Garrido-Martínez Pablo, Peña-Cardelles Juan-Francisco, Pozo-Kreilinger José-Juan, Esparza-Gómez Germán, Montesdeoca-García Néstor, Cebrián-Carretero José-Luis
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.
DDS, MsC. Professor of the Postgraduate Program in Oral Surgery and Implantology. Universidad Rey Juan Carlos, Madrid, Spain.
J Clin Exp Dent. 2021 Jan 1;13(1):e81-e87. doi: 10.4317/jced.57823. eCollection 2021 Jan.
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. Oral rehabilitation, oral cancer, oral surgery.
描述一例接受肿瘤切除手术的癌症患者的临床病例，包括治疗计划、手术切除及后续种植修复。
一名61岁患者被诊断为上颌骨多囊滤泡性成釉细胞瘤，对此需要采用多学科方法并分两个手术步骤进行治疗。在第一次手术干预中，将骨整合种植体（OII）植入腓骨，直至8周的骨整合期结束。之后，在第二次手术中，将带有种植体的微血管化游离腓骨瓣移植到口腔内，以同时进行重建和早期修复。最终的修复康复采用了利用CAD CAM技术制作的混合义齿。
医学研究的最新进展增进了我们对肿瘤治疗后口腔再生能力的理解。在数字3D技术进步的辅助下，这使得在手术前能够进行细致的治疗规划。
通过协调涉及牙医以及口腔颌面外科医生的多学科方法，实现了这两份病例报告中所描述的功能和美学重建。医学的进步增进了对肿瘤治疗后口腔区域再生能力的理解，有助于进行细致的预先规划，而用于规划的数字3D技术的进步则使得减少手术次数以及患者恢复口腔颌面部系统美学和功能所需的时间成为可能。口腔修复、口腔癌、口腔外科。
