下颌毛霉菌病合并骨髓炎一例少见的假肢康复治疗

Dr. Rohit Bhandari, Deep Tripathi, D. S. Tripathi, Dr. Pooran Chand
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引用次数: 0

摘要

在本病例报告中,我们的主要目标是保留患者的剩余牙齿,并在愈合期间提供假体,这将有助于咀嚼和愈合。下颌前牙因骨髓炎脱落,留下未愈合的坏死区。进行刮除以挽救剩余的灌注骨。牙合面采用可移动假体,内凹面采用硅胶软衬,达到咀嚼的目的,防止手术下软组织进一步损伤。主要的重点是软组织的角化,为放置咬合应力准备一个更好的基础。没有选择种植支撑假体,以防止患者遭受重大手术干预的创伤。在我们的病例中使用的可移动假体,满足了患者的营养和审美需求。
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Prosthetic rehabilitation in a rare case of mandibular Mucormycosis with osteomyelitis
In this case report our main goal was to preserve the patient’s remaining teeth and providing a prosthesis during the healing period which will serve for both mastication and healing. Mandibular anterior teeth were lost due to osteomyelitis, leaving unhealed necrotic area. Curettage was done to salvage the remaining perfused bone. Use of a removable prosthesis with teeth on occlusal surface and silicone soft liner on intaglio surface, served the purpose of mastication and prevented the underlying operated soft tissues from further trauma. Major emphasis was given on keratinization of the soft tissues for preparation of a better foundation for placement of occlusal stress. Implant supported prosthesis was not opted for, to prevent the patient from the trauma of major surgical intervention. The removable prosthesis used in our case, served to fulfil the nutritional and aesthetic needs of the patient.
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