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Download Fibromyxoma of mandible and maxilla
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The Fabrication of a Prosthetic Mandible Following a Fibromyxoma-Related Mandibulectomy by Jan Truter Bothma In partial fulfillment of BTech: Dental Technology Peninsula Technikon Contents • • • • • • • • • Patient History Patient Condition and Background Treatment Options Treatment Plans Dental Technology Plans Dental Technology Procedures Final Procedure References Acknowledgements Patient History • Male, 27 yrs old • Progressive swelling of mandible • 36 is mobile Patient Condition and Background • Lymphadenopathy in neck • Fibromyxoma diagnosed • X-ray Fibromyxoma • Benign tumour1 • Young male adults • Odontogenic origin2 Treatment Options • Very large in size (approx 12cm3) • Curettage not considered2 • Surgical removal only option Treatment Plans • Oral surgery • No growth found in maxilla Dental Technology Plans • Two choices are available: - Appliance with three titanium wires and acrylic condyle - Titanium mandible Appliance with 3 titanium wires and acrylic condyle Advantages Disadvantages • Inexpensive • Easily fitted • Not similar to tissue to be replaced • Discomfort Titanium mandible Advantages Disadvantages • Is the same as tissue to be replaced • Very good results • Fit is very good • Expensive • Fitting is lengthy process Option most suitable • Titanium mandible most suitable - best result • Option was not chosen - Expensive - Difficult to fabricate Option chosen • The appliance with the 3 titanium wires and acrylic condyle is chosen - Inexpensive - Ease of fabrication Dental Technology Procedures • • • • Mould of condyle Orthodontic acrylic used Wires bent in correct shape Polish Final Procedure • Appliance placed • Screws hold appliance in place • Tissue sutured Laboratory Costs Technikon Laboratory Costs • Materials • Labour = R95 = R0 Total = R95 Private Laboratory Costs • Materials • Labour = R170 = R300 Total = R470 Clinical Costs Tygerberg Hospital • Surgery • Anaesthetist • Accommodation = R17 = R0 = R168 Total = R17 Private Hospital • Surgery • Anaesthetist • Accommodation = R3968 = R4000 = R4368 Total = R11 936 References 1. Http://cancerweb.ncl.ac.uk/omd 2. Http://medicine.osu.edu/oto/atlas/myxom as2.pdf 3. Stedman’s Medical Dictionary. 27th ed. Maryland: Lippincott Williams & Wilkins; 2000. Acknowledgements • • • • • • Prof. Morkel Mrs Nortjie Mr Motto Mr Steyn Mrs Wright Mr van Niekerk (interpreter)
