Effective oral function improvement by restoration-driven implant treatment after mandibular resection with a scapular flap: a case report
Abstract Background The extensive loss of teeth and surrounding tissues due to mandibulectomy for an oral tumor not only impacts negatively on appearance, but also often causes various functional disorders, decreasing quality of life (QOL). In the present case, reconstruction with a scapular flap wa...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-12-01
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| Series: | International Journal of Implant Dentistry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40729-022-00461-z |
| _version_ | 1811203954374082560 |
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| author | Takayuki Kosaka Masahiro Wada Suzuna Akema Yuichi Nishimura Kazuhide Matsunaga Narikazu Uzawa Kazunori Ikebe |
| author_facet | Takayuki Kosaka Masahiro Wada Suzuna Akema Yuichi Nishimura Kazuhide Matsunaga Narikazu Uzawa Kazunori Ikebe |
| author_sort | Takayuki Kosaka |
| collection | DOAJ |
| description | Abstract Background The extensive loss of teeth and surrounding tissues due to mandibulectomy for an oral tumor not only impacts negatively on appearance, but also often causes various functional disorders, decreasing quality of life (QOL). In the present case, reconstruction with a scapular flap was carried out along with segmental mandibulectomy, aiming for functional restoration through restoration-driven implant treatment. A good outcome was obtained, with improvement of masticatory function and QOL following the prosthetic treatment. Case presentation The patient was a 37-year-old woman diagnosed with ossifying fibroma in the left side of the mandible. Segmental mandibulectomy and reconstruction with a scapular flap were carried out. Implant diagnostic simulation was performed, and based on the result, secondary reconstruction using a particulate cancellous bone and marrow graft was carried out by an oral surgeon. After wound healing was complete, implant placement was performed twice, and the final prosthodontic treatment was completed. Masticatory performance and maximum bite force, which are indices of masticatory function, were improved from before to after prosthetic treatment. In addition, oral health-related QOL was improved from before to after prosthetic treatment. Conclusion In the present case, restoration-driven implant treatment was performed in a patient following segmental mandibulectomy for a mandibular tumor, with a good outcome. Planning the treatment measures with a focus on the final prosthetic vision can lead to improvement of oral function in patients with extensive mandibular defects. |
| first_indexed | 2024-04-12T03:03:36Z |
| format | Article |
| id | doaj.art-1c34ad9a97f6481a9183c8813e4ec439 |
| institution | Directory Open Access Journal |
| issn | 2198-4034 |
| language | English |
| last_indexed | 2024-04-12T03:03:36Z |
| publishDate | 2022-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | International Journal of Implant Dentistry |
| spelling | doaj.art-1c34ad9a97f6481a9183c8813e4ec4392022-12-22T03:50:33ZengSpringerOpenInternational Journal of Implant Dentistry2198-40342022-12-01811710.1186/s40729-022-00461-zEffective oral function improvement by restoration-driven implant treatment after mandibular resection with a scapular flap: a case reportTakayuki Kosaka0Masahiro Wada1Suzuna Akema2Yuichi Nishimura3Kazuhide Matsunaga4Narikazu Uzawa5Kazunori Ikebe6Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of DentistryDepartment of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of DentistryDepartment of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of DentistryDepartment of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of DentistryDepartment of Oral and Maxillofacial Surgery II, Osaka University Graduate School of DentistryDepartment of Oral and Maxillofacial Surgery II, Osaka University Graduate School of DentistryDepartment of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of DentistryAbstract Background The extensive loss of teeth and surrounding tissues due to mandibulectomy for an oral tumor not only impacts negatively on appearance, but also often causes various functional disorders, decreasing quality of life (QOL). In the present case, reconstruction with a scapular flap was carried out along with segmental mandibulectomy, aiming for functional restoration through restoration-driven implant treatment. A good outcome was obtained, with improvement of masticatory function and QOL following the prosthetic treatment. Case presentation The patient was a 37-year-old woman diagnosed with ossifying fibroma in the left side of the mandible. Segmental mandibulectomy and reconstruction with a scapular flap were carried out. Implant diagnostic simulation was performed, and based on the result, secondary reconstruction using a particulate cancellous bone and marrow graft was carried out by an oral surgeon. After wound healing was complete, implant placement was performed twice, and the final prosthodontic treatment was completed. Masticatory performance and maximum bite force, which are indices of masticatory function, were improved from before to after prosthetic treatment. In addition, oral health-related QOL was improved from before to after prosthetic treatment. Conclusion In the present case, restoration-driven implant treatment was performed in a patient following segmental mandibulectomy for a mandibular tumor, with a good outcome. Planning the treatment measures with a focus on the final prosthetic vision can lead to improvement of oral function in patients with extensive mandibular defects.https://doi.org/10.1186/s40729-022-00461-zMandibulectomyScapular flapImplantMasticationQuality of life |
| spellingShingle | Takayuki Kosaka Masahiro Wada Suzuna Akema Yuichi Nishimura Kazuhide Matsunaga Narikazu Uzawa Kazunori Ikebe Effective oral function improvement by restoration-driven implant treatment after mandibular resection with a scapular flap: a case report International Journal of Implant Dentistry Mandibulectomy Scapular flap Implant Mastication Quality of life |
| title | Effective oral function improvement by restoration-driven implant treatment after mandibular resection with a scapular flap: a case report |
| title_full | Effective oral function improvement by restoration-driven implant treatment after mandibular resection with a scapular flap: a case report |
| title_fullStr | Effective oral function improvement by restoration-driven implant treatment after mandibular resection with a scapular flap: a case report |
| title_full_unstemmed | Effective oral function improvement by restoration-driven implant treatment after mandibular resection with a scapular flap: a case report |
| title_short | Effective oral function improvement by restoration-driven implant treatment after mandibular resection with a scapular flap: a case report |
| title_sort | effective oral function improvement by restoration driven implant treatment after mandibular resection with a scapular flap a case report |
| topic | Mandibulectomy Scapular flap Implant Mastication Quality of life |
| url | https://doi.org/10.1186/s40729-022-00461-z |
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