Immediate implant supported bridgework simultaneous with jaw reconstruction for a patient with mandibular osteosarcoma.
A patient with mandibular osteosarcoma underwent full immediate dental rehabilitation including insertion of dental implants and immediately loaded implant bridgework in the same operation as surgical resection of the tumour and scapular composite free flap reconstruction. Planning and pre-production of the titanium reconstruction plate, drill guides and bridgework using a 3D stereolithographic model of the patient's jaw is described. The advantage of this immediate full rehabilitation of an oncology patient is compared with the potential disadvantages.
Hutchison
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IL
Department of Oral and Maxillofacial Surgery, St Bartholomew's Hospital and The Royal London Hospitals, St Bartholomew's Hospital, London. hutchken@nildram.co.uk
Dawood
A
A
Tanner
S
S
D000368:Aged; D016025:Bone Transplantation / Q000379:methods; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation; D008297:Male; D008339:Mandibular Neoplasms / Q000473:pathology / Q000534:rehabilitation* / Q000601:surgery; D008953:Models, Anatomic; D003765:Models, Dental; D012516:Osteosarcoma / Q000473:pathology / Q000534:rehabilitation* / Q000601:surgery; D010347:Patient Care Planning; D011474:Prosthesis Design; D011476:Prosthodontics / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016474:Weight-Bearing; D014945:Wound Healing
D015921:Dental Implants