Prosthetic Rehabilitation of a Patient with Post-COVID Maxillary Osteomyelitis: Case Report

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Abstract

BACKGROUND: The COVID-19 infection, which emerged in 2019, brought numerous changes to our lives. COVID-19 — associated osteomyelitis of the jaw is directly related to the pathophysiological effects of SARS-CoV-2 on the human body. Post-COVID osteomyelitis in the maxillofacial region is a rare complication requiring prosthetic management to replace the defect.

CASE DESCRIPTION: This report describes a case of maxillary osteomyelitis in a female patient, N., following recovery from COVID-19. Clinical examination revealed complete edentulism and loss of the maxillary alveolar process spanning teeth 15 to 25.

Total atrophy of the anterior maxillary alveolar process, partial anterior tooth loss, impaired mastication and phonation, and visible sunken upper lip were noted upon objective assessment.

The patient was treated with a removable partial denture incorporating an elastic element to restore the anterior maxillary alveolar process.

CONCLUSION: Use of a removable prosthesis with elastic elements for a maxillofacial defect treatment enabled both esthetic restoration and functional improvement in masticatory efficiency, supporting successful prosthetic rehabilitation without surgery. A detailed approach to history collection and treatment is a critical component of a dentist’s work.

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About the authors

Andrey V. Sevbitov

First Sechenov Moscow State Medical University

Email: avsevbitov@mail.ru
ORCID iD: 0000-0002-8247-3586
SPIN-code: 8143-7686

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Moscow

Olga S. Guyter

Ryazan State Medical University

Email: gos.stam@mail.ru
ORCID iD: 0000-0003-1707-7015
SPIN-code: 7745-4210

MD, Cand. Sci. (Medicine), Associate Professor

Russian Federation, Ryazan

Eugenia A. Ruban

Ryazan State Medical University

Author for correspondence.
Email: ea.rb0909@gmail.com
ORCID iD: 0009-0007-5626-9104
Russian Federation, Ryazan

References

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  10. Patent № 2708224 /14.03.19. Byul. № 34. Guyter OS, Mitin NE, Stepanova EP. Complex jaw obturating prosthesis with elastic compensating lining. Available from: https://patenton.ru/patent/RU2708224C1

Supplementary files

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2. Fig. 1. Oral cavity condition of patient N. when she visited an orthopaedic dentist for prosthetics.

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3. Fig. 2. Dental formula of patient N.

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4. Fig. 3. Evaluation of the prosthetic field of patient N.

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5. Fig. 4. Cone-beam computed tomography, 2022: a - in lateral projection, b - tissue volume measurement in the region of the palatal suture, c - bone volume measurement in the region of the second molars.

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6. Fig. 5. Cone-beam computed tomography, 2024: a - in lateral projection, b - tissue volume measurement in the region of the palatal suture, c - bone volume measurement in the region of the second molars.

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7. Fig. 6. Stages of orthodontic treatment: a - working model of the upper jaw, b - fabrication of bite rollers on a rigid base, c - determination of the central jaw relationship.

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8. Fig. 7. Manufactured replacement prosthesis with elastic elements: a - general view, b - prosthesis on a plaster model of the jaw, c - fitting of the finished prosthesis in the oral cavity.

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9. Fig. 8. Diagram of masticatory efficiency of patient N. according to V.N. Trezubov (before treatment, 1, 3 and 6 months after orthopaedic treatment).

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10. Fig. 9. Results of testing according to the TOBOL methodology (profiles of scale scores): a - before treatment; b - immediately after prosthesis fitting; c - 6 months after treatment.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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