hrvatski

Višegodišnje praćenje implantoprotetske rehabilitacije pacijenata sa slobodnim fibula graftom

Dental implant placement in osteofasciocutaneous free fibula flaps (OSCFFF) presents a special clinical challenge in implantology. Because of the structural diversity, drilling into OSCFFF can be demanding. Often it is difficult to achieve primary stability of the implants. As patients in need of OSCFFF represent a therapeutically demanding group of patients, even when satisfying dental implant osseointegration is achieved, it is not easy to obtain a satisfactory long-term oral rehabilitation. The aim is to show advantages and the importance of pre-surgical planning in patients in need for mid-facial reconstruction using OSCFFF. We present a 4 - 21 years follow-up of OSCFFF reconstruction cases in which the importance of interdisciplinary cooperation between maxillofacial surgeons, oral surgeons and prosthodontists is shown. In all patients after 4 - 21 years, satisfactory functionality and aesthetics of the implant-prosthetic reconstruction in OSCFFF graft were observed. OSCFFF presents a valuable technique for major facial reconstructions. After inserting dental implants in OSCFFF reconstructed jaws, the healing period should be extended up to nine to twelve months. Vestibuloplasty is recommended before placing the dentures. Dental implant placement in OSCFFF presents a valuable solution for major dentoalveolar defects.

dental implantology ; free fibula flap ; implant-prosthetic rehabilitation

nije evidentirano

engleski

Long-term follow-up of implant-prosthetic rehabilitation of patients with free fibula flap

Dental implant placement in osteofasciocutaneous free fibula flaps (OSCFFF) presents a special clinical challenge in implantology. Because of the structural diversity, drilling into OSCFFF can be demanding. Often it is difficult to achieve primary stability of the implants. As patients in need of OSCFFF represent a therapeutically demanding group of patients, even when satisfying dental implant osseointegration is achieved, it is not easy to obtain a satisfactory long-term oral rehabilitation. The aim is to show advantages and the importance of pre-surgical planning in patients in need for mid-facial reconstruction using OSCFFF. We present a 4 - 21 years follow-up of OSCFFF reconstruction cases in which the importance of interdisciplinary cooperation between maxillofacial surgeons, oral surgeons and prosthodontists is shown. In all patients after 4 - 21 years, satisfactory functionality and aesthetics of the implant-prosthetic reconstruction in OSCFFF graft were observed. OSCFFF presents a valuable technique for major facial reconstructions. After inserting dental implants in OSCFFF reconstructed jaws, the healing period should be extended up to nine to twelve months. Vestibuloplasty is recommended before placing the dentures. Dental implant placement in OSCFFF presents a valuable solution for major dentoalveolar defects.

dental implantology ; free fibula flap ; implant-prosthetic rehabilitation

nije evidentirano