单囊性成釉细胞瘤:移植颏骨和种植体支持的固定假体的康复。

ORAL and Implantology Pub Date : 2017-01-21 eCollection Date: 2017-10-01 DOI:10.11138/orl/2017.10.4.448
J Sanz-Alonso, N Martínez-Rodríguez, M Martín-Ares, C Barona-Dorado, J Cortés Bretón-Brinkmann, J M Martínez-González
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引用次数: 2

摘要

目的:介绍一名38岁男性上颌单囊性成釉细胞瘤患者的临床病例,采用肿瘤阻断切除术后下颌移植物放置的方法,以放置两颗牙种植体以实现美观和功能康复。方法:成釉细胞瘤是一种局部侵袭性、复发率高的良性牙源性肿瘤;后者部分取决于如何对待它。完全切除肿瘤通常可以防止复发,但会产生不同大小的骨缺损,以后必须重建。在大多数情况下,这是通过骨移植和种植体支持的假体来完成的。从下巴移植相对容易获得,术后相当平稳,并发症很少;它们适用于切除后产生的缺损较小的病例。结果:7年随访,功能和审美恢复,肿瘤无复发。结论:单囊性成釉细胞瘤的治疗方法是肿瘤切除术后下颌移植物置入术和牙种植术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Unicystic Ameloblastoma: Rehabilitation with Chin Graft Harvested and Implant-Supported Fixed Prosthesis.

Objective: The objective is to present a clinical case of a 38-year-old male with a maxillary unicystic ameloblastoma treated by means of tumor block resection followed by chin-harvested graft placement in order to place two dental implants for esthetic and functional rehabilitation.

Methods: Ameloblastoma is a benign odontogenic tumor characterized by local aggression and a high rate of recurrence; the latter partly depends on how it is treated. Complete resection of the tumor, which usually prevents recurrence, produces bone defects of varying size that must be reconstructed later on. In most cases this is done using bone grafts and implant-supported prostheses. Grafts harvested from the chin are relatively easy to obtain and enjoy a fairly uneventful post-operative with few complications; they are suitable for cases in which the defect generated by resection is of small size.

Results: Functional and esthetic rehabilitation and the tumor has not relapsed during a 7-year follow-up.

Conclusion: Tumor block resection followed by chin-harvested graft placement and dental implants is a safe treatment for patients with unicystic ameloblastoma.

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ORAL and Implantology
ORAL and Implantology Dentistry-Dentistry (all)
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