Dental implant treatment in a young woman
Dental implant treatment in a young woman after marginal mandibulectomy for treatment of mandibular gingival carcinoma: a case report
Abstract
Dental implants play an important role in postoperative rehabilitation after surgical treatment of oral cancer through the provision of prosthetic tooth replacement. Two major implant prosthesis designs are available: fixed implant-supported prostheses and implant-supported overdentures. We herein report a case of a 16-year-old female patient who underwent alveolar ridge resection for treatment of mandibular gingival carcinoma. Following surgery, oral rehabilitation was attempted using an implant-supported overdenture on a gold bar retainer splinting four implants. However, the patient was not satisfied with this prosthesis because of mucosal pain and discomfort, and she gradually ceased its use. Consequently, contact with the opposing teeth caused wear of the prosthetic screws. We elected to replace the implant-supported overdenture with an implant-fixed prosthesis approximately 16 years after insertion of the overdenture to prevent further wear of the prosthetic screws. The patient was highly satisfied with the improved stability of the implant-fixed prosthesis. This case report indicates that the clinician must occasionally re-evaluate and sometimes alter the direction of treatment, even after definitive therapy has been completed.
Serial posts:
- Dental implant treatment in a young woman
- Background : Dental implant treatment in a young woman
- Case presentation : Dental implant treatment in a young woman (1)
- Case presentation : Dental implant treatment in a young woman (2)
- Conclusion : Dental implant treatment in a young woman (1)
- Conclusion : Dental implant treatment in a young woman (2)
- Figure 1. Intraoral photograph
- Figure 2. Panoramic radiograph showing notable alveolar bone resorption
- Figure 4. Intraoperative photograph of resection of the alveolar ridge
- Figure 3. Photomicrographs of the biopsy specimen
- Figure 5. Preoperative intraoral photograph of implant placement
- Figure 6. a Mandibular implant-supported overdenture inserted into the mouth. b Panoramic radiograph after insertion of the prosthesis
- Figure 7. a Intraoral photograph. b Gold Dolder bar and screws; marked wear of a prosthetic screw (arrow)
- Figure 8. Periapical radiographs of the implants
- Figure 9. a Mandibular implant-fixed prosthesis inserted into the mouth.