TREATMENT OF A HUGE ODONTOGENIC FIBROMA WITH ANTERIOR ILIAC CREST AND IMPLANT SUPPORTED FIXED PROSTHESIS: A CASE REPORT
Purpose: Odontogenic fibroma (OF) is a rare benign odontogenic neoplasm and classified as central (COF) and peripheral (POF) type and COF has two sub groups; epithelium-poor (simple) type and epithelium-rich (WHO or complex) type. Treatment modality of OF is surgical excision. However, after large-s...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Cumhuriyet University
2017-05-01
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| Series: | Cumhuriyet Dental Journal |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/300862 |
| Summary: | Purpose:
Odontogenic fibroma (OF) is a rare benign
odontogenic neoplasm and classified as central (COF) and peripheral (POF) type
and COF has two sub groups; epithelium-poor (simple) type and epithelium-rich
(WHO or complex) type. Treatment modality of OF is surgical excision. However,
after large-scaled excision, reconstruction of the defect may be required. Case
Report: 39 year old male patient referred
with complain of a painless swelling in anterior maxilla. Incisional biopsy
showed that the lesion is simple type OF. Under general anesthesia, lesion
enucleated and defect reconstructed with anterior iliac graft. After 8 months, 3 dental
implants were placed and final reconstruction was done with implant supported
fixed prosthesis. Dıscussıon: OF is a
benign and very rare odontogenic neoplasm accounting for 0-5.5% of odontogenic
tumors. Treatment modality of OF is enucleation and curettage, but after
enucleation of huge OF, reconstruction may be challenging by the size of the
defect. Anterior iliac graft is a gold standard among all autologous bone graft
sources and it also provides adequate bone for the reconstruction of the
maxillofacial defects, otherwise it is possible to place implants with
acceptable resorption rates.
Conclusion: Reconstruction of the jaw
defects with anterior iliac graft and implant supported fixed prosthesis after
enucleation of huge size tumors such as COF, is a feasible method |
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| ISSN: | 1302-5805 2146-2852 |