Gupta Alka, Agrawal Deepak, Jain Deshraj, Gedam Unnati, Varma Amit
Department of Prosthodontics, Crown and Bridge and Implantology, Government College of Dentistry, Indore, Madhya Pradesh, India.
Department of Oral and Maxillofacial Surgery, Government College of Dentistry, Indore, Madhya Pradesh, India.
Dent Res J (Isfahan). 2022 Sep 26;19:78. eCollection 2022.
Reconstruction of functional occlusion in case of a large surgical defect of the mandible involving partial mandibulectomy remains a significant challenge to the maxillofacial surgeon and prosthodontist. Removable appliances and the conventional implant-supported prosthesis are precluded in this case due to the absence of normal anatomical contours of the bone. In recent years, due to the advancement of technology, bone graft reconstruction with computer-guided rehabilitation of the functional occlusion has been advocated to reverse the debilitating effects of the hemimandibulectomy defect. This clinical report describes the prosthodontic management of fibular graft reconstructed mandible by computer-aided design-computer-aided manufacturing guided implant-supported prosthesis.
对于涉及部分下颌骨切除术的下颌骨大型手术缺损病例，重建功能性咬合关系对颌面外科医生和口腔修复医生而言仍是一项重大挑战。由于骨的正常解剖轮廓缺失，在这种情况下可摘矫治器和传统的种植体支持修复体均不适用。近年来，随着技术的进步，有人主张采用骨移植重建并通过计算机引导对功能性咬合关系进行修复，以扭转半侧下颌骨切除缺损带来的不利影响。本临床报告描述了通过计算机辅助设计-计算机辅助制造引导的种植体支持修复体对腓骨移植重建下颌骨进行的口腔修复治疗。
