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Maxillary reconstruction with subperiosteal implants in a cancer patient: A one-year follow-up
Pablo Garrido-Martínez1, Norberto Quispe-López2, Néstor Montesdeoca-García3
1DDS, MsC, phD. Associate Professor, Department of Prosthesis, Faculty of Dentistry, University Alfonso X el Sabio, Madrid. Department of Oral and Maxillofacial Surgery, Hospital La Luz, Madrid.
Introduction:
To describe a clinical case on cancer patient with ablative tumor surgery, from treatment planning, surgical resection and subsequent implantological rehabilitation.
Case Report:
A 61-year-old male, diagnosed with a squamous cell carcinoma in the maxilla, requires the removal of the lesion and corresponding oral rehabilitation. However, two surgeries were necessary to rehabilitate the upper jaw. A custom-made prosthesis was fabricated. It was made from sintered titanium using machined subperiosteal implants with a universal external connection. Finally, a milled cobalt- chrome structure was produced and a feldspar ceramic covering was subsequently applied.
Conclusions:
Rehabilitation using subperiosteal implants may be an alternative tool for complex surgery involving large atrophies or cancer patients who have undergone highly ablative surgery. Key words:Oral rehabilitation, oral cancer, subperiostal implants.
