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Abstract
Mandible defects could be caused by congenital malformations, trauma, osteomyelitis, tumor resection. If large areas are included for reconstruction, those are primarily due to tumor resection defects. The large jaw defect results in a problem about mastication, swallowing, occlusion and phonetics, and poor esthetics causes a lot of inconvenience in daily life. It is almost impossible to be a part underwent mandibular resection completely reproduced, should be rebuilt artificially. This case is of a patient who was diagnosed with squamous cell carcinoma pT1N0M0, stage I in February 2004 and received surgery (combined mandibulectomy and neck dissection operation (COMMANDO) in oromaxillofacial surgery) in March 2004, by implant assisted removable partial denture. We could obtain good retention and stability through sufficient coverage and implant holding. Follow up period was about four years. Mandibular left third molar regions have been observed to have resorption of surrounding bone, and periodic check-ups are necessary conditions. (J Korean Acad Prosthodont 2016;54:280-5)
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Fig. 1.
Panoramic radiograph at first visit and after marginal mandibulectomy. (A) radiograph at first visit on February 11, 2004, (B) radiograph after surgery on March 24, 2004.
Fig. 2.
Panoramic radiograph at bone graft and after removal of necrotic bone. (A) radiograph after iliac bone graft surgery on September 12, 2008, (B) radiograph after surgical removal of necrotic graft material.
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