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Case Reports
. 2017:2017:7146126.
doi: 10.1155/2017/7146126. Epub 2017 Mar 14.

Advanced Implant-Prosthetic Rehabilitation: How to Obtain a Correct Restoration of Both Functions and Aesthetics in Patients with Complex Combined Dental and Maxillofacial Trauma: A Case Report and Topical Review of the Literature

M M Figliuzzi  1 , A Giudice  1 , L Fortunato  1
Affiliations
Case Reports

Advanced Implant-Prosthetic Rehabilitation: How to Obtain a Correct Restoration of Both Functions and Aesthetics in Patients with Complex Combined Dental and Maxillofacial Trauma: A Case Report and Topical Review of the Literature

M M Figliuzzi et al. Case Rep Dent. 2017.

Abstract

Aim. This study aims to explain the main steps that characterize the implant-prosthetic rehabilitation in complex combined dental and maxillofacial trauma. Material and Methods. A 20-year-old patient reported an extensive facial trauma which also involved the alveolar process of the maxillary bone. The patient reported a maxillofacial fracture and the loss of teeth 1.3, 1.2, 1.1, and 2.1. A "Le Fort" type 2 fracture was also reported, with the malar bone involvement. After reduction and containment of bone fractures, through appropriate mounting plates, appropriate functional and aesthetic rehabilitation of the patient were replaced thanks to a temporary removable prosthesis. After 6 months, the patient performed numerous clinical investigations, aimed at a proper planning of implant-prosthetic rehabilitation of the upper dental arch. Conclusion. With the planning of the case, as well as respecting the surrounding biological structures, the surgery of implants can be carried out with the most appropriate procedure. Lastly, new dental implants with highly bioactive surfaces have been developed, providing an excellent and rapid bone integration.

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Conflict of interest statement

The authors declare that there is no conflict of interests regarding the publication of this paper.

Figures

Figure 1
Figure 1
Clinical vision of the patient with a maxillofacial fracture and the loss of teeth.
Figure 2
Figure 2
Reduction and containment of bone fractures through appropriate mounting plates.
Figure 3
Figure 3
Clinical vision after 6 months.
Figure 4
Figure 4
Incision with partial-thickness flap after 6 months.
Figure 5
Figure 5
Orthopanoramic view after 6 months.
Figure 6
Figure 6
Clinical vision of the parallelism pins.
Figure 7
Figure 7
Implants insertion.
Figure 8
Figure 8
The flap was properly closed with single stitches linking the periosteum.
Figure 9
Figure 9
Tissue healing after 15 days.
Figure 10
Figure 10
Profiles of the prosthetic abutments.
Figure 11
Figure 11
Clinical control after 6 months.
Figure 12
Figure 12
Clinical control after 6 months.
Figure 13
Figure 13
Radiological control after five years.
Figure 14
Figure 14
Radiological control after five years.
Figure 15
Figure 15
Clinical control after five years.
Figure 16
Figure 16
Clinical control after five years.
See this image and copyright information in PMC

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