and hard tissue is unpredictable, and because of the diversity and the complexity of these traumas, a systematic algorithm is essential. This study attempts to define the best management of maxillofacial ballistic injuries and to describe a standardized, surgical and prosthetic rehabilitation protocol from the first emergency stage up until the complete aesthetic and functional rehabilitation. In low-velocity ballistic injuries (bullet speed <600 m/s), the wound is usually less severe and not-fatal, and the management should be based on early and definitive surgery associated with reconstruction, followed by oral rehabilitation. High-velocity ballistic injuries (bullet speed >600 m/s) are associated with an extensive hard and soft tissue disruption, and the management should be based on a three-stage reconstructive algorithm: debridement and fixation, reconstruction, and final revision. Rehabilitating a patient with ballistic trauma is a multi-step challenging treatment procedure that requires a long time and a multidisciplinary team to ensure successful results. The prosthodontic treatment outcome is one of the most important parameters by which a patient measures the restoration of aesthetic, functional, and psychological deficits. This study is a retrospective review: twenty-two patients diagnosed with outcomes of ballistic traumas were identified from the department database, and eleven patients met the inclusion criteria and were enrolled.
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Affiliation(s)
- Edoardo Brauner
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (E.B.); (F.L.); (M.C.); (M.A.); (A.B.); (N.P.); (F.D.A.); (V.V.); (S.D.C.)
- Implanto-Prosthetic Unit, Policlinico Umberto I, Viale Regina Elena 287b, 00161 Rome, Italy
| | - Federico Laudoni
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (E.B.); (F.L.); (M.C.); (M.A.); (A.B.); (N.P.); (F.D.A.); (V.V.); (S.D.C.)
| | - Giulia Amelina
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (E.B.); (F.L.); (M.C.); (M.A.); (A.B.); (N.P.); (F.D.A.); (V.V.); (S.D.C.)
- Correspondence:
| | - Marco Cantore
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (E.B.); (F.L.); (M.C.); (M.A.); (A.B.); (N.P.); (F.D.A.); (V.V.); (S.D.C.)
| | - Matteo Armida
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (E.B.); (F.L.); (M.C.); (M.A.); (A.B.); (N.P.); (F.D.A.); (V.V.); (S.D.C.)
| | - Andrea Bellizzi
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (E.B.); (F.L.); (M.C.); (M.A.); (A.B.); (N.P.); (F.D.A.); (V.V.); (S.D.C.)
| | - Nicola Pranno
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (E.B.); (F.L.); (M.C.); (M.A.); (A.B.); (N.P.); (F.D.A.); (V.V.); (S.D.C.)
| | - Francesca De Angelis
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (E.B.); (F.L.); (M.C.); (M.A.); (A.B.); (N.P.); (F.D.A.); (V.V.); (S.D.C.)
| | - Valentino Valentini
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (E.B.); (F.L.); (M.C.); (M.A.); (A.B.); (N.P.); (F.D.A.); (V.V.); (S.D.C.)
- Oncological and Reconstructive Maxillo-Facial Surgery Unit, Policlinico Umberto I, Viale del Policlinico 155, 00167 Rome, Italy
| | - Stefano Di Carlo
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy; (E.B.); (F.L.); (M.C.); (M.A.); (A.B.); (N.P.); (F.D.A.); (V.V.); (S.D.C.)
- Implanto-Prosthetic Unit, Policlinico Umberto I, Viale Regina Elena 287b, 00161 Rome, Italy
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Ahmad AG, Osman M, Awadalkreem F. Orthognathic correction and corticobasal implant-supported prostheses as a treatment modality for partial edentulism with mandibular prognathism: A case report and review of literature. Int J Surg Case Rep 2022; 95:107219. [PMID: 35623120 PMCID: PMC9133749 DOI: 10.1016/j.ijscr.2022.107219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 05/15/2022] [Accepted: 05/15/2022] [Indexed: 11/14/2022] Open
Abstract
Introduction Mandibular prognathism manifests as elongation of the mandible in the anteroposterior direction, resulting in a sunken appearance of the middle third of the face and sad look of the eyes. It adversely affects esthetics, function, and oral health, reducing the patients' self-esteem. It therefore presents a significant challenge. Presentation of case A 23-year-old woman presented with prognathic features characterized by mandibular protrusion, maxillary retrusion, a prominent chin, and reduce self-esteem. Intraoral examination revealed multiple extracted teeth, severe fracture of the crown at 23, mobility of the fixed prosthesis on 13, 14, 15, and 16, a root stump of 18, and periodontally compromised teeth (31, 32, 33, 41, and 42). A multidisciplinary team formulated the following treatment plan: stage 1, orthognathic osteotomy to retrude the mandible at 34 and 44; stage II, fabrication of transitional acrylic partial dentures; and stage III: fabrication of definitive corticobasal implant-supported prostheses. The patient was delighted with the treatment and complied with the oral hygiene instructions and follow-up program. After 7 years of function, the patient presented without complaints and exhibited significant improvement in oral health, self-esteem, and quality of life. Discussion The management of mandibular prognathism requires a multidisciplinary approach. The treatment implemented was considered the optimal option that aligned with the recommendations of several researchers to reduce facial disfigurement and rehabilitate the edentulous state. Conclusion The use of corticobasal implant-supported prostheses for the rehabilitation of patients with partial edentulism can significantly improve the treatment outcome following orthognathic surgery in cases with mandibular prognathism. Mandibular prognathism may adversely affect the patient’s esthetic and function and quality of life. Orthodontic surgery can improve the patient esthetic without replacing the missing dentition The patient was rehabilitated using corticobasal implant-supported prostheses. The esthetics, function, and oral hygiene improved significantly. This treatment modality enhances the patient’s self-esteem and improves the patient’s quality of life.
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Affiliation(s)
- Abdelnasir G Ahmad
- International University of Africa, Oral and Maxillofacial Surgery Department, Khartoum, Sudan
| | - Motaz Osman
- Implant Department, Khartoum Teaching Dental Hospital, Federal Ministry of Health, Khartoum, Sudan
| | - Fadia Awadalkreem
- Department of Prosthodontics, RAK College of Dental Sciences, Ras Al-Khaimah, United Arab Emirates.
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Ihde SKA. The "Specialist Standard" has Changed in Oral Implantology. Ann Maxillofac Surg 2021; 11:215-216. [PMID: 35265487 PMCID: PMC8848695 DOI: 10.4103/ams.ams_262_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2021] [Accepted: 11/10/2021] [Indexed: 11/24/2022] Open
Affiliation(s)
- Stefan K A Ihde
- Department of Evidence and Research, International Implant Foundation, Leopoldstr. 116, 80802 Munich, Germany
- Department of Prosthetics, Jaipur Dental College, Maharaj Vinayak Global University, Jaipur, Rajasthan, India. E-mail:
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