IADR Abstract Archives
An alternative prosthetic rehabilitation following self-inflicted gun shot wound to mandible
Objectives: Gunshot injuries to the head can have serious esthetic and functional consequences.This report describes the prosthodontic rehabilitation of a patient traumatized by a self-inflicted gun-shot wound to the mandible which required rehabilitation with a free fibula graft.
Methods: A 43-year-old man presented with a self-inflicted gunshot wound reconstructed with fibula graft was referred to Selcuk University Faculty of Dentistry, Department of Prosthodontics. On examination, he exhibited extraoral scarring from the fibular reconstruction in the left submandibular and neck area. Intraoral evaluation of the dentition exhibited a large grafted area started from left mandibular molar region to right canine region. Various prosthetic designs and the choice of available prosthetic materials are discussed with the patient.
Remaining teeth in the left and right side of the mandible were prepared and a metal bar was used to cross the mobile soft tissue bed of the graft site. An acrylic partial removable dental prosthesis was placed over the bar. Two ball attachments were placed over the bar to increase the retantion of removable prosthesis.
Results: A removable denture was produced over a fixed metal bar to tolerate soft tissue loss for the restoration of gun-shot wound site.
Conclusions: Removable partial dentures can be used to reduce the cost of the treatment instead of implant therapy in the prosthetic rehabilitation of patients with graft taken from tibia or fibula when adequate teeth support was provided around the graft site.
Methods: A 43-year-old man presented with a self-inflicted gunshot wound reconstructed with fibula graft was referred to Selcuk University Faculty of Dentistry, Department of Prosthodontics. On examination, he exhibited extraoral scarring from the fibular reconstruction in the left submandibular and neck area. Intraoral evaluation of the dentition exhibited a large grafted area started from left mandibular molar region to right canine region. Various prosthetic designs and the choice of available prosthetic materials are discussed with the patient.
Remaining teeth in the left and right side of the mandible were prepared and a metal bar was used to cross the mobile soft tissue bed of the graft site. An acrylic partial removable dental prosthesis was placed over the bar. Two ball attachments were placed over the bar to increase the retantion of removable prosthesis.
Results: A removable denture was produced over a fixed metal bar to tolerate soft tissue loss for the restoration of gun-shot wound site.
Conclusions: Removable partial dentures can be used to reduce the cost of the treatment instead of implant therapy in the prosthetic rehabilitation of patients with graft taken from tibia or fibula when adequate teeth support was provided around the graft site.
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