title: Rehabilitation of a Patient with Central Giant Cell Granuloma of Mandible by Iliac Graft, Bone Distraction and Implant Retained Telescopic Prosthesis: a Two Year Follow Up.
abstract: Giant cell granulomas of the jaws are lesions that arise either peripherally in periodontal ligament, mucoperiosteum, or centrally in the bone. Histologically, both peripheral and central giant cell granuloma are characterized by the presence of numerous multinucleated giant cells in a prominent fibrous stroma. Traditional treatment has been local curettage, although aggressive sub-types have a high tendency to recur. This case report describes the rehabilitation procedure of a patient with central giant cell granuloma of left side of mandible. Marginal resection of the lesion was done followed by reconstruction of the resected mandible with iliac graft. Distraction of bone was done since there was partial uptake of the fibula graft. Five implants were placed once the distraction was complete. The patient was rehabilitated with implant retained removable telescopic prosthesis.
authors.affiliation: Oral & Maxillofacial Surgery, CMDC (CC), Lucknow, 900450 India.
authors.forename: Vivek
authors.initials: V
authors.lastname: Saxena
authors.affiliation: CMDC, Lucknow, India.
authors.forename: Anil Kumar
authors.initials: AK
authors.lastname: Sethuram
authors.affiliation: CMDC, Lucknow, India.
authors.forename: Manish
authors.initials: M
authors.lastname: Mittal
keywords: Distraction osteogenesis; Giant cell; Immediate reconstruction; Implant retained telescopic prosthesis; Marginal resection