Surgical and prosthodontic reconstruction of a gunshot injury of the mandible using dental implants and an acrylic resin fixed prosthesis: a clinical report

Abstract

Gunshot injuries to the face can have serious esthetic and functional consequences. Few articles have described the comprehensive management, including surgical and prosthodontic phases of reconstruction, of patients with such injuries. This clinical report describes a 3-year follow-up of the maxillofacial rehabilitation of a gunshot injury to the left mandible using an iliac crest bone graft, dental implants, and an economical acrylic resin fixed prosthesis. The importance of a multidisciplinary approach and biomechanical considerations for implant positioning in posterior mandibular reconstructions are described. Various prosthetic designs and the choice of available prosthetic materials are also discussed.