J Interdiscip Dentistry
Home | About JID | Editors | Search | Ahead of print | Current Issue | Archives | Instructions |
Home Print this page Email this page Small font sizeDefault font sizeIncrease font size
Users Online: 171  | Login  | Contact us | Advertise | Subscribe  
Year : 2015  |  Volume : 5  |  Issue : 1  |  Page : 41-45

Prosthetic rehabilitation of a traumatic mandibular defect using alveolar distraction and an implant-supported hybrid prosthesis: A clinical report

1 Department of Prosthodontics, Goa Dental College and Hospital, Bambolim, Goa, India
2 Department of Oral and Maxillofacial Surgery, Goa Dental College and Hospital, Bambolim, Goa, India

Correspondence Address:
Sohil Rajkumar Daswani
Department of Prosthodontics, Goa Dental College and Hospital, Bambolim, Goa
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2229-5194.162744

Rights and Permissions

Prosthetic rehabilitation of edentulous sites with concomitant alveolar deficiency is always an esthetic and functional challenge. In the current case, the advantages of distraction osteogenesis and hybrid prosthesis with a cast metal framework were used to restore esthetics and function. The surgical elegance of distraction osteogenesis combined with the variety of features of hybrid prosthesis ensured successful rehabilitation, patient comfort and ease of maintenance. This case report highlights the need for meticulous preoperative planning and selection of the right options, both surgical and prosthetic to effectively restore complex oral defects using implants. Traumatic defects are mostly accompanied by hard and soft tissue loss. This report describes the surgical and prosthetic treatment of a patient with a traumatic mandibular defect. The trauma resulted in the loss of numerous mandibular teeth and extensive loss of bone particularly in the anterior mandible. In order to restore the lost hard and soft tissues, the treatment plan comprised of alveolar distraction osteogenesis in the anterior mandible followed by an implant supported screw-retained FP-3 prosthesis. This article also describes a technique to ensure a passive well-fitting cast metal framework for the fixed removable screw-retained hybrid prosthesis. Clinical Relevance to Interdisciplinary Dentistry
  • Placement of implants in compromised edentulous ridges often results in a compromised final prosthetic outcome.
  • This case report describes an interdisciplinary approach to manage hard and soft tissue ridge defects using alveolar distraction osteogenesis, followed by implant placement and prosthetic rehabilitation using a hybrid denture. The integration of the faculties of prosthodontics, oral and maxillofacial surgery, and oral and maxillofacial radiology was the key factor that determined the successful completion of this complex and technically demanding case.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded385    
    Comments [Add]    

Recommend this journal