2019, Number 63
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Oral 2019; 20 (63)
Prosthetic alternative after resection of an ossifying fibroid. Case Report
Robles-Romero DM, Flores-Orozco EI
Language: Spanish
References: 16
Page: 1727-1731
PDF size: 807.99 Kb.
ABSTRACT
Introduction. Functional and aesthetic rehabilitation of intraoral and paranasal structures with artificial replacement, requires
maxillofacial prostheses. Proper prosthetic management depends on the type of prosthesis used. That they can be removable,
fixed or even overdenture partial prosthesis that incorporates an obturator part that penetrates the edges of the defect,
seeking the peripheral closure thereof. This allows correct prosthetic management of fibro-bone tissue lesions, allowing the
maxillary defect to be blocked, thus separating the oral cavity from the nasal or sinus cavity.
Clinical case. Female patient of
37 years, with a diagnosis of ossifying fibroma in the right upper jaw. At extraoral examination a slight increase in volume was
observed in the wing of the right nose, intraorally a bulge was observed in the hard palate. The panoramic radiograph showed
a radiolucent area and the 3D image shows that the lesion affects the orbital floor and the malar bone. Surgical procedure
of reconstruction with titanium mesh and basal jaw graft is performed, fixed with screws and mini plates.
Conclusion. The
maxillofacial prosthesis is a specialty of dentistry that little is known, involves the multidisciplinary work of different branches
of the health area. In lesions of the oral cavity helps restore the functions of the stomatognathic system; and psychologically
he manages to get the patient back into his daily life.
REFERENCES
Omondi y cols. Maxillary obturator prosthesis rehabilitation following maxillectomy for ameloblastoma: case series of five patients. Int J Prosthodont 2004; 17(4): 464-68.
Velázquez-Cayón RT, Flores-Ruiz R, Torres Lagares D, González- Guerrero S, González-Padilla D, Gutiérrez-Pérez JL. Uso de obturadores en cirugía oral y maxilofacial. Presentación de cinco casos clínicos. Rev Esp Cir Oral Maxilofac 2011; 33(1): 22-26.
Sanchis JM, Peñarrocha M, Balaguer JM, Camacho F. Fibroma cemento-osificante mandibular: Presentación de dos casos y revisión de la literatura. Med. oral patol. oral cir. bucal 2004; 9(1): 69-73.
Canger EM, Celenk P, Kayipmaz S, Alkant A, Gunhan O. Familial ossifying fibromas: report of two cases. J Oral Sci 2004; 46(1): 61-64.
Neville BW, Damn DD, Allen CM, Bouquot JE. Oral and Maxillofacial Pathology. 2nd ed. Philadelphia, WB Saunders; 2002.
Pérez Álvarez D, González Sánchez MA, Berini Aytés L, Gay Escoda C. Fibroma osificante periférico: Presentación de tres casos y revisión de la literatura. Av Odontoestomatol 2011; 27(4): 183-88.
González García E. 2011. Tomografía cone beam 3D. Atlas de aplicaciones clínicas. 1a edición. España. Editorial Ripano.
Vielma Monserrat JC. Prótesis parcial removible con aplicación maxilofacial. Rev Od Los Andes 2008; 3(2): 38-44.
Charro Huerga E, Vázquez Mahía I, Gómez Oliveira G, Sironvalle Soliva S, López Cedrún JL. Fibroma osificante periférico. Rev Esp Cirug Oral y Maxilofac 2007; 29(2): 117-21.
McCracken WL, McGivney GP, Carr AB, Brown DT. 2006. Prótesis parcial removible. 11a ed. Madrid: Médica Panamericana.
Aramany MA. Basic principles of obturator design for partially edentulous patients. Part I: Classification. 1978 J Prosthet Dent. 2001; 86: 559-61.
Spiro RH, Strong EW, Shah JP. Maxillectomy and its classification. Head Neck 1997; 19(4): 309-14.
Brown JS, Rogers SN, McNally DN, Boyle M. A modified classification for the maxillectomy defect. Head Neck 2000; 22: 17-26.
Salinas-Gonzáleza JS, Díaz-Aguirreb CM, Echevarría Pérez E, Hernández-Cuéllard A. Evaluación funcional y estética de obturadores palatinos en pacientes maxilectomizados. GAMO. 2011; 10(5): 249-331.
Driscoll CF, Habib BH. Fabrication of a closed hollow obturator. J Prosthet Dent 2004; 91(4): 383-85.
Kawasoto S, Hmamura S, Kawahara H, Nishi Y, Nagaoka E. Use of a magnetic attachment to retain an obturator prosthesis for an osseous defect. J Prosthodont 2009; 18(4): 359-62.