Open AccessRehabilitation of a Patient with Central Giant Cell Granuloma of Mandible by Iliac Graft, Bone Distraction and Implant Retained Telescopic Prosthesis: a Two Year Follow Up
Author(s) -
Vipin Saxena,
Anil Kumar Sethuram,
Manish Mittal
Publication year - 2014
Publication title -
the journal of indian prosthodontic society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.419
H-Index - 20
eISSN - 1998-4057
pISSN - 0972-4052
DOI - 10.1007/s13191-014-0356-0
Subject(s) - medicine , central giant cell granuloma , giant cell , prosthesis , implant , mandible (arthropod mouthpart) , curettage , fibula , lesion , ostectomy , surgery , dentistry , tibia , pathology , biology , botany , genus
Giant cell granulomas of the jaws are lesions that arise either peripherally in periodontal ligament, mucoperiosteum, or centrally in the bone. Histologically, both peripheral and central giant cell granuloma are characterized by the presence of numerous multinucleated giant cells in a prominent fibrous stroma. Traditional treatment has been local curettage, although aggressive sub-types have a high tendency to recur. This case report describes the rehabilitation procedure of a patient with central giant cell granuloma of left side of mandible. Marginal resection of the lesion was done followed by reconstruction of the resected mandible with iliac graft. Distraction of bone was done since there was partial uptake of the fibula graft. Five implants were placed once the distraction was complete. The patient was rehabilitated with implant retained removable telescopic prosthesis.