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Vol. 17 No. 2 (2026)
DOI: 10.59987/ads/2026.2.386-397
Articles
2026-06-30

Management of maxillary osteonecrosis in a diabetic patient treated with a temporalis muscle flap and rehabilitated with Global D dental implants: a case report.

Authors

Paolo Tiriduzzi, Luca Gentili, Chiara Serantoni, Marco Messi

Keywords: Osteonecrosis, Diabetes Mellitus, Jaw Diseases, Maxilla, Osteomyelitis, Dental Implants

Abstract

Non-bisphosphonate-related osteonecrosis of the jaw (non-BRONJ) in diabetic patients represents a severe complication associated with altered bone metabolism, reduced vascularity, and increased susceptibility to infection. We report the case of a 65-year-old woman with poorly controlled type II diabetes mellitus presenting with stage III osteonecrosis of the maxilla involving the left palatal region. Following surgical resection, the residual intraoral defect was reconstructed using a pedicled temporalis muscle flap. The patient was subsequently rehabilitated with an implant-supported prosthesis.

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Authors

Paolo Tiriduzzi - Complex Operative Unit of Oral Surgery and Odontostomatology AST-2, Ancona, Italy

Luca Gentili - Complex Operative Unit of Oral Surgery and Odontostomatology AST-2, Ancona, Italy

Chiara Serantoni - Dental Student, Department of Clinical Sciences and Stomatology, Polytechnic University of Marche, Ancona, Italy.

Marco Messi - Complex Operative Unit of Oral Surgery and Odontostomatology AST-2, Ancona, Italy

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Copyright (c) 2026 Paolo Tiriduzzi, Luca Gentili, Chiara Serantoni, Marco Messi

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, sharing, adaptation, distribution, and reproduction in any medium or format, provided appropriate credit is given to the original author(s) and source, a link to the license is provided, and any changes made are indicated.

https://creativecommons.org/licenses/by/4.0/

Copyright © 2026 The Author(s).

The Author(s) retain copyright of this article

How to Cite
Tiriduzzi, P., Gentili, L., Serantoni, C., & Messi, M. (2026). Management of maxillary osteonecrosis in a diabetic patient treated with a temporalis muscle flap and rehabilitated with Global D dental implants: a case report. Annali Di Stomatologia, 17(2), 386–397. https://doi.org/10.59987/ads/2026.2.386-397

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