Oral Rehabilitation Following Removal of a Rhabdomyosarcoma and Subsequent Microstomia: A Case Report
Rhabdomyosarcoma is a malignant tumor that is most often seen in children younger than 15 years of age. This pathology is found mainly in the head and neck region. Treatment of rhabdomyosarcoma at early stages of life usually affects the dental and osseous development of children. Because of impaired development, microstomia can arise, making dental treatment more difficult. This article presents a patient with microstomia caused by resection of an embryonal rhabdomyosarcoma in the nasolabial region. The patient was treated with 5 dental implants and fixed hybrid prosthesis in the maxilla and 2 implants supporting an overdenture in the mandible.Abstract

Figure 1 . Initial extraoral view of the patient. Figure 2. View of the remaining mobile and carious teeth in the mandible. Figure 3. View of destroyed teeth in the maxilla. Figure 4. Panoramic radiograph taken before treatment.

Postoperative dental volume tomography (DVT) images.

Figure 6 . View of the maxillary impression. Figure 7. View of the mandibular impression. Figure 8. Maxillary cast with the SynOcta 1.5 screw-retained abutments and the plastic copings. Figure 9. Chrome-cobalt framework of the hybrid denture. Figure 10. Try-in of the framework. Figure 11. View of the finished dentures.

Figure 12 . Final extraoral view of the patient after treatment. Figure 13. Panoramic radiograph taken 1 year after treatment.
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