Primary reconstruction of the mandible with iliac bone and titanium implants following resection of a recurrent odontogenic keratocyst.
An aggressive surgical management of a mandibular odontogenic keratocyst in a young female patient is described. This management stratagem was followed in view of a histological finding of epithelial dysplasia and the possible, although unlikely, chance of squamous cell carcinoma developing in the cyst lining. Primary bone grafting and immediate fixture placement of implants were used to make good the mandibular resection site. This was thought to be the best option for management, minimising the number of surgical interventions and providing a framework for fixed bridgework in an area of the mouth that is difficult to reconstruct adequately. A successful outcome to the treatment has been observed, with graft survival, osseointegration of fixtures, the provision of functional and aesthetically pleasing implant-borne bridgework and, to date, the absence of clinical or radiographic evidence of recurrence of the cyst.
Thyne
G M
GM
Wellington Surgical Clinic.
Hunter
K M
KM
D000293:Adolescent; D016025:Bone Transplantation; D003758:Dental Implantation, Endosseous / Q000379:methods; D015921:Dental Implants; D003830:Denture, Partial, Fixed; D005260:Female; D006801:Humans; D007085:Ilium; D008334:Mandible / Q000601:surgery; D008336:Mandibular Diseases / Q000601:surgery*; D009807:Odontogenic Cysts / Q000601:surgery*; D012008:Recurrence; D014025:Titanium
D015921:Dental Implants; D014025:Titanium