Rehabilitation of mandibular resected patients using fixed immediately loaded corticobasal implant -supported prostheses. A case series

• Published in: International journal of surgery case reports Vol. 119; p. 109707
• Main Authors: Awadalkreem, Fadia, Khalifa, Nadia, Ahmad, Abdelnasir G., Osman, Motaz, Suliman, Ahmed Mohamed
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01.06.2024
• Subjects: Basal implant-supported prostheses; Basal implants; Corticobasal implants; Fixed implant supported prostheses; Immediately loaded fixed prostheses; Implant supported prostheses; Mandibular resection; Marginal mandibulectomy; Fixed implant supported prostheses; Marginal mandibulectomy; Corticobasal implants; Basal implant-supported prostheses; Immediately loaded fixed prostheses; Mandibular resection; Basal implants; Implant supported prostheses
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2024.109707

Aliments such as congenital conditions, pathological, and iatrogenic circumstances may result in mandibular defects that can severely disturb the patients' oral health, functions (mastication, speech), aesthetics, and quality of life and present a rehabilitating challenge. we present a multidisciplinary treatment approach for three cases presented with mandibular resection as a consequence of cystic, benign, and malignant tumour eradication that were rehabilitated with immediately loaded fixed corticobasal implant-supported prostheses and a follow-up period of 5,5 and 4 years. The reported cases present with excellent implant survival, along with healthy peri-implant tissues, stable prostheses, enhanced speech, chewing ability, aesthetics, superior patient satisfaction, and improved overall self-esteem. A multidisciplinary oral and maxillofacial team is mandatory for the successful rehabilitation of patients with mandibular resection and to restore soft and hard tissue loss. The reported treatment modality offers the patient immediate fixed implant-supported prostheses omitting the need for a bone grafting procedure, with optimum peri-implant tissue health, excellent biomechanical and prosthetic results, and significant improvement in function and satisfaction. Corticobasal fixed implant-supported prostheses can be a reliable treatment modality for mandibular resection, resulting in notable enhancements in the patients' oral health, appearance, mastication, speech, and self-esteem. •Oral rehabilitation following mandibular resection presents a challenge.•An optimal rehabilitation for patients with mandibular defects necessitates the anticipation of a multidisciplinary oral maxillofacial team.•Corticobasal implant-supported prostheses can be considered a predictable treatment option for patients with marginal mandibulectomy.•Corticobasal implant-supported prostheses can improve the patient's oral health, aesthetics, functions, and satisfaction.