Abstract

Acquired defects typically result from traumatic injuries such as falls, motor vehicle accidents, gunshot injuries or radiation injuries. Those maxillofacial defects resulting from motor vehicle accidents in particular often involve various soft and hard-tissue injuries such as fractures or avulsions of the maxillary or mandibular teeth or fractures of the temporomandibular joints. For a patient suffering such injuries, the retention and stabilization of a prosthesis that contributes to the patient's physical and psychological well-being are often difficult to achieve due to the nature of the moveable tissue beds involved and the resulting lack of support from the remaining teeth and bones. This clinical report describes the treatments of two partially edentulous patients with traumatic injuries that resulted from motor vehicle accidents. The prosthetic rehabilitations were accomplished through the manufacture of (1) a mandibular prosthesis with an extracoronal bar attachment, and (2) a maxillary implant-supported removable prosthesis.

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