CASE REPORT   

European Journal of Oral and Maxillofacial Surgery 2022 December;6(3):128-31

DOI: 10.23736/S2532-3466.22.00290-9

Copyright © 2022 EDIZIONI MINERVA MEDICA

language: English

Mandibular reconstruction with acrylic resin and titanium temporary prosthesis after resection of ameloblastoma: a case report

Daniel FACÓ da SILVEIRA SANTOS, Lucas Alexandre MAIA, Marilia de LIMA SARAIVA MAIA, Jose VALDIR PESSOA NETO ✉, Roberto DIAS RÊGO, Eliardo SILVEIRA SANTOS

Department of Oral and Maxillofacial Surgery, Hospital Geral de Fortaleza - HGF, Fortaleza, Ceará, Brazil

Ameloblastoma is a rare benign odontogenic tumor of locally aggressive epithelial origin with slow growth and a high recurrence rate. It accounts for 11% of all odontogenic tumors but constitutes only about 1% of all jaw tumors. The purpose of the present study was to report the clinical case of a 50 years old male patient, who attended the Bucomaxylofacial Surgery Department of the Hospital Geral de Fortaleza - CE, presenting the diagnosis of multicystic ameloblastoma in the mandible, with 15 years of Evolution. The surgical treatment performed was tumor resection and the immediate reconstruction with a temporary prosthesis, made of titanium and acrylic resin. Corruently, the patient has 1 year of postoperative follow-up with function and facial contour reestablished, waiting for the second surgical period to install a permanent customized prosthesis. In this case, using a custom-made titanium and acrylic resin provisional prosthesis for mandible reconstruction made it possible to resect the tumor more quickly while promoting the patient’s functional improvement and maintaining the space in the recipient bed for the installation of the definitive custom-made prosthesis.

KEY WORDS: Maxillary neoplasms; Ameloblastoma; Mandibular reconstruction