Implant-prosthetic rehabilitation in a patient with a longstanding mandibular graft.
DOI:
https://doi.org/10.35954/SM2023.42.2.5.e501Keywords:
Dental Implants, Dental Implantation, Bone Transplantation, Ribs, Prosthodontics, Dental Prosthesis.Abstract
Nowadays, it is becoming more and more frequent to see patients who underwent surgery for tumor removal and subsequent reconstruction with grafts at an early age, presenting both functional and esthetic problems. The use of implant-supported prostheses improves the quality of life, but at the same time represents a challenge due to the low availability of bone.
A clinical case of implant-supported prosthetic rehabilitation is presented in a patient with a great mandibular bone deficit as a consequence of the removal of a neoplasm and subsequent rib graft. Two osseointegrated implants were placed in the remaining bone and rehabilitation with a removable prosthesis supported by a cast bar. Being a minimally invasive and conservative treatment, it was easily accepted by the patient and the improvement in both esthetics and function was notorious.
Received for review: November 2022.
Accepted for publication: June 2023.
Correspondence: Plaza Independencia 830 Apt 701 between Florida and 18 de Julio. C.P. 11100, Montevideo, Uruguay. Tel: (+598) 29002981 / 099388757.
Contact e-mail: alegalmes@yahoo.com
This article was approved by the Editorial Committee.
Downloads
References
(1) Liu A, Odono L, Wlodarczyk J, Garg R, Hammoudeh J. Unique Techniques Utilizing Rib Grafts for Mandibular Reconstruction in the Pediatric Population. J Craniofacial Surg 2021; 32(5):1780-1784. DOI: 10.1097/SCS.000000000000744.
(2) Eckardt AM, Barth E-L, Berten J, Gellrich N-C. Pediatric Mandibular Resection and Reconstruction: Long-Term Results with Autogenous Rib Grafts. Craniomaxillofacial Trauma Reconst 2010; 3(1):25-32. DOI:10.1055/s-0030-1249371.
(3) Habib AMA, Hassan SA. The feasibility of rib grafts in long span mandibular defects reconstruction: A long term follow up. J Craniomaxillofac Surg 2019 Jan; 47(1):15-22. DOI: 10.1016/j.jcms.2018.11.002.
(4) Nagasao T, Miyamoto J, Kawana H. Biomechanical evaluation of implant placement in the reconstructed mandible. Int J Oral Maxillofac Implants 2009 Nov-Dec; 24(6):999-1005. PMID: 20162103.
(5) Chen M, Fang LH, Zhang Q, You J. The design and biomechanical evaluation of implantation on the mandibular defect reconstructed with rib graft. Shanghai Kou Qiang Yi Xue 2014 Jun; 23(3):308-11.
(6) Cune M, van Kampen F, van der Bilt A, Bosman F. Patient satisfaction and preference with magnet, bar-clip, and ball-socket retained mandibular implant overdentures: a cross-over clinical trial. Int J Prosthodont 2005 Mar-Apr; 18(2):99-105. PMID: 15889656.
(7) Emami E, Heydecke G, Rompré PH, de Grandmont P, Feine JS. Impact of implant support for mandibular dentures on satisfaction, oral and general health-related quality of life: a meta-analysis of randomized-controlled trials. Clin Oral Implants Res. 2009 Jun; 20(6):533-44. DOI: 10.1111/j.1600-0501.2008.01693.x. PMID: 19515032.
(8) Thomason JM, Lund JP, Chehade A, Feine JS. Patient satisfaction with mandibular implant overdentures and conventional dentures 6 months after delivery. Int J Prosthodont 2003 Sep-Oct; 16(5):467-73. PMID: 14651229.
(9) Awad MA, Lund JP, Dufresne E, Feine JS. Comparing the efficacy of mandibular implant-retained overdentures and conventional dentures among middle-aged edentulous patients: satisfaction and functional assessment. Int J Prosthodont 2003 Mar-Apr; 16(2):117-22. PMID: 12737240.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Alejandro Hernández y Alejandro Galmés Meerhoff. The author retains his copyright and assigns to the journal the right of first publication of his work, which will be simultaneously subject to the Creative Commons Attribution 4.0 International License that allows sharing the work as long as the initial publication in this journal is indicated.

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Until 2024 we use the Creative Commons Attribution/NonCommercial Attribution 4.0 International License https://creativecommons.org/licenses/by-nc/4.0/deed.es. Which states that: you are free to share, copy and redistribute the material in any medium or format, as well as to adapt, remix, transform and build upon the material. Under the following terms:
Attribution: you must give proper credit , provide a link to the license, and indicate if changes have been made . You may do so in any reasonable manner, but not in such a way as to suggest that you or your use is endorsed by the licensor.
NonCommercial: you may not use the material for commercial purposes.
As of 2025 authors retain their copyright and assign to the journal the right of first publication of their work, which shall simultaneously be subject to the license https://creativecommons.org/licenses/by-nc-sa/4.0/deed.es that permits sharing, copying and redistribution of the material in any medium or format provided that initial publication in this journal is indicated. Adapt, remix, transform and build upon the material. If you remix, transform, or build from the material, you must distribute your contribution under the same license as the original and may not make use of the material for commercial purposes.
Under the following terms:
1. Attribution: you must give proper credit, provide a link to the license, and indicate whether changes have been made. You may do so in any reasonable manner, but not in such a way as to suggest that you or your use is endorsed by the licensor.
2. NonCommercial: you may not use the material for commercial purposes.
3. ShareAlike: if you remix, transform or build upon the material, you must distribute your contribution under the same license as the original.
PlumX Metrics






















