Prosthetic Rehabilitation of the Lower Jaw with Removable Partial Denture After an Ameloblastoma Surgical Remotion: A Case Report
Angelo Maria Facecchia1*, Roberto Facecchia2 and Stefano Siliberto3
1Private Pratictioner, DDS, Italy, +393928383006
2Private Pratictioner, DMS, DDS, Italy, +393395804100
3Private Pratictioner, DT (Dental Technician), Italy, +393296148586
*Corresponding Author: Dr. Angelo Maria Facecchia, Private Pratictioner, DDS, Italy, +393928383006
Received: September 21, 2022 Published: November 22, 2022
Abstract
Background: The surgical treatment of maxillary tumors often involves bone resection and causes total or partial edentulism of one or both arches. Lack of bone volumes, even in normal condition, is per se a risk factor of bad prosthetic outcomes both in fixed and in removable prosthetic rehabilitation. The objective of this paper is to report a case of social dentistry in which a bone resection performed in a hospital environment has been prosthetically rehabilitated in a suburban private clinic.
Case presentation: 62 y/o woman, nonsmoker, partial mandibulectomy in April 2020 due to the diagnosis of a benign ameloblastoma of approximately 15 cm3. Exposition of part of the osteosynthesis implanted device caused by a thin mucosal area and second surgery in November 2021. Partial edentulism of the lower jaw caused by the surgical resection with the only presence of the dental elements 36, 37, 46 and 47. These elements were in good periodontal status and free of any cariogenic phenomenon.
Discussion: The patient’s need and desire, due to economic condition and understandable iatrophobia, was to embrace a non-invasive prosthetic procedure. A removable partial denture, with cobalt-chrome armor and flexible acrylic in the inner side, was realized although wasn’t the most indicated treatment plan.
Conclusion: The prosthetic rehabilitation of a compromised mandibular situation must be focused on restoring occlusal balance without interfering with the maxillofacial surgery procedures and post- op. In suburban areas, clinics may often encounter patients with lack of economical possibilities and difficult clinical situations, in these cases the aim of an ethical medical professional should be to restore the basic functions with the best possible aesthetic outcome while understanding the patient’s need.
Keywords: ameloblastoma, removable denture, prosthodontics, chairside procedures.
Citation: Facecchia A.M, Facecchia R, Siliberto S. “Prosthetic Rehabilitation of the Lower Jaw with Removable Partial Denture After an Ameloblastoma Surgical Remotion: A Case Report”. SVOA Dentistry 2022, 3:6, 245-248.
