Conservative management of medication-related osteonecrosis of the maxilla with an obturator prosthesis

被引:13
作者
Troeltzsch, Matthias [1 ]
Probst, Florian [1 ]
Troeltzsch, Markus [2 ]
Ehrenfeld, Michael [1 ]
Otto, Sven [1 ]
机构
[1] Univ Munich, Dept Oral & Maxillofacial Surg, D-80337 Munich, Germany
[2] Univ Gottingen, Dept Oral & Maxillofacial Surg, D-37073 Gottingen, Germany
关键词
BISPHOSPHONATE-RELATED OSTEONECROSIS; QUALITY-OF-LIFE; GUIDED BONE RESECTION; OROANTRAL COMMUNICATIONS; DENTAL PROSTHESIS; CLINICAL REPORT; POSITION PAPER; CASE SERIES; FREE-FLAP; RECONSTRUCTION;
D O I
10.1016/j.prosdent.2014.08.010
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Advanced maxillary medication-related osteonecrosis of the jaw can cause extensive hard and soft tissue destruction that results in long-term oroantral fistulae. The surgical treatment of medication-related osteonecrosis of the jaw may relieve acute symptoms and eliminate the signs of inflammation, but the primary and sustained plastic closure of these defects can challenge both the clinician and the patients. Although the use of obturator prostheses for maxillary defects after ablative oncologic surgery is well documented, studies about this treatment for similar medication-related osteonecrosis of the jaw related defects are missing. This presentation of clinical situations describes the use of obturators as a conservative alternative to repetitive surgery for the rehabilitation of selected maxillary defects with oroantral communications.
引用
收藏
页码:236 / 241
页数:6
相关论文
共 40 条
[1]   Basic principles of obturator design for partially edentulous patients. Part I: Classification [J].
Aramany, MA .
JOURNAL OF PROSTHETIC DENTISTRY, 2001, 86 (06) :559-561
[2]   Closure of palatal fistula with buccal fat pad flap [J].
Ashtiani, A. K. ;
Fatemi, M. J. ;
Pooli, A. H. ;
Habibi, M. .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2011, 40 (03) :250-254
[3]   CLOSURE OF OROANTRAL FISTULA [J].
AWANG, MN .
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1988, 17 (02) :110-115
[4]   Oral Bisphosphonate-Associated Osteonecrosis of the Jaw After Implant Surgery: A Case Report and Literature Review [J].
Bedogni, Alberto ;
Bettini, Giordana ;
Totola, Andrea ;
Saia, Giorgia ;
Nocini, Pier Francesco .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2010, 68 (07) :1662-1666
[5]   Reconstruction of the maxilla and midface: introducing a new classification [J].
Brown, James S. ;
Shaw, Richard J. .
LANCET ONCOLOGY, 2010, 11 (10) :1001-1008
[6]   The Role of Surgical Resection in the Management of Bisphosphonate-Related Osteonecrosis of the Jaws [J].
Carlson, Eric R. ;
Basile, John D. .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2009, 67 (05) :85-95
[7]   Quality of Life After Maxillectomy and Prosthetic Obturator Rehabilitation [J].
Chigurupati, Radhika ;
Aloor, Neelam ;
Salas, Richard ;
Schmidt, Brian L. .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2013, 71 (08) :1471-1478
[8]   An algorithm for maxillectomy defect reconstruction [J].
Davison, SP ;
Sherris, DA ;
Meland, NB .
LARYNGOSCOPE, 1998, 108 (02) :215-219
[9]   PROSTHETIC REHABILITATION OF THE EDENTULOUS PATIENT REQUIRING A PARTIAL MAXILLECTOMY [J].
DEVLIN, H ;
BARKER, GR .
JOURNAL OF PROSTHETIC DENTISTRY, 1992, 67 (02) :223-227
[10]   Nasalance in patients with maxillary defects - Reconstruction versus obturation [J].
Eckardt, Andre ;
Teltzrow, Thomas ;
Schulze, Andrea ;
Hoppe, Marijana ;
Kuettner, Christian .
JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY, 2007, 35 (4-5) :241-245