A case of postoperative reconstructed mandible treated with a telescopic crown-retained denture

Abstract

Patient: A 52-year-old male with difficulty in chewing was referred by an oral surgeon for postoperative mandibular denture preparation. His mandible was reconstructed with peroneal free flap following resection of ossifying fibroma. Alveoloplasty was then performed as preprosthetic treatment and a mandibular interim denture was inserted and adjusted. After wound healing, a mandibular telescopic crown-retained denture was inserted.

Discussion: In this case, it was considered necessary to provide rigid support for the mandibular denture to ensure it would withstand forces during use. The mandibular denture was likely made stable by the alveoloplasty preventing its mobility in conjunction with compressibility of the flap.

Conclusion: It is suggested that good results may be obtained by applying the concept of rigid support.