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

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.

Key points: Why is this case new information? This case is rare because it presents a successful management strategy for fibrous dysplasia in the maxilla with dental implants, a combination that is both uncommon and challenging. What are the keys to the successful management of this case? Successful management relies on accurate diagnosis, careful surgical recontouring to preserve peri-implant bone while providing a maintainable environment for the patient, and thorough postoperative care to ensure healing and stability. What are the primary limitations to success in this case? Primary limitations include the risk of implant compromise, potential recurrence of fibrous dysplasia, and challenges related to bone quality and healing, particularly in an older patient.