Reconstruction with fibula transfer and implant supported overdenture for a mandibular defect: A multidisciplinary approach

摘要

Ameloblastic Fibroma (AF) is a rare benign tumor of odontogenic origin. The large defect fromthe tumor ablation make reconstruction of the oral function a challenge. Lack of retention, functionaland esthetic problem are commonly encountered during maxillofacial prostheses construction.Multidisciplinary approach is currently the standard of care for these patients. An 18 year old femalewith AF on right mandible underwent a partial mandibulectomy followed with fibula transfer andsimultaneous dental implants placement. All disciplines involved, plastic surgeons, oral maxillofacialsurgeons and prosthodontists, worked together since beginning in creating the best treatment forthe patient. Implant supported overdenture with bar attachment was the treatment of choice forrehabilitation of patient’s mastication and speech. Impression method was modified to accomodatethe thick soft tissue around the implants.The aim of this case report is to impart that multidisciplinary approach for mandibular defects isessential to achieve esthetics and functional rehabilitation.