Editorial Type:
Article Category: Case Report
 | 
Online Publication Date: 21 Apr 2022

Implant Rehabilitation After a Partial Resection of the Mandible Resulting from Submandibular Gland Malignancy—A Case Report

DDS, MS,
DMD, FACP, and
DDS
Page Range: 220 – 225
DOI: 10.1563/aaid-joi-D-21-00086
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Adenoid cystic carcinoma of the submandibular gland is a relatively rare malignancy of the oral and maxillofacial region. It is an insidious disease characterized by regional spread, perineural invasion, and potential distant metastases. Because of the aggressive nature of this lesion, it is often impossible to completely excise the tumor, necessitating combination therapy of surgery and radiation. The consequences of surgical ablation coupled with radiation treatment can result in complex considerations in the dental care of these patients. This case report outlines a patient who has recovered from multiple surgeries and radiation therapy, requiring mandibular dental implant reconstruction for a return to normal comfort and function.

Figures 1 and 2.
Figures 1 and 2.

Figure 1. Pre-op intraoral view. Initial presentation. Note: unfavorable jaw relationship due to resection.

Figure 2. Panoramic radiograph. Initial presentation.


Figures 3 and 4.
Figures 3 and 4.

Figure 3. Intraoral view after extractions and implant placement.

Figure 4. Intraoral view of connecting bar. Note: Bar position lateral to right posterior residual ridge.


Figures 5 and 6.
Figures 5 and 6.

Figure 5. Intaglio of prosthesis.

Figure 6. Occlusal surface of prosthesis.


Figure 7.
Figure 7.

Post-op panoramic radiograph.


Figure 8.
Figure 8.

Prosthesis in maximal intercuspation.


Figure 9.
Figure 9.

Facial view—mandibular stabilization.


Figure 10.
Figure 10.

Regional anatomy.


Figures 11 and 12.
Figures 11 and 12.

Figure 11. Radiation mask.

Figure 12. Sample radiation intensity map (not patient in case report).


Contributor Notes

Corresponding author, e-mail: jpiermatti@yahoo.com
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