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Revista clínica de periodoncia, implantología y rehabilitación oral

versión On-line ISSN 0719-0107

Resumen

ARAYA, Ignacio et al. Mandibular defects reconstruction: The use of an acrylic block as a space and contour maintainer of the oral tissues. Rev. Clin. Periodoncia Implantol. Rehabil. Oral [online]. 2019, vol.12, n.1, pp.47-49. ISSN 0719-0107.  http://dx.doi.org/10.4067/S0719-01072019000100047.

Introduction:

The treatment of large mandibular tumors has anatomic and functional sequelae to the patient. Reconstruction of these defects is a challenge to the surgeon, whereas grafting is the first choice treatment in most cases, its application could be limited by conditions such as a communication with the oral environment. The present article intends to present the use of a methacrylate block as an interim device between resection and reconstruction in situations such as the above described.

Case Report:

An adult female affected by mandibular ameloblastoma is treated by surgical resection and kept with the aid of a methacrylate block in the resected area for 6 months, allowing closure of the communication between the lesion and the oral environment to be posteriorly treated with a free iliac crest graft.

Discussion:

Functional and esthetic implications of mandibular resection sequelae mandate a thorough reconstruction of the lasting defects. By the proposed procedure a better prognosis for the reconstruction is achieved when using a bone graft in the setting of a lesion communicated with the oral environment, allowing good morphological and functional results.

Palabras clave : Mandible reconstruction; Maxillofacial surgery; Bone graft.

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