A Case of Prosthodontic Rehabilitation after Maxillo-mandibular Reconstruction Using Milling and Riegel Telescopic Method

Abstract

Patient: The patient had difficulty in chewing and swallowing, and had an esthetic dissatisfaction after maxillo-mandibular reconstruction with a rectus abdominis free flap for squamous cell carcinoma of the right buccal mucosa. The maxillofacial prostheses using milling and Riegel telescopic method were fabricated after insertion of interim dentures at the same time as the maxillo-mandibular alveoloplasty so as to make a denture space.
Discussion: It was thought that an early wearing of maxillary and mandibular interim dentures contributed to early making a denture space, and enabled the fabrication of rigid connected maxillofacial prostheses using residual teeth.
Conclusion: Prosthetically driven treatment using alveoloplasty is effective for the treatment of patients with maxillary or mandibular reconstructions.