Jaw in a day: osseointegration of the implants in the patient’s leg before reconstructive surgery of a maxilla with ameloblastoma. A 4-year follow-up case report

• Pablo Garrido-Martínez ^[4] ; Juan-Francisco Peña-Cardelles ^[1] ; José-Juan Pozo-Kreilinger ^[5] ; Germán Esparza-Gómez ^[2] ; Néstor Montesdeoca-García ^[3] ; José-Luis Cebrián-Carretero ^[6]
  1. [1] Universidad Rey Juan Carlos

     Universidad Rey Juan Carlos

     Madrid, España

     
  2. [2] Universidad Complutense de Madrid

     Universidad Complutense de Madrid

     Madrid, España

     
  3. [3] Hospital da Luz

     Hospital da Luz

     Socorro, Portugal

     
  4. [4] DDS, MsC, phD. Associate Professor, Department of Prosthesis, Faculty of Dentistry, University Alfonso X el Sabio, Madrid. Department of Oral and Maxillofacial Surgery, Hospital La Luz, Madrid
  5. [5] MD, DDS, phD. Associate Professor of Medicine. Department of Pathology. Universidad Autónoma de Madrid, Madrid. Hospital Universitario La Paz, Madrid
  6. [6] DMD, DDS, phD. Chief, Department of Oral and Maxillofacial Surgery, Hospital La Luz, Madrid Chief of Section, Department of Oral and Maxillofacial Surgery, Hospital Universitario La Paz, Madrid

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• Localización: Journal of Clinical and Experimental Dentistry, ISSN-e 1989-5488, Vol. 13, Nº. 1 (January), 2021, págs. 81-87
• Idioma: inglés
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• Resumen

  • To describe a clinical case of a cancer patient who underwent ablative tumor surgery, including treatment planning, surgical resection and subsequent implant rehabilitation.

    A 61-year-old patient with a diagnosis of multicystic follicular ameloblastoma in the maxilla, in which it was necessary a multidisciplinary approach and two surgical steps. In the first surgical intervention osseointegrated implants (OII) were placed in the fibula, until their osseointegration period of 8 weeks was complete. Afterwards, in the second surgery, the micro-vascularized free fibular flap bearing the implants was transplanted into the oral cavity, in order to perform simultaneous reconstruction and early rehabilitation. The final prosthetic rehabilitation consisted in a hybrid prosthesis fabricated using CAD CAM technology.

    The latest advances in medical research have improved our understanding of the oral cavity’s regenerative capacity after oncological treatment. This, aided by the advances in digital 3D technologies, has allowed meticulous treatment planning prior surgery.

    The functional and esthetic reconstructions described in these two case reports were made possible by coordinating multidisciplinary approaches involving dentists and oral and maxillofacial surgeons. Advances in medicine have improved understanding of the regenerative capacity of the oral region following oncologic treatment, facilitating meticulous advance planning, while advances in digital 3D technologies for planning make it possible to reduce the number of surgical sessions and the time taken for the patient to recover both the esthetics and function of the stomatognathic system.