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Patient’s Customized Prosthesis would be a Better Alternative Choice than Macro-plate as a Reconstruction Method in Resected Mandible: A Case Report
Ashkan Golabkesh Afshar1 , Sara Pilehvar1 , Navid Kazemian1 , Majid Hosseini Abrishami1 , Shayan Yousefi2 , Sahand Samieirad *3
1- 1. Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
2- 2. Student Research Committee, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
3- 1. Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran , Samieerads@mums.ac.ir
Abstract:   (10 Views)
Ameloblastoma, a benign but locally aggressive neoplasm, frequently requires substantial surgical resection to avert recurrence, potentially leading to considerable mandibular abnormalities. This case report examines a 31-year-old female patient diagnosed with a multilocular ameloblastoma, originally treated with marginal excision and subsequent reconstruction utilizing a conventional plate. The patient was admitted to Velayat Hospital in Mashhad, Iran, in 2024 and received the necessary medical treatment there. Complications, including as plate exposure and jaw deviation, arose a year later, requiring further operation. The patient underwent a second operation to remove the defective plate and to insert a bespoke digital reconstructive plate. The customized plate was engineered to conform to her distinct anatomical configuration, guaranteeing accurate alignment and enhanced biomechanical efficacy. The post-operative recovery was positive, with restored mandibular alignment, enhanced function, and no recurrence of problems. This case demonstrates the effectiveness of tailored digital reconstruction plates in managing intricate mandibular abnormalities, yielding improved results in functionality, aesthetics, and patient comfort.
 
Keywords: Ameloblastoma, Mandibular Reconstruction, Reconstruction Plate, Customized Plate, Case Report
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Type of Study: case report | Subject: Special
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