Naslov
Dental implants in maxillary and mandibular reconstructions using osteocutaneous free fibula flap

Autori
Brajdić, Davor ; Macan, Darko ; Žabarović, Domagoj ; Salarić, Ivan ; Dediol, Emil ; Zajc, Ivan ; Uglešić, Vedran

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Abstracts of the EAO Congress, Stockholm, 24–26 September 2015. U: Clinical Oral Implants Research, 2015 ; 26(S12) / - , 2015, 189-189

Skup
The 24th EAO Annual Scientific Meeting

Mjesto i datum
Stockholm, Švedska, 24.09.2015. - 26.09.2015

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
dental implants ; osteocutaneous free fibula flap

Sažetak
Background: Dental implant placement in osteofasciocutaneous free fibula flaps (OSCFFF) presents a special clinical challenge in implantology. Extensive vertical height loss caused by bone resorption, with a consequential width and height reduction of the 'alveolar ridge’, remains a frequent problem and is often considered a major drawback. Because of the structural diversity, drilling into OSCFFF can be demanding. Often it is difficult to achieve primary stability of the implants, and therefore pre-surgical implant placement planning is a necessity. As patients in need of OSCFFF represent a therapeutically demanding group of patients, even in case of satisfying implants osseointegration, it is not easy to achieve a complete oral rehabilitation. Aim/Hypothesis: To show advantages and the importance of pre-surgical planning in patients in need for mid-facial reconstruction using OSCFFF. We present three OSCFFF reconstruction cases in which the importance of interdisciplinary cooperation between maxillofacial surgeons, oral surgeons and prosthodontists is shown. Material and methods: First patient, male, had undergone midline maxillary reconstruction of the right maxilla after a fracture. One year after reconstruction, two 11 mm dental implants were placed in the region of the right second incisor and the second premolar. Nine months later, vestibuloplasty was performed and a partial prosthesis placed on two locators. The second patient, female, had undergone total medial maxillary reconstruction, due to the gingival planocellular carcinoma. Radiotherapy wasn’t performed and two years after she was healthy without recurrence. Four 11 mm dental implants were placed in the regions of the second incisors and first premolars. One year after, vesibuloplasty was performed and implants opened. Due to the absence of hard palate tissue, a reduced total prosthesis on four locators was designed. The third patient, male, underwent mandibular reconstruction from the right angulus to the left corpus, due to the planocellular carcinoma of the sublingual region. Radiotherapy wasn’t performed and two years after he was healthy without recurrence. Two 11 mm dental implants were placed in the premolar regions for total prosthesis on two locators. Nine months after, combined lingual- vestibuloplasty was performed and implants were opened just before loading the total prosthesis. Ankylos implants (Dentsply Implants, Germany) were used in all three patients. Results: After a three-year follow up, satisfactory functionality and esthetics were observed in all three cases. Conclusions and clinical implications: OSCFFF presents a valuable technique for major facial reconstructions, not only for dentoalveolar reconstruction but for face esthetics outcome in general. After inserting dental implants OSCFFF reconstructed jaws, the healing period should be extended from nine to twelve months. Vestibuloplasty is recommended immediately before placing the dentures.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Dentalna medicina

POVEZANOST RADA