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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
Full text How to cite this article

Language: Spanish
References: 16
Page: 1727-1731
PDF size: 807.99 Kb.


Key words:

Ossifying fibroma, prosthesis, titanium, jaw, reconstruction.

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.


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