Reconstruction with fibula transfer and implant supported overdenture for a mandibular defect: A multidisciplinary approach

Ameloblastic Fibroma (AF) is a rare benign tumor of odontogenic origin. The large defect from the tumor ablation make reconstruction of the oral function a challenge. Lack of retention, functional and esthetic problem are commonly encountered during maxillofacial prostheses construction. Multidisciplinary approach is currently the standard of care for these patients. An 18 year old female with AF on right mandible underwent a partial mandibulectomy followed with fibula transfer and simultaneous dental implants placement. All disciplines involved, plastic surgeons, oral maxillofacial surgeons and prosthodontists, worked together since beginning in creating the best treatment for the patient. Implant supported overdenture with bar attachment was the treatment of choice for rehabilitation of patient's mastication and speech. Impression method was modified to accomodate the thick soft tissue around the implants. The aim of this case report is to impart that multidisciplinary approach for mandibular defects is essential to achieve esthetics and functional rehabilitation.