Rehabilitation of a Patient With Mandibular Resection Using Osteointegrated Implants: A Case Report
This case report details a 65-year-old male patient who underwent mandibular resection and radiotherapy as treatment for squamous cell carcinoma of the right mandible. The patient was rehabilitated with an implant-supported fixed partial denture and a maxillary occlusal ramp. The patient has been wearing his prosthesis for 2 years with no complaints.
Figure 1. Extraoral appearance of the patient. Figure 2. Putty-wash impressions using silicone elastomer for the mandible with impression copings and a 3-unit metal ceramic fixed partial denture for the maxilla. Figure 3. The completed tooth/implant-supported prosthesis with a cantilever for the mandible Figure 4. Panoramic radiographic view of the patient after placement of 2 dental implants in the irradiated mandible.
Figure 5. The completed 3-unit metal ceramic FPD for the maxilla. Figure 6. (a) Index of occlusal contact on the wax ramp. (b) Framework guide with acrylic resin on the model. Figure 7. Intraoral photograph of the patient rehabilitated with an implant-supported fixed prosthesis and maxillary guide. Figure 8. Intraoral view of maxillary guide.
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