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Maxillofacial prosthetic reconstruction of a maxillary defect resulting from gunshot wound. A case report

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Author(s): Lampros ZOULOUMIS | Ioannis EMMANOUIL | Ioannis PAPATHANASSIOU | Ioannis TILAVERIDIS | Ioannis PAPADIOCHOS

Journal: Hellenic Archives of Oral and Maxillofacial Surgery
ISSN 1108-829X

Volume: 13;
Issue: 3 Dec;
Start page: 151;
Date: 2012;
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Keywords: maxillary defect | trauma | mini implants | dental implants | implant-retained overdenture

ABSTRACT
Gunshot wound rehabilitation representsa major challenge to both ╬čral and ╬ťaxillofacialSurgeons and Prosthodontic Specialists. Facial gunshotinjuries may have serious aesthetic and functionaleffects for the patient. The aim of this clinical report isto present the prosthetic rehabilitation of a 63 year-oldpatient, whose previous gunshot self-injury hadresulted in a large defect in the anterior maxilla, upperlip, nose and nasal floor.After a series of surgical reconstructive attempts withsoft tissue flaps, which had taken place in the past in hisnative country (Russia) and had not involved any prosthesis,the patient was referred to our clinic by a generaldentist 3 years ago, due to difficulties in the fabricationof a complete denture. The treatment includedsurgical removal of the oversized fat tissue mass, thinningof the previously used palatal flaps and simultaneousplacement of 3 mini-implants and 1 regular dentalimplant in the posterior region of the maxilla to supportan implant-retained overdenture with ball-attachments.The importance of close collaboration betweensurgeons and prosthodontists is also stressed.
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