Rehabilitation of mandibular defects using unconventional approaches: a case series

Aushili Mahule, Almas Shaikh, P. Deshpande
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Abstract

In cases of orofacial rehabilitation, quality of life depends upon the outcome of treatment provided by a maxillofacial management team that usually includes oral surgeons, radiologists, prosthodontists, speech specialists and plastic surgeons. Patients with maxillofacial defects often suffer from disturbed psychological status and are often treated as stigma to the society. Prosthodontists have a key role in restoring aesthetics and occlusion of such patients which ultimately aids improve the psychological status and quality of life of such patients. The prosthetic rehabilitation on compromised tissue beds requires meticulous treatment planning and precise execution. Short-listing treatment options become an enigma if conventional approaches for maxillofacial rehabilitation are contraindicated. The following series describes cases of suspected Brown’s tumour (primary hyperparathyroidism) and an odontogenic keratocyst of the mandible in which conventional grafting and implant prostheses were not indicated.
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采用非常规方法修复下颌骨缺损:一个病例系列
在口腔面部康复的情况下,生活质量取决于颌面部管理团队提供的治疗结果,该团队通常包括口腔外科医生、放射科医生、修复专家、语言专家和整形外科医生。颌面部缺损患者往往心理状态紊乱,常被社会视为耻辱。修复专家在修复这些患者的美观和咬合方面发挥着关键作用,最终有助于改善这些患者的心理状态和生活质量。在受损组织床上进行假肢康复需要周密的治疗计划和精确的执行。如果常规的颌面康复方法是禁忌的,短列表治疗选择成为一个谜。以下一系列病例描述了怀疑布朗氏瘤(原发性甲状旁腺功能亢进)和牙源性角化囊肿下颌骨,其中传统的移植和种植假体不适用。
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