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Published on: September 9, 2020
Rehabilitation with dental implants in microvascular iliac graft after solid ameloblastoma resection: a case report
Rafael Netto1, Wladimir Cortezzi, Tomaz Nassif
1*Postgraduate Student, Oral and Maxillofacial Surgery Department, Hospital Federal dos Servidores do Estado-Brazilian Government, Rio de Janeiro, Brazil. †Head, Oral and Maxillofacial Surgery Department, Hospital Federal dos Servidores do Estado-Brazilian Government; Associate Professor, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. ‡Head, Microvascular Surgery Department, Hospital Federal dos Servidores do Estado-Brazilian Government, Rio de Janeiro, Brazil. §Associate Professor, Oral Surgery Department, Universidade Federal Fluminense, Niterói, Brazil. ‖Oral Surgery Department, Federal State Servers Hospital-Brazilian Government, Rio de Janeiro, Brazil; Associate Professor, Universidade Federal Fluminense, Niterói, Brazil.
Purpose:
Ameloblastoma is a true odontogenic tumor that is most frequently found in clinical practice. Osseous resection with clear margins is the recommended treatment followed by bone reconstruction, such as a vascularized graft. The use of osseointegrated dental implants for rehabilitation is advisable, as it allows the recovery of the masticatory function.
Materials And Methods:
This case report includes 1 subject, a patient who presented with a large ameloblastoma treated by resection, a microvascular iliac graft, and dental implants.
Results:
After 6 months of regular control, the patient exhibited perfect healing of both the soft tissues and bone graft. At the time of this report, the patient had undergone 36 months of clinical and radiographic follow-up and had not exhibited any sign of osseous loss, implant mobility, or tumor recurrence.
Conclusions:
The outcome of this case indicates that a microvascular graft and subsequent dental implantation is a good treatment plan that aids in a quick functional rehabilitation in ameloblastoma patients.
