Reabilitação oral com prótese removível total de base resiliente em paciente com osteonecrose induzida por medicação: Relato de caso clínico

Abstract

Pacients afflicted with Multiple Myeoloma which are submitted to biphosphonates drugs administration are prone to develop osteonecrosis induced by the use os this medication. Situations where osteonecrosis evolves to a great loss of basal structure and oroantral communication, prosthetic rehabilitation become a challenge as it involves functional, aesthetic and psychosocial issues. Making a conventional total denture may not be viable, given the mucosa fragility involved in this important inflammation. Thus, a soft liner layer associated with the base denture turns into an excellente choice to reach the rehabilitation and pacients satisfaction. The goal of this clinical report is to show the making process of a maxilary complete denture to an 81 yeras old patient afflicted with basal structure loss and oroantral communication induced by biphosphonate using soft liners associated to the denture base, lonking for succed the oral rehabilitation and to restore the stomatognathic system functions. Then we concluded that the use of this type of material resulted not only in a successful rehabilitation, but also in remission of the superficial inflammatory process present at the beginning of the treatment.