scholarly journals Possibilities of reconstruction and implant-prosthetic rehabilitation following mandible resection

2013 ◽  
Vol 70 (1) ◽  
pp. 80-85 ◽  
Author(s):  
Vitomir Konstantinovic ◽  
Vladimir Todorovic ◽  
Vojkan Lazic
Keyword(s):  
Bone Graft ◽  
Dental Implants ◽  
Iliac Bone ◽  
Autogenous Bone ◽  
Mandible Reconstruction ◽  
Reliable Technique ◽  
Comprehensive Therapy ◽  
Early Loading ◽  
Iliac Bone Graft ◽  
Ablative Surgery

Introduction. Mandible reconstruction is still very challenging for surgeons. Mandible defects could be the consequence of ablative surgery for malignancies, huge jaw cysts, infection and trauma. Segmental resection of the mandible may compromise orofacial function and often lead to patients psychological disorders. Despite very frequent use of microvascular flaps, autogenous bone grafts are still very reliable technique for mandible reconstruction. Comprehensive therapy means not only mandible reconstruction, but prosthodontic rehabilitation supported by dental implants, which can significantly improve patients quality of life. The aim of this paper was to evaluate possible techniques of mandible reconstruction and to present a patient who had been submitted to mandible resection and reconstruction with autogenous iliac bone graft and prosthodontic rehabilitation with fixed denture anchoraged by disc-shaped implants in early loading protocol. Case report. Mandible reconstruction was performed simultaneously with resection. Autogenous iliac bone graft was taken, reshaped and placed in two parts, to the required optimal contour of the mandible. After graft consolidation, decision was made for prosthodontics rehabilitation with fixed dentures supported by implants. In addition to the standard preoperative procedures, planning was done based on a biomodel gained by rapid prototyping after CT scan. It offered a real 3D planning to obtain a proper shape, dimension and the position of implants. Conclusion. If bone dimensions of a reconstructed mandible are insufficient, like in the presented case, the use of basal osseointegrated implants may be a method of choice. Avoiding bone augmentation procedures, as well as early loading protocol for this type of implants, shorten the total rehabilitation time, which is very convenient for patients. Fixed denture supported by dental implants is the best solution for comprehensive rehabilitation after mandible resection.

scholarly journals Recurrence of ameloblastoma in an autogenous bone graft 10 years after initial operation: A case report and literature review

2020 ◽  
Author(s):  
si wu ◽  
Hui Yan ◽  
Lin Han ◽  
Huaizhou Yu
Keyword(s):  
Bone Graft ◽  
Iliac Bone ◽  
Autogenous Bone Graft ◽  
Autogenous Bone ◽  
Initial Operation ◽  
Epithelial Tumor ◽  
Long Term Outcome ◽  
Iliac Bone Graft ◽  
Second Surgery

Abstract Background: Ameloblastoma is an asymptomatic locally invasive slow-growing odontogenic epithelial tumor. it is rare that the tumor developing in the autogenous bone graft.Case presentation: This report describes a case of ameloblastoma recurrence in an autogenous iliac bone graft 10 years after initial operation in a 37-year-old female who had a history of partial mandibulectomy + left iliac bone graft for ameloblastoma. In 2016 year, the patient was therefore admitted to our hospital for a second surgery, In 2017, 2018, 2019 after the second surgery, radiograph examination showed no recurrence after the surgery.Conclusions: Awareness of the concept of tumor-free operation, extensively resect the affected bone and soft tissue may help in ameloblastoma recurrence, Pathological diagnosis and long-term regular follow-up visits should help improve long-term outcome

scholarly journals Reconstruction of comminuted jaw with iliac crest graft and implant-supported prostheses – case report

2020 ◽  
Vol 9 (10) ◽  
pp. e8169109175
Author(s):  
Camila Fernanda Vasconcelos ◽  
Andressa Bolognesi Bachesk ◽  
José Henrique Santana Quinto ◽  
Willian Pecin Jacomacci ◽  
Caio Cesar Santos Patron Luiz ◽  
...  
Keyword(s):  
Bone Graft ◽  
Dental Implants ◽  
Iliac Crest ◽  
Autogenous Bone ◽  
Oral Rehabilitation ◽  
Body Fracture ◽  
Iliac Bone Graft ◽  
Fixation Techniques ◽  
Mandibular Body ◽  
Jaw Fractures

Comminuted jaw fractures represent a challenge in terms of treatment. The advancement of fixation techniques and materials has contributed to the surgeon providing faster treatment and less complication. Even so, cases that present severe mandibular fragmentation require additional therapies, such as the use of bone grafts and dental implants, in order to recover function, aesthetics and anatomy of the mandible. This work aims to report a case of comminuted mandibular body fracture, which was treated with reconstruction, initially by rigid internal fixation, and secondly, by iliac bone graft and implant-supported oral rehabilitation. Although studies in the literature demonstrate that autogenous grafts show significant resorption, they are still considered the gold standard, and allow an ideal basis for obtaining osseointegration of dental implants. Thus, we concluded that the use of the autogenous bone graft coming from the iliac crest and rehabilitation with implants can be a satisfactory option for functional and aesthetic repair of patients who presented high impact fractures, and developed significant bone defects.

