Brauner Edoardo, Cassoni Andrea, Battisti Andrea, Bartoli Davina, Valentini Valentino
"Sapienza" University of Rome, Italy, Department of Oral Sciences (A. Polimeni), Maxillofacial Surgery Unit (G. Iannetti).
Ann Stomatol (Roma). 2010 Jan;1(1):19-25. Epub 2010 Jun 29.
Prosthetic rehabilitation in post-oncologic patients after bone reconstruction are not substantially different than those of patients affected by severe atrophia of upper or lower jaw after bone reconstruction.Aim of this paper is to evaluate the possibilities of prosthetic rehabilitation on these patients and to present our method. Prosthesis-based oral rehabilitation of such tumor cases rapresents a challenge.The report analyses two cases of patients who underwent ablative oral surgery. Both have received a fibula free vascularised flap. The first was rehabilitated with a removable prosthesis fixed on the residual teeth, while the second with an implant supported prosthesis.In case of carcinoma resection of the oral mucosa, the removable prosthesis guarantees a simplification in dental care operations. On the other hand, irradiated mucosa is frequentely unable to tolerate the friction created by the acrylic base. However, the fixed prosthesis can limit the view during follow-up controls.In our school, according to all exposed reasons, we consider the implant supported overdenture prosthesis to be the best choice for those patients.
肿瘤患者骨重建后的假体康复与上下颌骨严重萎缩患者骨重建后的假体康复没有实质性差异。本文旨在评估这些患者假体康复的可能性并介绍我们的方法。此类肿瘤病例基于假体的口腔康复是一项挑战。该报告分析了两例接受口腔切除手术的患者。两人均接受了游离腓骨血管化皮瓣移植。第一例患者使用固定在残留牙齿上的可摘义齿进行康复，而第二例患者使用种植体支持的义齿进行康复。在口腔黏膜癌切除的情况下，可摘义齿保证了口腔护理操作的简化。另一方面，受照射的黏膜常常无法耐受丙烯酸基托产生的摩擦。然而，固定义齿会限制随访检查时的视野。在我们学校，根据所有已阐明的原因，我们认为种植体支持的覆盖义齿是这些患者的最佳选择。
