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Patient : The pateient was a 17-year-old female adolescent whose chief complaints were deformation of the right side of her face and pain in the right maxilla region. The pathological diagnosis was myxoma. The right side of the maxilla (from the canine to the third molar) , part of the top wall of the maxillary sinus, and part of the right nasal cavity were extirpated. Autogenous bone from the ilium was grafted five years after the extirpation. Three implants were inserted, and a four-unit fixed partial denture was set for use in reconstructing the missing part of the maxilla and the missing teeth. Discussion : A complete bone graft was not done due to the possible recurrence of the myxoma. Although a removable partial denture supported by implants is the standard treatment, a fixed partial denture was used instead at the patient's request, and the right upper molar region was not reconstructed. Bone resorption was observed for two years after the denture was set. Although the resorption has become calm, continuous observation was naturally needed. While the occlusal contact pattern changed during the six months following denture setting, more significant changes were not observed. 東北大学大学院歯学研究科口腔システム補綴学分野 Tohoku University Graduate School of Dentistry, Division of Advanced Prosthetic Dentistry 受 付:2006年10月26日/受 理:2007年1月12日 Received on October 26, 2006/Accepted on January 12, 2007

A Case of Prosthetic Reconstruction using Autogenous Bone Graft and Dental Implants for Maxillary Defect Following Myxoma Extirpation