Int J Prosthodont. 2023 Nov 1;36(5):642-648. doi: 10.11607/ijp.8255.
Albers-Schönberg disease is a rare bone syndrome characterized by increased bone density and infectious complications after dental extraction or minor surgery. The prosthodontic management of such edentulous patients with osteomyelitis is very challenging and requires special strategies due to a high risk of failure and worsening of the condition. This clinical report describes the rehabilitation of a 31-year-old edentulous woman presenting with Albers-Schönberg disease, secondary chronic osteomyelitis, maxillary hypoplasia, compromised oral conditions, temporomandibular disorders, and psychologic distress. The treatment included a mandibulectomy and removable prostheses. A crucial element for the successful long-term treatment and quality of life improvement observed in this patient was the 1-year transitional phase with interim dentures and frequent follow-up appointments. The complications and management proposed during a 10-year follow-up are presented. Int J Prosthodont 2023;36:642-648.
Albers-Schönberg 病是一种罕见的骨骼综合征,其特征是拔牙或小手术后骨密度增加和感染并发症。对于患有骨髓炎的此类无牙患者的修复体治疗极具挑战性,由于失败风险高且病情恶化,因此需要特殊策略。本临床报告描述了一位 31 岁无牙女性的康复情况,该患者患有 Albers-Schönberg 病、继发慢性骨髓炎、上颌骨发育不全、口腔状况受损、颞下颌关节紊乱和心理困扰。治疗包括下颌骨切除术和可摘义齿。该患者成功接受长期治疗并改善生活质量的关键因素是 1 年的过渡期,在此期间使用临时义齿和定期随访。本文介绍了 10 年随访期间的并发症和处理方法。国际口腔修复学杂志 2023 年;36 期:642-648 页。