hrvatski

Implantoprotetska rehabilitacija bolesnika nakon maksilektomije

Nowadays, in today’s age of implant prosthetic therapy, it is possible to adequately supply patients with extensive defects in the maxillofacial region. The 83-year-old patient came to the Department of Otorhinolaryngology and Maxillofacial Surgery in June 2020 for surgical treatment of a giant cell lesion on the right side of the maxilla. Under general anesthesia, the soft tissue formation measuring 25x10x23mm was removed. Tumor resection was performed with access to the right maxillary sinus and resection of the bottom of the nasal mucosa. After the operation, the patient wore a palatal plate for a year. After that period, she came for an examination and a further plan of therapy and prosthetic care. Clinical examination showed atrophy of the toothless upper jaw and communication with the nasal cavity approximately 20 mm wide. The treatment plan consisted of the implantation of dental implants in the left distal area of the maxilla has regardless that it has been radiologically treated. Both CBCT and orthopantomogram were performed for this purpose. The analysis of the same indicated for the installation of two dental implants in the area of the left alveolar ridge distally and an overdenture anchored with two dental implants. In oral surgical therapy, two parallel implants were placed at positions 24 and 26. The postoperative period passed without any complications and four months after the installation of dental implants, the gingiva formers were placed. After that, the patient continued with the implant-prosthetic supply. At the Department of dental prosthetics, it was decided to make an overdenture retained with two locators. One week after the overdenture was made and handed over, the patient was due for the first check-up, during which the prosthesis overhaul process was performed and the occlusal relations in the articulator were fine-tuned.

dentalni implantati ; maksilektomija ; rekonstrukcija

nije evidentirano

engleski

Implant-prosthetic rehabilitation of a patient after maxillectomy

Nowadays, in today’s age of implant prosthetic therapy, it is possible to adequately supply patients with extensive defects in the maxillofacial region. The 83-year-old patient came to the Department of Otorhinolaryngology and Maxillofacial Surgery in June 2020 for surgical treatment of a giant cell lesion on the right side of the maxilla. Under general anesthesia, the soft tissue formation measuring 25x10x23mm was removed. Tumor resection was performed with access to the right maxillary sinus and resection of the bottom of the nasal mucosa. After the operation, the patient wore a palatal plate for a year. After that period, she came for an examination and a further plan of therapy and prosthetic care. Clinical examination showed atrophy of the toothless upper jaw and communication with the nasal cavity approximately 20 mm wide. The treatment plan consisted of the implantation of dental implants in the left distal area of the maxilla has regardless that it has been radiologically treated. Both CBCT and orthopantomogram were performed for this purpose. The analysis of the same indicated for the installation of two dental implants in the area of the left alveolar ridge distally and an overdenture anchored with two dental implants. In oral surgical therapy, two parallel implants were placed at positions 24 and 26. The postoperative period passed without any complications and four months after the installation of dental implants, the gingiva formers were placed. After that, the patient continued with the implant-prosthetic supply. At the Department of dental prosthetics, it was decided to make an overdenture retained with two locators. One week after the overdenture was made and handed over, the patient was due for the first check-up, during which the prosthesis overhaul process was performed and the occlusal relations in the articulator were fine-tuned.

dental implants ; maxillectomy ; reconstruction

nije evidentirano