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Ma, Park, Im, Park, Shin, and Lim: Full mouth rehabilitation in a patient with partial mandibulectomy using CAD/CAM zirconia framework and monolithic zirconia
Case Report

J Korean Acad Prosthodont 2017;55(3):279-285.

Published online: NaN July 2017

DOI: https://doi.org/10.4047/jkap.2017.55.3.279

Full mouth rehabilitation in a patient with partial mandibulectomy using CAD/CAM zirconia framework and monolithic zirconia

Bo-Young Ma1, Hongju Park2, Yeong-Gwan Im3, Chan Park1, Jin-Ho Shin4, Hyun-Pil Lim1, ∗

1Department of Prosthodontics, School of Dentistry, Chonnam National University, Gwangju, Republic of Korea

2Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University, Gwangju, Republic of Korea

3Department of Oral Medicines, School of Dentistry, Chonnam National University, Gwangju, Republic of Korea

4Design Dental Clinic, Gwangju, Republic of Korea

∗Corresponding Author: Hyun-Pil Lim Department of Prosthodontics, School of Dentistry, Chonnam National University, 33 Yongbong-ro, Buk-gu, Gwangju 61686, Republic of Korea +82 (0)62 530 5577 : e-mail, mcnihil@jnu.ac.kr

Received 3 January 201717 February 2017       Accepted 14 March 2017

Copyright © 2017 The Korean Academy of Prosthodontics

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Defects due to mandibulectomy often cause hard and soft tissue loss and result in esthetic problems and functional disorders such as mastication, swallowing, and pronunciation. After the mandibular reconstruction, several complications including loss of alveolar bone can cause limitations in maintenance or supporting of removable prosthesis. For these patients, implant-supported fixed restorations have been an appropriate prosthetic restorative method. In this case report, we report the patient who underwent mandibulectomy and mandibular reconstruction owing to oral cancer, and then restored the current dentition functionally and aesthetically by applying zirconia frameworks and monolithic zirconia crowns by computer-aided design and computer-aided manufacturing. (J Korean Acad Prosthodont 2017;55:279-85)

Keywords: CAD/CAM, Implant-supported dental prosthesis, Zirconia framework, Squamous cell carcinoma, Oral cancer, Mandibulectomy

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Fig. 1.
Pretreatment condition. (A) Frontal view, (B) radiograph after mandibulectomy, (C) radiograph after surgical reconstruction.
jkap-55-279f1.tif
Fig. 2.
Transcranial radiograph. Right and left TMJ at closing (A), 1 inch opening (B) and maximum opening (C).
jkap-55-279f2.tif
Fig. 3.
Panoramic radiograph after implant surgery.
jkap-55-279f3.tif
Fig. 4.
A screw-retained interim prosthesis with temporary abutments and autopolymerizing acrylic resin. (A) Frontal view, (B, C) Occlusal intraoral photo.
jkap-55-279f4.tif
Fig. 5.
Computer-aided design of customized titanium abutments (A) and monolithic zirconia framework (B).
jkap-55-279f5.tif
Fig. 6.
(A) Monolithic zirconia framework and interim restorations, (B) Intraoral placement.
jkap-55-279f6.tif
Fig. 7.
Plaque deposition below the framework.
jkap-55-279f7.tif
Fig. 8.
(A) Superimposition of interim restorations and framework. (B) Anatomic contour zirconia crowns with notch.
jkap-55-279f8.tif
Fig. 9.
Definitive dental prosthesis after placement. (A) Intraoral photo, (B) Panoramic radiograph.
jkap-55-279f9.tif
Fig. 10.
Patient's profile. (A) Profile at first visit, (B) Profile after definitive prosthesis placement.
jkap-55-279f10.tif
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