Resumo

NOIA, Claudio Ferreira et al. Desafios na reconstrução mandibular devido a lesões extensas ou traumatismosChallenges in mandibular reconstruction due to extensive injuries or trauma. Rev. Assoc. Paul. Cir. Dent. [online]. 2015, vol.69, n.2, pp. 158-163. ISSN 0004-5276.

The loss of much of the mandibular bone, is due to the need for bone resection or by other factors such as the occurrence of injuries, directly affects the lives of patients. Even with the continuous improvement of materials, development of new technologies and surgical techniques, treatment of these large lesions and bone loss is still a major challenge for the surgeon. In this sense, the objective of this study was to report two clinical cases of patients, a central ossifying fibroma of the mandible who underwent mandibular resection and treated by placement of a reconstruction plate system 2.4mm. The second case involved loss of substance because the patient has been the victim of injury by firearms (FAF), evolving with fracture fixation system placed in the first surgery. In the second surgical time the patient underwent bone reconstruction of the defect associated with the placement of new fixation. Thus, we can say that reconstructive procedures are important tools for treatment of patients.

Palavras-chave : fibroma; ossifying; wounds; gunshot; bone transplantation; surgery; oral.