Dental implantology and fibrous dysplasia: A 6-year follow-up case report and a literature review

Background and Aim: It is unclear if fibrous dysplasia (FD) represents a contraindication for implant borne rehabilitation, and only two successful cases are reported in the literature with a 4–2-year follow-up. The present paper discusses this issue reporting a full-arch maxillary rehabilitation with a >5-year follow-up. Materials and Methods: A 79-year-old woman complained of a progressive asymmetry of the medial facial third with inter-arch occlusal alterations, reduced mandibular movements, upper right dental dislocation and mobility and toothache in the upper posterior jaw. The X-ray supported monostotic FD diagnosis was followed by a remodelling intervention in general anaesthesia, with the extraction of the hopeless teeth. After that and the failed rehabilitation with a removable prosthetic device, the patient underwent implant placement procedure for a fixed ‘Toronto-bridge’ prosthesis. Results: After 6 years from implant loading, a posterior vestibular swelling of the affected maxilla was recorded, and one implant in 1.1 position had to be removed for peri-implantitis, without compromising the rehabilitation. Conclusions: The acceptable results obtained in this case should promote the dental implantology practice in FD affected jaws, evaluating the proper clinical situations and the more adequate technological solutions.