J Korean Acad Prosthodont.  2016 Apr;54(2):126-131. 10.4047/jkap.2016.54.2.126.

Prosthetic rehabilitation of marginal mandibulectomized patient using implant-supported removable partial denture

• Baek CH
• Heo SJ
• Koak JY
• Kim SK
• Park JM

• KMID: 2162388
• DOI: http://doi.org/10.4047/jkap.2016.54.2.126

Abstract

Surgical management of oral cancer results in compromised masticatory and swallowing function which affects patient in social and psychological aspects due to reduced phonetic ability and facial deformity, thus, it is imperative to provide applicable prosthetic treatment to overcome such complications. This clinical study describes rehabilitation of a patient with squamous cell carcinoma treated with marginal mandibulectomy and implantation on preserved posterior portion of mandible to provide stability and support for subsequent denture treatment. Kennedy class IV removable partial denture has provided satisfactory results in esthetics and function. Bone level stability around implants was reported to be maintained during eight months of clinical observation.

Keyword

Implant-supported removable partial denture; Marginal mandibulectomy

MeSH Terms

Carcinoma, Squamous Cell
Congenital Abnormalities
Deglutition
Denture, Partial, Removable*
Dentures
Esthetics
Humans
Mandible
Mouth Neoplasms
Rehabilitation*

Figure

• 

  Fig. 1. Panoramic radiograph at first visit.

• 

  Fig. 2. Initial intraoral photographs. (A) Maxillary occlusal view, (B) Frontal view, (C) Mandibular occlusal view.

• 

  Fig. 3. Panoramic radiograph after implant surgery.

• 

  Fig. 4. Provisional prostheses. (A) Maxillary occlusal view, (B) Lateral view (right), (C) Frontal view, (D) Lateral view (left), (E) Mandibular occlusal view.

• 

  Fig. 5. Surveyed bridges and RPD framework (A) Surveyed bridges, (B) RPD framework (Occlusal view), (C) RPD framework (Frontal view).

• 

  Fig. 6. Definitive prostheses (A) Maxillary occlusal view, (B) Lateral view (right), (C) Frontal view, (D) Lateral view (left), (E) Mandibular occlusal view.

• 

  Fig. 7. Extraoral photograph (A) Before treatment, (B) After treatment.

• 

  Fig. 8. Panoramic radiographs 4 months after delivery.

Reference

1.Tang JA., Rieger JM., Wolfaardt JF. A review of functional outcomes related to prosthetic treatment after maxillary and mandibular reconstruction in patients with head and neck cancer. Int J Prosthodont. 2008. 21:337–54.

2.Cantor R., Curtis TA. Prosthetic management of edentulous mandibulectomy patients. I. Anatomic, physiologic, and psychologic considerations. J Prosthet Dent. 1971. 25:446–57.

3.Beumer J., Marunick MT., Esposito SJ. Maxillofacial rehabilitation: Prosthodontic and surgical management of cancer-related, acquired, and congenital defects of the head and neck. 3rd ed.Chicago: Quintessence Publishing;2011.

4.Marunick MT., Roumanas ED. Functional criteria for mandibular implant placement post resection and reconstruction for cancer. J Prosthet Dent. 1999. 82:107–13.

5.McGhee MA., Stern SJ., Callan D., Shewmake K., Smith T. Osseointegrated implants in the head and neck cancer patient. Head Neck. 1997. 19:659–65.

6.Brennan M., Houston F., O'Sullivan M., O'Connell B. Patient satisfaction and oral health-related quality of life outcomes of implant overdentures and fixed complete dentures. Int J Oral Maxillofac Implants. 2009. 25:791–800.

7.Lee JH., Kim DG., Park CJ., Cho LR. A Literature review on implant assisted removable partial denture. J Dent Rehab App Sci. 2012. 28:179–90.

8.Mijiritsky E., Ormianer Z., Klinger A., Mardinger O. Use of dental implants to improve unfavorable removable partial denture design. Compend Contin Educ Dent. 2005. 26:744–6. 748, 750 passim.

9.Bortolini S., Natali A., Franchi M., Coggiola A., Consolo U. Implant-retained removable partial dentures: an 8-year retrospective study. J Prosthodont. 2011. 20:168–72.

10.Payne A., Kuzmanovic DV., De Silav-Kumara R., van Staden IP. Mandibular removable partial dentures supported by implants: one-year prosthodontic outcomes. J Dent Res. 2006. 85:2570.

11.Grossmann Y., Nissan J., Levin L. Clinical effectiveness of implant-supported removable partial dentures: a review of the literature and retrospective case evaluation. J Oral Maxillofac Surg. 2009. 67:1941–6.