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Surgical and Orthopedic Rehabilitation Following Maxillary Hemi-Resection Using SGS Dental Implants

Authors

Konstantine Mardaleishvili, Tamar Baramidze, Shalva Farulava, Davit Farulava

Rubric:Medicine
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The article describes a clinical case involving a single patient, detailing a sequential methodology: First stage being an evaluation of the feasibility of placing dental implants in the regions of the right maxilla and the mandible following a left hemimaxillectomy, based on 3D computed tomography (CT), second stage being fixation of the dental implants. Third being removal of the cover screws and placement of gingiva formers following osseointegration.
Subsequent stage: Orthopedic rehabilitation following dental implantation.
Following hemimaxillectomy and with the integration of dental implants, the resulting defect was managed using an obturator, thereby enabling the restoration of both the dentition and the palatal structure. This achieved the surgical and social rehabilitation of the patient by successfully restoring essential vital functions, including mastication, swallowing, speech, and aesthetics. Each stage is discussed in detail in the presented article.

Keywords

individual modeling.
Maxillary adenocarcinoma
post-operative defect
complex prosthetics
SGS dental implant
soft tissue defect
orthopedic rehabilitation
surgical rehabilitation

Authors

Konstantine Mardaleishvili, Tamar Baramidze, Shalva Farulava, Davit Farulava

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References:

Bartlett, D. and O'Toole, S. (2021), Tooth Wear: Best Evidence Consensus Statement. Journal of Prosthodontics, 30: 20-25.

Beumer, John, III, Mark T. Marunick, and Salvatore J. Esposito, editors. Maxillofacial Rehabilitation: Prosthodontic and Surgical Management of Cancer-Related, Acquired, and Congenital Defects of the Head and Neck. 3rd ed., Quintessence Publishing, 2011.

Goker, F., et al. "Oral Rehabilitation of Oncology Patients with Dental Implants after Reconstruction Surgery with Autogenous Flaps." European Review for Medical and Pharmacological Sciences, vol. 26, no. 3 Suppl, 2022

Schiegnitz, E., Reinicke, K., Sagheb, K., König, J., Al-Nawas, B., & Grötz, K. A. (2022). Dental implants in patients with head and neck cancer—A systematic review and meta-analysis of the influence of radiotherapy on implant survival. Clinical Oral Implants Research, 33, 967–999.

Werning, John W., editor. Oral Cancer: Diagnosis, Management, and Rehabilitation. Thieme Medical Publishers, 2007.

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