Rehabilitation of Severely Atrophied Mandible Using Free Iliac Crest Bone Grafts and Dental Implants: Report of Two Cases

2007 ◽  
Vol 33 (3) ◽  
pp. 122-126 ◽  
Author(s):  
Orhan Güven
Keyword(s):  
Bone Graft ◽  
Dental Implants ◽  
Iliac Crest ◽  
Bone Grafts ◽  
Mandibular Reconstruction ◽  
Iliac Bone ◽  
First Case ◽  
Facial Esthetics ◽  
Iliac Bone Graft

Abstract The purpose of this study was to reveal the improvement in facial esthetics and maintenance of mastication in severely atrophied mandibles with inadequate alveolar ridges in 2 patients. Bone graft harvested from iliac crest was used for the reconstruction in the first case, followed by the application of 2 dental implants after 6 months. A free iliac bone graft and 2 dental implants were also used simultaneously with a 1-stage surgery in the second case; the patient had previously had a mandibular reconstruction with a rib graft. Both of the patients achieved remarkably functional and esthetic improvements after treatment. Free iliac bone graft is considered to be a favorable alternative for the maintenance of satisfactory functional and esthetic results in patients with severely atrophied alveolar ridges.

scholarly journals Complication of Anterior Iliac Bone Graft Harvesting in 372 Adult Patients from May 2006 to May 2011 and a Literature Review

2013 ◽  
Vol 6 (4) ◽  
pp. 257-265 ◽  
Author(s):  
Manar Almaiman ◽  
Hamed H. Al-Bargi ◽  
Paul Manson
Keyword(s):  
Bone Graft ◽  
Maxillofacial Surgery ◽  
Adult Patients ◽  
Iliac Bone ◽  
Autogenous Bone ◽  
Graft Material ◽  
Iliac Bone Graft ◽  
Bone Graft Harvesting ◽  
Safe Technique ◽  
Age Range

Autogenous bone graft from the iliac is considered the gold standard graft material in maxillofacial surgery. The common and the rare complications associated with harvesting bone from anterior iliac crest were reviewed; we recommend a safe technique to avoid these complications. A retrospective analysis of 372 adult patients who had undergone anterior iliac bone graft harvesting from May 2006 to May 2011. The patients age range from 21 to 63 years. Out of the 372 patients, 200 were male with age range from 21 to 63 years and 172 were female with age range from 22 to 59 years. Two major complications (fracture and seroma) occurred, a fracture of the anterior superior iliac spine was observed in two patients (0.538%); one male and one female. One female patient (0.269%) developed seroma. One minor complication occurred in three patients (0.806%); one female and two females who suffered from temporary sensory disturbance. All patients (100%) suffered pain maximum for the first 15 days postoperative. In our study; the morbidity after anterior iliac bone graft harvesting was found to be low due to the technique, utilizing the proper instruments, gentle and minimal mobilization of the graft.

scholarly journals Local application of biphosphonate as a biochemical barrier against bone graft resorption in mandibular reconstructio

2020 ◽  
Vol 5 (3) ◽  
pp. 143
Author(s):  
Romzi Hanif ◽  
Muhammad Masykur Rahmat ◽  
Cahya Yustisia Hasan
Keyword(s):  
Bone Graft ◽  
Mandibular Reconstruction ◽  
Iliac Bone ◽  
Local Application ◽  
Radiographic Examination ◽  
Autogenous Bone ◽  
Ossifying Fibroma ◽  
Iliac Bone Graft ◽  
The Right ◽  
Graft Resorption

Mandibular reconstruction to restore functions and aesthetics after mandibular resection remains a major surgical challenge. This type of reconstruction using non-vascularized autogenous bone graft harvested from iliac bone has been popular given that this bone is numerous and donor site morbidity can be minimized, however, it is highly resorbable. Local application of bisphosphonate by immersing bone graft in biphosphonate manages to inhibit bone graft resorption prior to the formation of new bone to support the osteogenesis and osteointegration of bone grafts. This paper aimed at examining the positive results of iliac bone graft osteogenesis and osteointegration following local application of bisphosphonate in mandibular reconstruction. A 22-year-old female patient came with a complaint of painless right cheek mass that has swollen slowly since 2 years. Radiographic examination showed cloudy radiolucent images in the right mandibular corpus to the right mandibular ramus, while histopathological examination indicated ossifying fibroma. Patient underwent mandibular resection followed by iliac bone graft-based mandibular reconstruction. Bone graft was immersed with bisphosphonate (zoledronate acid 0.005 mg /ml) for 3 minutes, then rinsed with saline for 3 minutes, followed by fixing bone graft on the reconstruction plate. Postoperative follow up in the 36th week showed no signs of infection and dehiscence in the surgery site, and the radiographic examination indicated signs of osteogenesis and osteointegration of mandibular bone graft. Local application of biphosponate on bone graft promotes favorable results of osteogenesis and osteointegration in mandibular reconstruction.

MALIGNANT TRANSFORMATION OF AN ENCHONDROMA OF THE HAND: A CASE REPORT

Hand Surgery ◽  
2011 ◽  
Vol 16 (02) ◽  
pp. 201-203 ◽  
Author(s):  
H. Ozcanli ◽  
E. Alimoglu ◽  
A. T. Aydin
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Malignant Transformation ◽  
Iliac Bone ◽  
Total Excision ◽  
Iliac Bone Graft ◽  
Malignant Transformations

Secondary chondrosarcomas according to malignant transformations of the solitary enchondromas were extremely rare in the hand. The aim of this study is to present a case of a 43-year-old male having rare malignant transformation of the solitary enchondroma treated with total excision and replacement with iliac bone graft.

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