title: Rehabilitation of a mandibulotomy/onlay/graft-reconstructed mandible using a milled bar and a tooth- and implant-supported removable dental prosthesis: A clinical report.
abstract: Prosthodontic rehabilitation of a surgically resected/reconstructed jaw with a conventional tissue-borne dental prosthesis is often challenging, if not impossible, because of the suboptimal conditions of the soft and hard tissue topography/architecture of the reconstructed site. Placing dental implants in grafted bone to provide appropriate support, stability, and retention for prosthodontic rehabilitation offers the potential for improved oral function. There are, however, some clinical conditions for which an implant-supported removable prosthesis may be preferred to a fixed implant prosthesis. This clinical report describes the design and fabrication of a milled bar and a tooth- and implant-supported removable dental prosthesis for oral rehabilitation of a reconstructed mandible, which considers patient factors associated with oral and financial conditions, ease of oral hygiene procedures, and long-term maintenance.
authors.affiliation: Oral Rehabilitation, Faculty of Dentistry, University of Hong Kong, Hong Kong SAR, People's Republic of China. mwongtl@yahoo.com.hk
authors.forename: T L
authors.initials: TL
authors.lastname: Wong
authors.forename: Peter Y P
authors.initials: PY
authors.lastname: Wat
authors.forename: Edmond H N
authors.initials: EH
authors.lastname: Pow
authors.forename: Anne S
authors.initials: AS
authors.lastname: McMillan
mesh_terms: D000368:Aged; D000564:Ameloblastoma / Q000601:surgery; D016025:Bone Transplantation / Q000379:methods*; D000044:Dental Abutments; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003779:Denture Design; D003781:Denture Retention / Q000295:instrumentation; D003832:Denture, Partial, Removable; D006801:Humans; D008280:Magnetics / Q000295:instrumentation; D008297:Male; D008334:Mandible / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000601:surgery; D019857:Osteogenesis, Distraction / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D014727:Vestibuloplasty / Q000379:methods
chemical_list: D015921:Dental Implants