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CASE REPORT
Year : 2014  |  Volume : 17  |  Issue : 4  |  Page : 528-533

Multidisciplinary approach for the rehabilitation of central giant cell granuloma: A clinical report


1 Department of Prosthodontics, School of Dentistry, Istanbul Medipol University, Istanbul, Turkey
2 Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Erciyes University, Kayseri, Turkey
3 Department of Orthodontics, Faculty of Dentistry, Ondokuz May?s University, Samsun, Turkey
4 Department of Orthodontics, Karadeniz Technical University, Trabzon, Turkey

Correspondence Address:
Emir Yuzbasioglu
Istanbul Medipol University School of Dentistry, Department of Prosthodontics, Ataturk Bulvar? No: 27, Unkapani, 34083, Fatih Istanbul
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1119-3077.134060

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The central giant cell granuloma (CGCG) is benign, nonodontogenic, and intraosseous lesion of the jaw. Aggressive subtypes of CGCG have a tendency to recur after excision and require wide resection that leads to major defects in the jaw. In this case report a patient who had severe mandibular bony deficiency as a result of excision of aggressive CGCG, orthodontic, and prosthetic treatment was described. The defect was reconstructed with iliac bone graft. Four years later vertical distraction osteogenesis was performed on the grafted mandible in order to obtain a satisfactory bony height of mandibular ridge. After healing period three endosseous dental implants were placed to grafted region. Because of pubertal growth stage, a hybrid removable denture was constructed. The construction of a hybrid removable denture markedly improved the patient's speech, mastication, and appearance. After pubertal growth stage, a fixed partial denture construction was planned and future parts of treatment procedures were described to the patient. Distraction osteogenesis and endosseous dental implants can be a good alternative method for the unsatisfactory reconstructions of mandibular deficiencies.


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