Reconstruction and Mandibular Rehabilitation After Resection of Juvenile Aggressive Ossifying Fibroma Using Undifferentiated Mesenchymal Cells and Osseointegrated Implants: A Case Report

• Published in: Implant dentistry Vol. 28; no. 4; p. 400
• Main Authors: Rodrigues Arantes, Eugênio Braz, Cortezzi, Wladimir, de Aguiar, André Barbedo, Merly, Flávio, Júnior, Valdir Meirelles, Netto, Rafael
• Format: Journal Article
• Language: English
• Published: United States 01.08.2019
• ISSN: 1538-2982
• DOI: 10.1097/ID.0000000000000912

The aggressive juvenile ossifying fibroma is a benign fibro-osseous neoplasm that affects the jaws of young patients. The treatment can range from careful curettage to complete bone resection. Early dental rehabilitation through osseointegrated implants is indicated for functional recovery and esthetics. This article reports the case of a 20-year-old man submitted to osseous resection, installation of a titanium plate associated with bone graft and osteogenic substances with subsequent installation of osseointegrated dental implants. After 28 months of clinical and radiographic follow-up, there were no signs of tumor recurrence. As the patient showed good graft integration, 3 dental implants could be installed and are now waiting to receive a prosthetic work. The use of a graft with morphogenetic proteins proved to be stable and efficient as it allowed the rehabilitation with dental implants.