Postgraduate Student, Department of Oral Diagnosis and Pathology, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Head, Oral and Maxillofacial Surgery Service, Servidores do Estado Federal Hospital, Brazilian Government, Rio de Janeiro, Brazil.
Implant Dent. 2019 Aug;28(4):400-404. doi: 10.1097/ID.0000000000000912.
The aggressive juvenile ossifying fibroma is a benign fibro-osseous neoplasm that affects the jaws of young patients. The treatment can range from careful curettage to complete bone resection. Early dental rehabilitation through osseointegrated implants is indicated for functional recovery and esthetics.
This article reports the case of a 20-year-old man submitted to osseous resection, installation of a titanium plate associated with bone graft and osteogenic substances with subsequent installation of osseointegrated dental implants.
After 28 months of clinical and radiographic follow-up, there were no signs of tumor recurrence. As the patient showed good graft integration, 3 dental implants could be installed and are now waiting to receive a prosthetic work.
The use of a graft with morphogenetic proteins proved to be stable and efficient as it allowed the rehabilitation with dental implants.
侵袭性少年骨化性纤维瘤是一种良性纤维骨性肿瘤，影响年轻患者的颌骨。治疗范围可从精心刮除到完全骨切除。通过骨整合种植体进行早期牙康复对于功能恢复和美观是必要的。
本文报告了一例 20 岁男性患者接受骨切除、钛板植入联合骨移植和骨诱导物质的病例，随后植入骨整合牙科种植体。
经过 28 个月的临床和影像学随访，未见肿瘤复发迹象。由于患者的移植物整合良好，可植入 3 颗牙种植体，目前正在等待修复。
使用含有形态发生蛋白的移植物是稳定且有效的，因为它允许通过牙种植体进行修复。
