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Mandibular defektin protetik rehabilitasyonu: olgu sunumu

Protetic rehabilitation of mandibular defect: a case report

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Maxillofacial defects may be caused by congenital, acquired and developmental factors. These defects are prosthetically restored after being subjected to surgical reconstruction. Conventional methods used in the retention of maxillofacial prostheses are far from providing efficient and satisfactory retention. In recent years, high success rates obtained with implant supported intraoral prostheses have revealed that the low retention rate which is a problem in maxillofacial prostheses could be overcome with the use of an implant. However, the use of implant supported hybrid prostheses is an appropriate treatment in edentulous crests where there is extensive loss of hard and soft tissue. In this case report the restoration of a segmental mandibular defect which occured after the resection of an ameloblastic tumoral lesion with an implant supported hybrid prosthesis after being subjected to surgical reconstruction is presented.
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Abstract (Original Language): 
Çene ve yüz defektleri konjenital, edinsel veya gelişimsel nedenler sonucu ortaya çıkabilir. Bu defektler cerrahi olarak rekonstrüksiyona tabi tutulduktan sonra, protetik yöntemlerle restore edilir. Çene-yüz protezlerinin tutuculu- ğunda kullanılan klasik yöntemler çoğunlukla etkili ve tatminkar bir tutuculuk sağlamaktan uzaktır. Son yıllarda, osseointegre implant destekli ağız içi protezlerde elde edilen yüksek başarı oranı, çene-yüz protezlerinde sorun olan düşük tutuculuk düzeyinin implant kullanımı ile giderilebileceğini ortaya koymuştur. Bununla birlikte, sert ve yumuşak doku kaybının fazla olduğu dişsiz kretlerde implant destekli hibrid protezlerin kullanımı da uygun bir tedavi seçeneği olmaktadır. Bu olgu sunumunda, sağ mandibular posteriyor bölgede ortaya çıkan ameloblastik bir tümöral kitlenin cerrahi rezeksiyonu sonucunda oluşan unilateral mandibular segmental defektin, fibular kemik grefti ile yapılan rekonstrüksiyonunu takiben implant destekli hibrid protezle rehabilitasyonu anlatılmıştır.
FULL TEXT (PDF): 
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  • 1
56-59
  • Turkish

REFERENCES

References: 

Kaynaklar
1. Sipahi C. İmplant destekli çene-yüz protezlerinde
retansiyon prensipleri. Gülhane Tıp Derg 2006; 48:
119-124.
2. Çötert HS. Çene-Yüz Protezleri. İzmir: Ege Üniversitesi
Basımevi, 2003.
3. Thomas KF. Prosthetic Rehabilitation. London:
Quintessence Publishing Co, 1994.
4. Sipahi C, Ortakoğlu K, Ozen J, Çağlar A. The
prosthodontic restoration of a self-inflicted gunshot
maxillofacial defect: a short-term follow-up case report.
Int J Prosthodont 2007; 20: 85-88.
5. Evlioğlu G, Azak A. Edinsel mandibular defektler ve
protetik tedavileri. İ.Ü. Diş Hek Fak Derg 2005; 39:
37-42.
6. Peled M, El-Naaf IA, Lipin Y, Ardekian L. The use of free
fibular flap for functional mandibular reconstruction. J
Oral Maxillofac Surg 2005; 63: 220-224.
7. Weischer T, Mohr C. Implant supported mandibular
telescopic prostheses in oral cancer patients: An up to
9 year retrospective study. Int J Prosthodont 2001; 14:
329-334.
8. Kramer FJ, Dempf R, Bremer B. Efficacy of dental
implants placed into fibula-free flaps for orofacial
reconstruction. Clin Oral Imp Res 2005; 16: 80-88.
9. Futran ND, Haller JR. Considerations for free-flap
reconstruction of the hard palate. Arch Otolaryngol
Head Neck Surg 1999; 125: 665-669.
10. Chang YM, Coskunfirat OK, Wei FC, Tsai CY,
Lin HN. Maxillary reconstruction with a fibula
osteoseptocutaneous free flap and simultaneous insertion
of osseointegrated dental implants. Plast Reconstr Surg
2004; 113: 1140-1145.
11. Chana JS, Chang YM, Wei FC, Shen YF, Chan CP, Lin HN.
Segmental mandibulectomy and immediate free fibula
osteoseptocutaneous flap reconstruction with endosteal
implants: An ideal treatment method for mandibular
ameloblastoma. Plast Reconstr Surg 2004; 113: 80-87.
12. Sekine J, Sano K, Ikeda H, Inokuchi T. Rehabilitation
by means of osseointegrated implants in oral cancer
patients with about six years follow-up. J Oral Rehabil
2006; 33: 170-174.
13. Schoen PJ, Reintsema H, Raghoebar GM, Vissink A,
Roodenburg JLN. The use of implant retained mandibular
prostheses in the rehabilitation of head and neck cancer
patients. A review and rationale for treatment planning.
Oral Oncol 2004; 40: 862-871.
14. Iizuka T, Hafliger J, Seto I, Rahal A, Mericke-Stern
R, Smolka K. Oral rehabilitation after mandibular
reconstruction using an osteocutaneous fibula free flap
with endosseous implants. Clin Oral Imp Res 2005; 16:
69-79.
15. Çakan U, Anil N, Aslan Y. Prosthetic rehabilitation of a
mandibular gunshot defect with an implant-supported
fixed partial denture: A clinical report. J Prosthet Dent
2006; 95: 274-279.
16. Misch CE. Contemporary Implant Dentistry. 3rd ed,
Philadelphia: Mosby, 2008: 314-326.

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