Prosthetic rehabilitation in mandibulectomized patients
DOI:
https://doi.org/10.35699/2178-1990.2026.58767Palavras-chave:
mandibular osteotomy, head and neck neoplasms, dental implants single-tooth, maxillofacial prosthesis, case reportsResumo
Introduction: Surgical intervention for the treatment of oral squamous cell carcinoma often involves partial or total mandibulectomy, resulting in the loss of teeth and mandibular bone. The sequelae of these surgeries can lead to functional and morphological deficits, significantly impacting patients’ quality of life. Dental prostheses have become a therapeutic alternative for mandibulectomized patients; however, their use remains challenging for clinicians due to anatomical changes caused by surgery, as well as complications associated with radiotherapy, such as hyposalivation and the increased risk of osteoradionecrosis. Additionally, the general and psychological health conditions of these patients may further complicate rehabilitation.
Aim: This study aims to describe two successful clinical cases of patients who underwent segmental mandibulectomy and were prosthetically rehabilitated using different strategies.
Materials and Methods: In these case reports, we describe the fabrication of two prostheses: one with a modified contour due to the presence of a retained bridge, and another consisting of an overdenture supported by a single implant.
Conclusion: These cases demonstrate that prosthetic rehabilitation in patients treated for oral cancer must be individualized in order to restore adequate oral function.
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