Guided implant surgery after free-flap reconstruction: Four-year results from a prospective clinical trial

Meloni, Silvio Mario; Tallarico, Marco; Riu, Giacomo De; Pisano, Milena; Deledda, Alessandro; Lolli, Francesco Maria; Massarelli, Olindo; Tullio, Antonio

doi:10.1016/j.jcms.2015.06.046

Cited by 34 publications

(39 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Other adjunctive surgical procedures, such as reshaping surgery and scar releasing, could have been performed if necessary. Reconstructed skin is not an ideal peri-implant tissue [7]. The tissue covering the fibular bone was skin, therefore "defatting" and peri-implant soft tissue management, should be performed carefully (Fig.…”

Section: Discussionmentioning

confidence: 99%

“…In FFF reconstructive cases, reconstruction usually offers favorable bony volume and bone quality, which allows for stable dental implant installation and fabrication of functional and aesthetic implant-supported prostheses [6]. Even though there are still several limitations, such as the disadvantages of graft soft tissue and the effects of resection surgery and radiotherapy, recent studies have reported a high success rate, indicating the possibility and reliability of dental implant rehabilitation in FFF [4,7].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Implant-supported fixed and removable prostheses in the fibular mandible

Nguyen

Myoung

et al. 2020

Int J Implant Dent

View full text Add to dashboard Cite

Background: To restore the health-related quality of life (HRQoL) of patients who underwent jaw resection and reconstruction surgery, dental rehabilitation is an essential procedure and also one of the most challenging for oral and maxillofacial surgeons. Even though recent studies have reported the possibility and reliability of dental implant rehabilitation with the fibula free flap (FFF), clinical reports of long-term follow-up cases are scarce. We herein reported seven cases of FFF reconstruction and implant rehabilitation. We also discussed implant planning strategy and surgical techniques. Methods: From 2012 to 2019, seven patients were treated with FFF reconstructive jaw surgery combined with dental implant installation and fabrication of implant-supported prostheses at

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Implant-supported fixed and removable prostheses in the fibular mandible

Nguyen

Myoung

et al. 2020

Int J Implant Dent

View full text Add to dashboard Cite

show abstract

“…The insertion of dental implants by means of computer‐assisted template‐based surgery is an established method . One of the most important stages for the development of guided implant placement has been the diffusion of 3‐dimensional imaging technique and modern implant planning softwares . The increased demand for dental implants to replace teeth has encouraged advancement in digital technology to improve patients' acceptance and clinical outcomes .…”

Section: Introductionmentioning

confidence: 99%

Accuracy of newly developed sleeve‐designed templates for insertion of dental implants: A prospective multicenters clinical trial

Tallarico

Kim²,

Cocchi

et al. 2018

Clin Implant Dent Rel Res

Self Cite

View full text Add to dashboard Cite

Background The insertion of dental implants by means of computer‐assisted template‐based surgery is an established method. Purpose To investigate the accuracy of a newly developed sleeve‐designed template and to evaluate differences between maxillary and mandibular implants as well as anterior versus posterior area. Materials and Methods Any partially edentulous patients requiring at least one implant to be planned on three‐dimensional cone beam computed tomography scan, according to a computer‐assisted template‐based protocol, were consecutively enrolled at two centers. Any potential implant position was considered eligible for the present trial. Outcome measures were: implant failure, complications, and accuracy. Results A total of 39 patients with 119 implants were evaluated. No patients dropped out during the study period (mean follow‐up 12.4 ± 7.1 months). Three implants failed at centre two, whereas, one complication was experienced at centre one (limited access in posterior area). Differences were not statistically significant (P > .05). The mean deviations were 0.53 ± 0.46 mm (range 0.05‐3.38 mm; 95% CI 0.32‐0.48 mm) in the horizontal plan (mesio‐distal); 0.42 ± 0.37 mm (range 0.0‐1.53 mm; 95% CI 0.26‐0.40 mm) in the vertical plan (apico‐coronal); and 1.43 ± 1.98° (range 0.03‐11.8°; 95% CI 0.31‐1.01°) in angle. Differences between centers were compared using the nonparametric Mann‐Whitney U test (P > .05). More accurate results were found for anterior implants in both horizontal plan and angle. Conclusion This study showed good precision in all the parameters measured. The results were thus in a range equal to or better than the mean precision found in numerous clinical trials described in the literature. Posterior implants were less accurate because of the use of open sleeves template.

show abstract

“…In order to overcome these issues encountered with autogenous grafting, various techniques and biomaterials of allogenic and xenogeneic origin were introduced and evaluated in clinical studies to increase the width of keratinized tissue [19][20][21][22][23][24]. Collagen devices from xenogeneic origin have been successfully used in dentistry as barrier membranes [25][26][27], as socket seal [28][29][30] and to gain keratinized tissue [19, 21-23, 31, 32]. Even though, results from clinical trials demonstrated that a collagen matrix (XCM) in combination with an apically positioned flap (APF) was effective and predictable for attaining a band of keratinized tissue [21,23,32,33], a clinical benefit compared to the APF alone has not been shown so far.…”

Section: Introductionmentioning

confidence: 99%