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CASE REPORT Table of Contents   
Year : 2018  |  Volume : 29  |  Issue : 1  |  Page : 117-122
Oral and masticatory rehabilitation using osseointegrated dental implants after resective treatment of multicystic ameloblastoma in the lower jaw with a fibula graft


1 Department of Implantology, Graduate Program in Dentistry, Positivo University, Rua Professor Pedro Viriato Parigot de Souza, 5300 Campo Comprido, Curitiba, Paraná, Brazil
2 Department of Head and Neck Surgery, Graduate Program in Dentistry, Positivo University, Rua Professor Pedro Viriato Parigot de Souza, 5300 Campo Comprido, Curitiba, Paraná, Brazil
3 Department of Pathology, Graduate Program in Dentistry, Positivo University, Rua Professor Pedro Viriato Parigot de Souza, 5300 Campo Comprido, Curitiba, Paraná, Brazil

Correspondence Address:
Dr. João Ricardo Almeida Grossi
294, Tibagi St, Office 1605, Curitiba
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijdr.IJDR_623_16

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Ameloblastoma is an aggressive odontogenic tumor which typically occurs between third and fourth decade of life that often needs resective approach. Immediate reconstruction may show better results. The treatment of multicystic ameloblastoma in the mandible being a rare case that occurred in the late second decade of life, which was surgically removed along with the affected teeth with safety margins, and the region was immediately reconstructed using a vascularized graft, removed from the fibula. Its integration, in combination with osseointegrated dental implants and fixed implant-supported prostheses, restored chewing function and esthetics. After 6 years from fibular graft and 24 months of dental implants, an excellent outcome was observed, with oral health and normal functions properly restored, and the immediate reconstruction of the mandible in resective cases, associated with oral rehabilitation with dental implants, may be considered a suitable treatment option.


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