Prosthetic challenges in rehabilitating maxillomandibular trauma case: a multidisciplinary approach

Although maxillofacial trauma is relatively common, it still presents a challenging management. Its management includes treatment of facial bone fractures, dentoalveolar trauma and soft tissue injuries as well as associated injuries. Plastic surgeons, maxillofacial surgeons and prosthodontists have an interest in the subject of maxillofacial injuries, particularly in the area of functional as well as aesthetical stomatognathic rehabilitation. Present case was a clinical scenario with maxillofacial trauma due to entanglement in agricultural equipment leading to fracture of palatal bone and fracture of mandible in symphysis region. The patient's mastication, phonetics, aesthetics and social life were affected. Initial management was performed by the plastic surgeons. Rehabilitation of maxillary defect was performed using fixed removable bridge with palatal extension to cover the cleft part, and cortical implant-supported fixed prosthesis was planned as the prosthetic treatment for mandibular arch. On follow-up, there was improvement in speech and mastication, and patient felt more confident in social interaction after prosthetic rehabilitation.