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Prosthetic challenges in rehabilitating maxillomandibular trauma case: a multidisciplinary approach
  1. Aditi Verma1,
  2. Lakshya Kumar2,
  3. Veerendra Prasad3 and
  4. Akanksha Yadav4
  1. 1Prosthodontics, Crown & Bridge, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
  2. 2Prosthodontics, King George's Medical University, Lucknow, Uttar Pradesh, India
  3. 3Plastic and Reconstructive Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India
  4. 4Department of Oral and Maxillofacial Surgery,Faculty of dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Lakshya Kumar; lakshya79{at}


Although maxillofacial trauma is relatively common, it still presents a challenging management. Its management includes treatment of facial bone fractures, dentoalveolar trauma and soft tissue injuries as well as associated injuries. Plastic surgeons, maxillofacial surgeons and prosthodontists have an interest in the subject of maxillofacial injuries, particularly in the area of functional as well as aesthetical stomatognathic rehabilitation. Present case was a clinical scenario with maxillofacial trauma due to entanglement in agricultural equipment leading to fracture of palatal bone and fracture of mandible in symphysis region. The patient’s mastication, phonetics, aesthetics and social life were affected. Initial management was performed by the plastic surgeons. Rehabilitation of maxillary defect was performed using fixed removable bridge with palatal extension to cover the cleft part, and cortical implant-supported fixed prosthesis was planned as the prosthetic treatment for mandibular arch. On follow-up, there was improvement in speech and mastication, and patient felt more confident in social interaction after prosthetic rehabilitation.

  • Dentistry and oral medicine
  • Head and neck surgery
  • Mouth

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  • Contributors AV: concept, design, follow-up and analysis. LK: concept, design, follow-up, analysis, expert review. VP: concept and work. AY: data evaluation.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.