Dental rehabilitation after excision of an ossifying fibroma

Dental rehabilitation after excision of an ossifying fibroma

Dr. Parit Ladani presents a case where implants were used in
the reconstruction of a young patient’s mandible

An 18-year-old male patient presented complaining of swelling over the right side of his lower jaw. This swelling was diagnosed as a benign ossifying fibroma. Surgery was planned for excision of the lesion and reconstruction of the area using an iliac crest cortico-cancellous bone graft. The bone graft was fixed to the defect using a reconstruction plate.

Figure 1: Preoperative photo showing hard, nonfluctuant, non-tender swelling over right side of mandibular parasymphysis, extending from the right corner of the mouth to the upper neck and from the midline to the body of the mandibular area
Figure 1: Preoperative photo showing hard, nonfluctuant, non-tender swelling over right side of mandibular parasymphysis,
extending from the right corner of the mouth to the upper neck and from the midline to the body of the mandibular area

Figure 2: Preoperative view showing hard bony swelling obliterating buccal vestibule from lower left central incisor to lower right first molar region
Figure 2: Preoperative view showing hard bony swelling obliterating buccal vestibule from lower left central incisor to lower right first molar region

Figure 3: Three-dimensional CT of face and X-ray OPG show well-defined, unilocular radiolucent area with cotton wool appearance and a well-demarcated radiopaque border extending from the lower left central incisor to the lower right first molar. There is expansion of both the buccal and lingual plates
Figure 3: Three-dimensional CT of face and X-ray OPG show well-defined, unilocular radiolucent area with cotton wool appearance
and a well-demarcated radiopaque border extending from the lower left central incisor to the lower right first molar. There is expansion of both the buccal and lingual plates

After 1 year, it was possible to see adequate bone formation at the defect side. The missing teeth were replaced using three Alpha Dent 5 mm x 13 mm classic implants (Alpha Dent Implants Ltd., London, United Kingdom).

Parit Ladani, MDS (maxillofacial surgery), is an Indian Board-Certified Oral and Maxillofacial Surgeon (IBOMSI). He is the project director and chief cleft and craniofacial surgeon at the Swiss Cleft Centre (Cleft Children International) in Zurich, Switzerland, and also works at the BSES MG Hospital in Mumbai, India.

Stay Relevant with Implant Practice US

Join our email list for CE courses and webinars, articles and mores

Read our following terms and conditions before subscribing.

Terms and Conditions checkbox is required.
Something went wrong. Please check your entries and try again.

SUBSCRIBE TODAY

Implant Practice US is a leading dental journal and publication for dental implantology continuing education, oral implantology case studies, and more. Subscribe to Implant Practice US today!

ONLINE DENTAL CE

Earn dental continuing education credits as an Implant Practice US subscriber. Log in for online dental CE credits now!

OUR COMPANY

Copyright © 2021 Orthodontic Practice US - Dental Journal and Online Dental CE | MedMark LLC
15720 North Greenway Hayden Loop, Suite #9 Scottsdale, AZ 85260 | All rights Reserved | Privacy Policy | Terms & Conditions

Scroll to Top