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Prosthetic rehabilitation of maxillary and mandibular gunshot defects with fixed basal implant-supported prostheses: A 5-year follow-up case report.
Int J Surg Case Rep. 2020; 68:27-31.IJ

Abstract

INTRODUCTION

Gunshot injuries to the oral maxillofacial region have serious aesthetic and functional consequences.

PRESENTATION OF CASE

A 32-year-old male patient presented with a marginal mandibular resection owing to a gunshot wound. A clinical examination revealed destroyed crowns in teeth 12, 11, and 21; extraction in teeth 13, 22, 24, 31, 32-45; a fracture in tooth 38; and severe pain. Further, he had multiple submental scars and a completely obliterated sulcus. Consequently, a multidisciplinary team was formed who devised the following treatment plan: stage 1, root canal treatment for the maxillary anterior teeth, followed by crown construction and transitional mandibular removable partial denture construction, and stage 2, placement of immediately loaded basal implant definitive prostheses supported by 6 corticobasal screw implants. After 5 years of use, the patient presented with excellent peri-implant soft tissue health, prosthesis stability, and great improvements in aesthetics and function. The patient was highly satisfied with the treatment and restoration of his quality of life.

DISCUSSION

Accurate treatment planning is vital for managing complicated cases, including gunshot defect cases, and should involve the selection of the most suitable reconstructive technique with lower susceptible complication rates and high success rates. The described treatment eliminates the need for bone grafting, reduces treatment duration, and involves fixed prosthesis placement.

CONCLUSION

To our knowledge, this is the first report on basal implant-based full-mouth rehabilitation in a gunshot mandibular defect patient. The fixed hybrid basal implant-supported prosthesis produced highly acceptable aesthetic and phonetic results and greatly improved the patient's life.

Authors+Show Affiliations

Department of Oral Rehabilitation, Prosthodontics Division, Faculty of Dentistry, University of Khartoum, Sudan. Electronic address: fadiadent@hotmail.com.Chair of the Department of Preventive and Restorative Dentistry, University of Sharjah, Faculty of Dental Medicine, Sharjah, Sharjah, United Arab Emirates. Electronic address: nadiakhalifa23@hotmail.com.International University of Africa, Oral and Maxillofacial Surgery Department, Khartoum, Sudan. Electronic address: nasirjuba@yahoo.com.Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan. Electronic address: newsulaiman@yahoo.com.Implant Department, Khartoum Teaching Dental Hospital, Federal Ministry of Heath, Khartoum, Sudan. Electronic address: motazdent@hotmail.com.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32113167

Citation

Awadalkreem, Fadia, et al. "Prosthetic Rehabilitation of Maxillary and Mandibular Gunshot Defects With Fixed Basal Implant-supported Prostheses: a 5-year Follow-up Case Report." International Journal of Surgery Case Reports, vol. 68, 2020, pp. 27-31.
Awadalkreem F, Khalifa N, Ahmad AG, et al. Prosthetic rehabilitation of maxillary and mandibular gunshot defects with fixed basal implant-supported prostheses: A 5-year follow-up case report. Int J Surg Case Rep. 2020;68:27-31.
Awadalkreem, F., Khalifa, N., Ahmad, A. G., Suliman, A. M., & Osman, M. (2020). Prosthetic rehabilitation of maxillary and mandibular gunshot defects with fixed basal implant-supported prostheses: A 5-year follow-up case report. International Journal of Surgery Case Reports, 68, 27-31. https://doi.org/10.1016/j.ijscr.2020.02.025
Awadalkreem F, et al. Prosthetic Rehabilitation of Maxillary and Mandibular Gunshot Defects With Fixed Basal Implant-supported Prostheses: a 5-year Follow-up Case Report. Int J Surg Case Rep. 2020;68:27-31. PubMed PMID: 32113167.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prosthetic rehabilitation of maxillary and mandibular gunshot defects with fixed basal implant-supported prostheses: A 5-year follow-up case report. AU - Awadalkreem,Fadia, AU - Khalifa,Nadia, AU - Ahmad,Abdelnasir G, AU - Suliman,Ahmed Mohamed, AU - Osman,Motaz, Y1 - 2020/02/19/ PY - 2019/12/24/received PY - 2020/02/07/revised PY - 2020/02/10/accepted PY - 2020/3/1/pubmed PY - 2020/3/1/medline PY - 2020/3/1/entrez KW - Aesthetic results KW - Basal implant-supported prosthesis KW - Defect resection KW - Functional outcomes KW - Gunshot injury KW - Mandibular defect SP - 27 EP - 31 JF - International journal of surgery case reports JO - Int J Surg Case Rep VL - 68 N2 - INTRODUCTION: Gunshot injuries to the oral maxillofacial region have serious aesthetic and functional consequences. PRESENTATION OF CASE: A 32-year-old male patient presented with a marginal mandibular resection owing to a gunshot wound. A clinical examination revealed destroyed crowns in teeth 12, 11, and 21; extraction in teeth 13, 22, 24, 31, 32-45; a fracture in tooth 38; and severe pain. Further, he had multiple submental scars and a completely obliterated sulcus. Consequently, a multidisciplinary team was formed who devised the following treatment plan: stage 1, root canal treatment for the maxillary anterior teeth, followed by crown construction and transitional mandibular removable partial denture construction, and stage 2, placement of immediately loaded basal implant definitive prostheses supported by 6 corticobasal screw implants. After 5 years of use, the patient presented with excellent peri-implant soft tissue health, prosthesis stability, and great improvements in aesthetics and function. The patient was highly satisfied with the treatment and restoration of his quality of life. DISCUSSION: Accurate treatment planning is vital for managing complicated cases, including gunshot defect cases, and should involve the selection of the most suitable reconstructive technique with lower susceptible complication rates and high success rates. The described treatment eliminates the need for bone grafting, reduces treatment duration, and involves fixed prosthesis placement. CONCLUSION: To our knowledge, this is the first report on basal implant-based full-mouth rehabilitation in a gunshot mandibular defect patient. The fixed hybrid basal implant-supported prosthesis produced highly acceptable aesthetic and phonetic results and greatly improved the patient's life. SN - 2210-2612 UR - https://www.unboundmedicine.com/medline/citation/32113167/Prosthetic_rehabilitation_of_maxillary_and_mandibular_gunshot_defects_with_fixed_basal_implant_supported_prostheses:_A_5_year_follow_up_case_report_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2210-2612(20)30099-7 DB - PRIME DP - Unbound Medicine ER -
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