Maxillary rehabilitation for post-traffic accident patient using definitive metal framework denture: a case report

Traffic accidents can cause facial injuries, including damage to the oral cavity and teeth. Surgical reconstruction often fails to fully restore the patients' mastication, phonetic, and aesthetic functions, necessitating definitive prosthetic rehabilitation. Metal frameworks can be an option for rehabilitating hard and soft tissue damages in the oral cavity as they can provide comfort and strength, supporting the artificial teeth that replace the lost ones, both anteriorly and posteriorly. Metal frameworks offer good retention and stability, as well as excellent adjustment to the teeth and jaw structures. In this case report, we document the rehabilitation of a post-maxillary reconstruction oral cavity defect with a definitive metal framework prosthesis. A 28-year-old patient visited the Prosthodontics Department of RSGMP UnHas Makassar, referred from RSP UnHas, after undergoing maxillary reconstruction surgery due to a traffic accident 6 months prior. The patient was concerned about the sunken appearance of the front lip and tooth loss. Clinical and supportive examinations, including panoramic radiographs, showed the loss of teeth 11.21.23,24,25 and a loss of one-third of the anterior maxillary bone. The treatment plan included the creation of a definitive metal framework prosthesis. The definitive metal framework prosthesis can rehabilitate defects in the oral cavity following maxillary reconstruction.