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Application of Platelet-Rich Fibrin and Bone Morphogenetic Protein for Full-Mouth Implant-Based Oral Rehabilitation in a Case of Mandibular Osteoradionecrosis.

Amirhossein MoaddabiParisa SoltaniArman YazdaniMohammad Hossein NikbakhtPardis Amani BeniElahe ModabberFlavia IaculliGianrico Spagnuolo
Published in: Case reports in dentistry (2023)
Osteoradionecrosis (ORN) is a debilitating complication following radiation therapy, which in the head and neck region, occurs most frequently in the mandible. Although ORN is rare, it is complex and multifactorial and requires appropriate management. Manipulation of bone in patients with head and neck cancers before radiotherapy can cause ORN. In this report, we aim to present successful insertion of four dental implants in the interforaminal segment combined with application of platelet-rich fibrin and bone morphogenetic protein in a 60-year-old male with stable ORN in the posterior regions of the mandible.
Keyphrases
  • radiation therapy
  • locally advanced
  • soft tissue
  • early stage
  • radiation induced
  • bone mineral density
  • platelet rich plasma
  • squamous cell carcinoma
  • postmenopausal women
  • rectal cancer
  • cone beam computed tomography