Editorial Type:
Article Category: Case Report
 | 
Online Publication Date: 04 May 2021

Implant-Supported Prosthetic Rehabilitation of a Patient With Squamous Cell Carcinoma: A Case Report

DDS, PhD,
DDS,
DDS, PhD, and
DDS, PhD
Page Range: 215 – 219
DOI: 10.1563/aaid-joi-D-20-00324
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Patients who have undergone maxillary resection procedures are rehabilitated with dental obturators or microvascular reconstruction. This case report describes implant-supported prosthetic rehabilitation of a patient who underwent maxillary resection because of squamous cell carcinoma. After maxillectomy surgery, the patient was rehabilitated using a surgical obturator for 1 week, followed by an interim obturator until the surgical field was completely healed. For definitive prosthesis, different treatment options were presented from which the patient selected an implant-supported maxillofacial prosthesis and a removable mandibular partial prosthesis. Under general anesthesia, 2 zygomatic implants and 4 conventional implants to the posterior maxilla were inserted. After a healing period, the bar-retained maxillofacial prosthesis and removable mandibular partial denture were fabricated. The patient was satisfied regarding function, esthetics, speech, and swallowing. No problems, except slight discoloration of the prosthesis, were noted at the 6-month follow-up. Implant-supported maxillofacial prostheses are a valuable treatment option to improve quality of life after maxillary resection.

Figures 1 and 2.
Figures 1 and 2.

Figure 1. Panoramic radiograph after implant placement.

Figure 2. Maxillary arch occlusal image (mirror view).


Figures 3 and 4.
Figures 3 and 4.

Figure 3. Design of bar (mirror view).

Figure 4. Panoramic radiograph of implant/multiunit/bar connection.


Figure 5.
Figure 5.

Intaglio surface of maxillofacial prosthesis. Snap bar attachments with joint-snap in matrices (posterior) and friction matrices (anterior).


Figure 6.
Figure 6.

(a) Frontal maximal intercuspal position image. (b) Postoperative maxillary arch occlusal image (mirror view).


Contributor Notes

Corresponding author, e-mail: mgndogdu@gmail.com
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