A New Approach to Implant-Based Midface Reconstruction Following Subtotal Maxillectomy

Int J Oral Maxillofac Implants. 2016 Jul-Aug;31(4):e98-e101. doi: 10.11607/jomi.4579.

Abstract

This case presentation describes the reconstruction of an extensive maxillary-orbital defect following subtotal resection of the maxilla en bloc with orbital exenteration in a young adult following the diagnosis of chondrosarcoma. A new approach to composite midface reconstruction with dental implants is described, in which computer-guided surgery (CGS) was used to obliquely position dental implants interradicularly in the residual maxilla, such that the implant tips lie in close proximity to the root apices of the remaining teeth. The implants were then used to fixate a milled-titanium bar, fabricated using computer-aided design and manufacture (CAD/CAM), and provided with attachments for the stabilization and retention of a maxillary obturator.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Computer-Aided Design
  • Dental Implants*
  • Dental Prosthesis, Implant-Supported* / instrumentation
  • Dental Prosthesis, Implant-Supported* / methods
  • Denture Design
  • Female
  • Humans
  • Maxilla / surgery*
  • Maxillary Neoplasms / surgery*
  • Orbit / surgery*
  • Palatal Obturators*
  • Plastic Surgery Procedures* / instrumentation
  • Plastic Surgery Procedures* / methods
  • Surgery, Computer-Assisted
  • Titanium
  • Treatment Outcome

Substances

  • Dental Implants
  • Titanium