Journal List > J Korean Acad Prosthodont > v.55(3) > 1034933

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


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)


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