CLINICAL CASE N° 2 (figures 6-8)
A 62 year-old male patient having no general health problem. He smoked 1
pack of cigarettes per day since 30 years. The mandible presented an
infiltrating squamous cell carcinoma in the anterior lingual floor which
had to be surgically treated with anterior hemiglossectomy and
interrupting excision of the entire dentate mandible (while maintaining
the mandibular angles). A fibula graft was planned to rebuild the
mandible. The surgery and the implant-supported reconstruction were
performed. Surgery and implant reconstruction were carried out
immediately in order to anticipate the surgical and prosthetic
rehabilitation of the patient. A fixed implant-supported prosthesis was
considered for optimal arch restoration. The 3D planning allowed a
surgically-driven implant placement (CAD-CAM drilling and implant
guides) for 6 intrafibular implants (Zimmer® (Warsaw, Indiana) (TSVB10,
3.5 or 4.1 x 16mm), and the positioning of the fibula graft.