Oral rehabilitation using pre-shaped Epitec fixation systems after extensive maxillary tumor surgery

Int J Oral Maxillofac Surg. 2009 Mar;38(3):285-8. doi: 10.1016/j.ijom.2009.01.007. Epub 2009 Feb 12.

Abstract

Reconstruction of maxillary defects represents a major challenge for reconstructive surgeons. The authors describe two cases of malignant tumor on the maxilla that were successfully repaired using the immediate installation of prostheses supported with an Epitec-system during maxilla reconstruction. The Epitec-plates provided a strong retention source for the maxillodental prosthesis. To reduce the operation time and improve conformity to the remaining bone shape, a craniofacial skull model was fabricated using stereo-lithographic techniques. After trimming the model to simulate segmental resection, Epitec-plates were shaped to match the defect. A united Epitec-plate was fixed to the remaining bone immediately and easily after tumor resection. An immediate maxillary prosthesis was placed and was functional at the end of surgery. The Epitec-system provides effective materials for immediate prosthesis of extensive maxillary defects.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Bone Plates*
  • Carcinoma, Squamous Cell / complications
  • Carcinoma, Squamous Cell / rehabilitation
  • Carcinoma, Squamous Cell / surgery*
  • Dental Prosthesis Design
  • Dental Prosthesis, Implant-Supported
  • Denture, Partial, Immediate*
  • Female
  • Humans
  • Jaw, Edentulous, Partially / etiology
  • Jaw, Edentulous, Partially / rehabilitation
  • Male
  • Maxilla / pathology
  • Maxilla / surgery
  • Maxillary Neoplasms / complications
  • Maxillary Neoplasms / rehabilitation
  • Maxillary Neoplasms / surgery*
  • Middle Aged
  • Models, Dental
  • Plastic Surgery Procedures / instrumentation
  • Plastic Surgery Procedures / methods*
  • Prosthesis Implantation / instrumentation
  • Prosthesis Implantation / methods*
  • Treatment Outcome