Management of post-implant fibrous dysplasia in the maxilla: A case study

Date

2024-4

Type

Article

Journal title

clinical advances in periodontics

Author(s)

Abdusalam Alrmali

Pages

7 - 1

Abstract

Abstract Background: Fibrous dysplasia is generally rare, and even rarer in older adults. Special care is needed when altering the alveolar bone in these cases, especially if an implant is involved. This case study highlights such a scenario. Methods: This case study details the experience of a 63-year-old African American female who presented with a bump on her jaw, ultimately leading to a diagnosis of fibrous dysplasia. The patient underwent surgery for osseous recontouring to address the bone overgrowth associated with the condition. Results: The study documents the successful surgical recontouring of a fibrous dysplasia lesion in the upper right maxilla that developed 5 years after dental implant placement. Additionally, it highlights the preservation of peri-implant hard and soft tissues over a 6-month follow-up period post-surgery, ensuring proper tissue healing and bone shaping for optimal patient outcomes. Conclusion: The successful surgical recontouring of fibrous dysplasia in the upper right maxilla, along with the preservation of peri-implant hard and soft tissues, underscores the potential for effective oral rehabilitation in similar cases involving dental implants. Plain Language Summary: In this study, we managed a rare bone disorder called fibrous dysplasia in a 63-year-old woman, 5 years after she had dental implants in her upper jaw. This condition leads to bone overgrowth and deformities, making oral rehabilitation challenging. The patient presented with a bump in her upper jaw, which was diagnosed through various tests. We performed surgery to reshape the overgrown bone while preserving her dental implants and surrounding tissues. The surgery was successful, and 6 months later, the implants remained stable with no signs of recurring issues.