Volume 24, Issue 103, May - June, 2020

Reconstruction of mandibular defect using patient specific peek implant – An approach to aesthetic reconstruction

Chinmay Ghavat^1♦, Nitin Bhola², Anchal Agarwal³, Gaurav Thakre⁴

¹Post Graduate, Dept. of Oral & Maxillofacial Surgery, Sharad Pawar Dental College
²Prof & Head, Dept. of Oral & Maxillofacial Surgery, Sharad Pawar Dental College
³Fellow, Dept. of Oral & Maxillofacial Surgery, Sharad Pawar Dental College
⁴Post Graduate, Dept. of Oral & Maxillofacial Surgery, Sharad Pawar Dental College

^♦Corresponding author
Post Graduate, Dept. of Oral & Maxillofacial Surgery, Sharad Pawar Dental College, Sawangi (M), Wardha, Maharashtra, India. Email: drchinmayghavat@gmail.com

ABSTRACT

Odontogenic keratocyst (OKC) is a developmental cyst arising from the enamel organ or the dental lamina. It commonly affects males in their 2nd - 4th decade and is associate with a high recurrence rate of 2.5 – 62 %. The treatment of OKC depends on the size of the lesion, with conservative approaches like enucleation with or without adjuvant therapies, marsupialisation indicated in smaller lesion For extensive lesions, however, en bloc resection is the choice of treatment. The reconstruction of continuity defect formed following en bloc resection has always remained a question for the surgeons, with options being free tissue transfer, titanium implants and patient specific implants. Polyether etherketone (PEEK) is one such biocompatible alloplastic material recently introduced for the reconstruction of such discontinuity defects in the maxillofacial skeleton. We present a case of reconstruction of discontinuity defect following en bloc reception of OKC of right mandibular body and ramal region using PEEK.

Keywords: Odontogenic Keratocyst; Mandibular reconstruction; Patient specific implant; DICOM; PEEK

Medical Science, 2020, 24(103), 1261-1266

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