scholarly journals Long‐term prognosis of mandibular functional reconstruction with fibula free flap and dental implants

2020 ◽  
Vol 31 (S20) ◽  
pp. 49-49
Author(s):  
Wei Fang ◽  
Li Dehua ◽  
Liu Yan‐Pu
Keyword(s):  
Dental Implants ◽  
Free Flap ◽  
Functional Reconstruction ◽  
Fibula Free Flap ◽  
Long Term Prognosis

Tracking Tag Stabilization with a Small-Diameter Implant in an Edentulous Mandible to Assist Dynamically Navigated Surgery: A case report

2021 ◽  
Author(s):  
Dan Tran ◽  
Janina Deeb ◽  
Pandora Wojnarwsky ◽  
George Deeb
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Free Flap ◽  
Small Diameter ◽  
Fiducial Marker ◽  
Minimal Incision ◽  
Fibula Free Flap ◽  
Edentulous Mandible ◽  
Anterior Mandible ◽  
Microvascular Free Flap

This report describes the use of a temporary dental implant to secure a radiographic fiducial marker and patient tracking tag to an edentulous mandible for dynamically guided implant placement into a fibula microvascular free flap. A small diameter dental implant was placed into the anterior mandible to secure a radiographic fiducial marker followed by a patient tag. The patient tag allowed for tracking of the patient’s mandible during placement of endosseous dental implants. Four endosseous dental implants were successfully placed into the edentulous fibula free flap mandibular reconstruction. Dynamic navigation using a small diameter implant to secure radiographic fiducial markers and patient tags provides a novel technique to place implants into an edentulous microvascular free flap with minimal incision and reflection of soft tissue.

Long-term results of osseointegrated implant-based dental rehabilitation in oncology patients reconstructed with a fibula free flap

2018 ◽  
Vol 20 (5) ◽  
pp. 852-859 ◽  
Author(s):  
Gerardo Pellegrino ◽  
Achille Tarsitano ◽  
Agnese Ferri ◽  
Giuseppe Corinaldesi ◽  
Alberto Bianchi ◽  
...  
Keyword(s):  
Free Flap ◽  
Long Term Results ◽  
Oncology Patients ◽  
Osseointegrated Implant ◽  
Fibula Free Flap ◽  
Dental Rehabilitation

scholarly journals Augmentation the width of a keratinized attached gingiva in patients with dental implantation

2018 ◽  
pp. 5-15
Author(s):  
T. V. Brailovskaya ◽  
A. P. Vedyaeva ◽  
R. V. Kalinin ◽  
E. A. Garibyan ◽  
Z. A. Tangieva ◽  
...  
Keyword(s):  
Dental Implants ◽  
Soft Tissues ◽  
Scientific Interest ◽  
Mucogingival Surgery ◽  
Dental Implantation ◽  
Attached Gingiva ◽  
Long Term Prognosis ◽  
Dermal Matrices ◽  
Implant Treatment

To date, there has been an increase in the scientific interest in the state of soft tissues surrounding dental implants and their influence on the long-term prognosis of implant treatment. It is known, that the risk factors for the development of periimplantitis include a deficiency or complete absence of an attached keratinized gingiva in the area of implants. The article provides a comparative analysis of various methods of mucogingival surgery in the field of dental implants using free gingival autografts and xenogenic dermal matrices.

scholarly journals Treatment of extensive tumors of the jaws by hemimandibuloectomy with simultaniouse reconstruction of the mandible, arthroplasty of temporomandibular joint, orthopedic rehabilitation supported by dental implants

2020 ◽  
Vol 10 (3) ◽  
pp. 97-110
Author(s):  
C. R. Rahimov ◽  
A. A. Ahundov ◽  
G. I. Hajiyeva ◽  
R. Ch. Rahimli ◽  
D. A. Safarov ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Dental Implants ◽  
Free Flap ◽  
Surgical Procedure ◽  
Preoperative Planning ◽  
Single Step ◽  
Surgical Reconstruction ◽  
Patient Specific ◽  
Fibula Free Flap ◽  
Condylar Head

Background. Reconstruction of subtotal and total defects of maxillofacial region after ablative tumor surgery is a challenging task of reconstructive surgery. The “golden rule” is maintaining of radicalism of ablative surgery as well as appropriate surgical reconstruction and prosthodontic rehabilitation, that allows patient return to normal life. Wherein reconstructive procedure is focusing on restoring of mandibular continuity by the means of different flaps and grafts, while prosthodontic rehabilitation is performing after some period of time (usually around year) by the means of removable and non-removable prosthodontic devices. Non-removable device requiring dental implants insertion into grafted material followed by period of osteointegration, that is requiring some time as well. However, within this period of time one could observe significant soft tissue deformity.The objective is to improve the outcomes of surgical reconstruction of extensive defects of the mandible and to carry out rapid prosthodontic rehabilitation supported by dental implants by application of 3D preoperative planning and navigation devices.Clinical case. Forty-nine years-old female patient with recurrent ameloblastoma, that affects vertical and horizontal ramus of the mandible. Within virtual preoperative planning one performed: resection of the mandible associated with exarticulation of condylar head, virtual plate bending according to contours of the mandible (that were determined by application of “mirror” function of virtual planning software), arthroplasty of temporomandibular joint, determination of donor site on fibula bone, osteotomy of fibula free flap, positioning of dental implants, transferring of composite flap and it’s fixation by reconstructive plate. According to acquiring data one performed fabrication of patient specific navigation guides for both fibula flap segmentation and dental implants positioning. Surgical procedure included single-step tumor ablation and exarticulation of condylar head, reconstruction of defect by the means of osseo-myo-cutaneous fibula free flap, that was pre-implanted by dental implants, total joint reconstruction by titanium condylar head and polypropylene fossa, fixation of the flap and condylar head in recipient site by the means of prebended reconstructive plate, as well as insertion of non-removable bridge prosthodontic device. Postoperative result was asses clinically and radiologically. No significant postoperative complications occurred. Restoration of facial contours, mouth opening, I class occlusion, as well as adequate meal and speech were detected. Postoperative radiological investigation revealed adequate positioning of dental implants within neo-mandible, as well as positioning of artificial joint.Conclusion. In cases of extensive tumors of the jaws single-step ablative surgical procedure, reconstruction of missing anatomical structures of the jaws and simultaneous prosthodontic rehabilitation allows to prevent possible deformities of the soft tissues and due to rapid restoration of vital functions has great impact to quality of patient’s life. Adequacy of performing procedures could be reached by implementation of virtual preoperative planning and fabrication of patient-specific surgical guides.

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