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A multidisciplinary mandibular reconstruction with morphogenetic protein, dental implants in a patient with central ossifying fibroma

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Abstract

A 47-year-old woman presents with a lesión radiolucent lesión well delimited in the right mandible, when performing an inciosnal biopsy, purulent serous fluid is observed, enucleation of the lesion and curettage is performed, which evolves favorably.  Later she presents problems and radiographic changes, an incisional bioispia is performed again, the histological result reports a central ossifying fibroma. A mandibulectomy is performed with reconstruction based on morphogenetic protein and plasma fibrin with Chuckron technique together, a titanium bar and titanium mesh was utilized for containing de autologus harvest, three Nobel replace conical connection implants were placed and three screw-retained crowns were made in metal ceramic. In this clinical case the authors presents a multidisciplinary aproach with a follow up of 19 years.

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Authors

Raymundo Ramírez Lugo - Department of Maxilofacial Surgery, Division of Graduate studies, National Autonomous University of Mexico, México city, Mexico

Eduardo Basáñez Rivera - Department of Prosthodontics, Division of Graduate Studies, Autonomous University of Queretaro, México

Juan Carlos López Noriega - Department of Maxilofacial Surgery, Division of Graduate Studies, National Autonomous University of Mexico, México city, Mexico

Thomas Werner Graber - Manager of Swiss Porcelain Laboratory, Zahntechniker, Cuernavaca Morelos, México.

How to Cite
Ramírez Lugo, R. ., Basáñez Rivera, E. ., López Noriega, J. C., & Werner Graber, T. . (2026). A multidisciplinary mandibular reconstruction with morphogenetic protein, dental implants in a patient with central ossifying fibroma . Annali Di Stomatologia, 17(1), 20–39. https://doi.org/10.59987/ads/2026.1.20-33