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

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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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作者简介

Andrey Sevbitov

First Sechenov Moscow State Medical University

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

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Moscow

Olga Guyter

Ryazan State Medical University

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

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

俄罗斯联邦, Ryazan

Eugenia Ruban

Ryazan State Medical University

编辑信件的主要联系方式.
Email: ea.rb0909@gmail.com
ORCID iD: 0009-0007-5626-9104
俄罗斯联邦, Ryazan

参考

  1. Evzikov GYu, Neretin DYu. COVID-19-associated frontal bone osteomyelitis. Clinical case and literature review. The Russian Journal of Neurosurgery. 2024;26(1):92–98. doi: 10.17650/1683-3295-2024-26-1-92-98 EDN: GXIYJB
  2. Datarkar AN, Daware S, Gadve V, et al. Zygomaticomaxillary osteomyelitis due to COVID-19 associated mucormycosis (CAM): a case series of 10 patients. J Maxillofac Oral Surg. 2022;23(6):1–11. doi: 10.1007/s12663-022-01809-z EDN: HPNJCY
  3. Torgashin AN, Rodionova SS. Osteonecrosis in patients recovering from COVID-19: mechanisms, diagnosis, and treatment at early-stage disease (review). Traumatology and Orthopedics of Russia. 2022;28(1):128–137. doi: 10.17816/2311-2905-1707 EDN: KXSWOO
  4. Ilyina RJu, Urakova ЕV. Covid-19 impact on the development of the facial skeleton osteonecrosis in patients with diabetes mellitus. In: Parinsky Readings 2022. Innovations in Prognosis, Diagnostics, Treatment and Medical Rehabilitation of Patients with Surgical Pathology of the Craniomaxillofacial Region and Neck. Proceedings of the National Congress with International Participation, Dedicated to the Memory of Prof., Honored Scientist of the Republic of Belarus OP Chudakov; Minsk. 2022. P. 136–141. (In Russ.) EDN: RUFJRF
  5. Maghraoui W, Koubaji K, Solovjova AV, Kaminnii AI. The peculiarities of cardiovascular systems in patients suffering ischemic heart disease in association with chronic obstructive lung diseases. I.P. Pavlov Russian Medical Biological Herald. 2012;20(2):160–163. doi: 10.17816/PAVLOVJ20122160-163 EDN: PBHYYN
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  9. Ershov KA, Sevbitov AV, Shakaryants AA, Dorofeev AE. Evaluation of elderly patients adaptation to removable dentures. Science of the Young (Eruditio Juvenium). 2018;5(4):469–476. doi: 10.23888/HMJ20174469-476 EDN: ZWJKOT
  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

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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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