Dental Implant Restoration of a Mandibular Gunshot Injury: A Case Report
Treatment of gunshot injuries to the maxillofacial region requires a multidisciplinary approach with specialist collaboration. The primary goals of treatment are to stabilize fractures, control bleeding, reconstruct the affected tissues, and restore function. This case report discusses a patient’s treatment sequence resulting from a gunshot injury to the right posterior mandible. The initial stabilization and debridement, followed by mandibular augmentation, and finally prosthodontic restoration of lost teeth and the alveolar process are illustrated. Understanding the consequences of gunshot injuries to the maxillofacial region underscores the importance of coordinated quality care for a successful result.
Panoramic radiograph taken 9 months following initial mandibular stabilization.
Panoramic radiograph taken 10 years after iliac crest autogenous graft demonstrating adequate regeneration of bony defect.
Cone beam computerized tomography 3D reconstruction.
Clinical view upon presentation to the Postgraduate Prosthodontics Clinic. Complete healing of soft and hard tissues is evident.
Clinical view of the maxilla.
Connective tissue in the area of the mental nerve enveloping the lateral and medial aspects of the mandible.
Healed implants in place with multiunit abutments attached.
Monolithic zirconia restoration stained, glazed, and ready for insertion—buccal view.
Monolithic zirconia restoration—occlusal view.
Monolithic zirconia restoration inserted. Note ideal contours for adequate hygiene.
Panoramic image of final restoration.
Contributor Notes