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Prosthetic Rehabilitation of a Mandibular Defect Using a Malo Bridge: A Case Report
Shiney Boruah1, Vidyashree V Nandini1, Shafath Ahmed1
1Prosthodontics, SRM Kattankulathur Dental College and Hospital, Chengalpattu, IND.
Cureus
|October 14, 2024
Summary
Prosthetic rehabilitation restores quality of life after extensive mandibular defects from odontogenic keratocysts. This case details using a Malo bridge for successful functional and aesthetic restoration of a large vertical defect.
Area of Science:
- Dentistry
- Oral Surgery
- Prosthodontics
Background:
- Odontogenic keratocysts, though benign, can cause significant localized damage requiring surgical removal.
- Large defects, particularly vertical ones in the mandible, present challenges for prosthetic rehabilitation.
- Restoring function and aesthetics after extensive cyst removal is crucial for patient quality of life.
Observation:
- A large vertical defect was present in the right posterior mandibular region following odontogenic keratocyst removal.
- Standard prosthetic solutions may be insufficient for such extensive defects.
- The need for a robust and reliable prosthetic solution was identified.
Findings:
- This article presents a step-by-step prosthetic rehabilitation of a large mandibular defect using a Malo bridge.
- The Malo bridge utilizes a screw-retained framework with custom-made abutments for enhanced stability.
- Final crowns were cemented onto the framework, completing the restoration.
Implications:
- This prosthetic approach offers a viable solution for complex mandibular reconstruction after cyst removal.
- The Malo bridge concept can be successfully applied to restore function and aesthetics in challenging cases.
- Improved patient quality of life can be achieved through advanced prosthetic rehabilitation techniques.

