Reabilitação com prótese removível total após ressecção de Ameloblastoma em mandíbula: Relato de caso.

Abstract

Ameloblastoma is a neoplasm of the odontogenic epithelium that, although benign, can present an invasive behavior, in addition to being asymptomatic and of slow growth. The most common treatment for this pathology is resection, which often causes structural deformities. This paper reports the oral rehabilitation of a 75-year-old male patient who underwent resection of an ameloblastoma in the mandibular symphysis region at the FOUFU dental hospital. Due to the irregularity caused in the surgical area, now without supporting tissue and without the expectation of performing grafts, a rehabilitation intervention was necessary to improve the patient's quality of life. Thus, aiming at oral rehabilitation and taking into account the defect caused, two implants were installed bilaterally in the remaining mandible, where a complete denture was supported that will be modified for an overdenture on implants. A conventional total removable prosthesis was made in the maxilla. The possibility of indicating implant-supported prostheses in cases after resection of a benign tumor represents an important differential in improving the prognosis of devices that rehabilitate orofacial deformities. The treatment proposal aims to improve phonetics, develop masticatory and aesthetic capacity, with a comfortable, satisfactory, and effectively retentive prosthesis, which partially already occurs in current prostheses.