Fibula onlay reconstruction of the severely atrophic mandible in a patient with chronic lymphocytic leukemia: case report.

摘要: Mandibular atrophy is a multifactorial problem, evolving insidiously over years of edentulism to render its victim prone devastating mandibular fracture from relatively insignificant trauma. Fractures sustained by this patient group have the potential be life threatening as lack interfragmentary osseous contact predisposes extreme degrees displacement, which can retrude tongue and lead airway compromise. The lot these patients further compromised comorbidities attendant their age, adding difficulty medical surgical management. treatment such fractures often difficult, costs care are large, functional results disappointing. early identification atrophy, before fracture, provide an invaluable service patients. Prophylactic may avoid complications produce better results. Denture-wearing with follow progressive deterioration in masticatory ability, commensurate degree atrophy. Initially, lower denture fit retention adequate, but requires regular use adhesive. Further necessitates elimination coarser, nutritious foods diet. Patients advanced leave dentures out during meals, choosing juggle prosthesis between lips only for social appearances. Such frustrating treat prosthodontic standpoint, they recall first expect similar “new teeth.” Osseointegrated dental implants revolutionized patients, long adequate bone present allow implant placement. Chronic lymphocytic leukemia (CLL) slowly