Oral Rehabilitation With Dental Implants for Teeth Involved in a Maxillary Fibrous Dysplasia

Abstract

Introduction: Fibrous dysplasia (FD) is a rare but important benign lesion affecting the maxillofacial region that presents bone pain, deformities, and fracture. Although FD presents radiographic patterns, it has to be analyzed histologically for a final diagnosis. Currently, there is no universally accepted guide for FD treatment. This case report describes a successful case of excision of the entire lesion in the upper left maxilla and the placement of two dental implants for oral rehabilitation, followed by guided bone regeneration.Case Presentation: A 49‐year‐old female patient presented with a growth on the left side of the maxilla that developed 4 years previously. Cone‐beam computed tomography was used to analyze the lesion and clinical features, and the FD was confirmed by histologic analysis. Extraction of the teeth involved with the lesion and excising the lesion was suggested. This was followed by two‐implant placement for oral rehabilitation, grafting the cavity with an osteoconductive material. Both implants were successfully integrated, as confirmed by clinical examination and a resonance frequency test.Conclusion: Dental implant and related guided bone regeneration can be successfully obtained in a patient with an FD lesion.