Non-Invasive Implanto Prosthetic Rehabilitation in the Lower Arch Subsequent to Ameloblastoma Removal. A Case Report

Aim: Describing the surgical/therapeutic and the prosthetic/functional approaches for the treatment and rehabilitation of a patient with an ameloblastoma in the posterior area of mandible. Materials and Methods: Enucleation of the lesion took place by surgical resection with bone margin extending to more than 1 cm beyond the lesion’s macroscopic margins, without performing guided bone regeneration. A year after surgery, a panoramic radiograph (OPG) was performed and seven implants were inserted to rehabilitate the lower arch. The upper arch was rehabilitated with implant-prosthetic full-arch structure (flat-one-bridge) and immediate functional loading within 72 hours. Results and Conclusions: A 30 month follow-up shows good peri-implant tropism with bone margins continuity and osteointegration to the bone previously compromised by the lesion. The non-invasive treatment of lesions of maxillary bones is very useful to maintain the interarch occlusal relationship since it accelerates bone healing and optimizes the soft tissues morphology