Long‐term results of mandibular reconstruction with autogenous bone grafts and oral implants after tumor resection

Chiapasco, Matteo; Colletti, Giacomo; Romeo, Eugenio; Zaniboni, Marco; Brusati, Roberto

doi:10.1111/j.1600-0501.2008.01542.x

Cited by 105 publications

(101 citation statements)

References 17 publications

(39 reference statements)

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“…Iliac crest can be recommended in almost all reconstructive situations because it reinforces the resistance of the maxilla, re�establishes its continuity improving facial contour, and provides adequate height and width of bone. Once the graft has consolidated, these reconstructions have proved to be very acceptable aesthetically and functionally to support dental prostheses or for the insertion of dental implants (5,9). However, iliac crest bone grafts present the major problem of its unpredictable resorption.…”

Section: Discussionmentioning

confidence: 99%

“…An additional problem occurs in the maxilla if the graft keeps in contact and communication with natural cavities, as the resorption of the graft may be higher due to compromised re�vascularization and exposition to possible infection. Many publications in the last few years have reported very good results with the use of implants and implant�supported prostheses in reconstructed patients after tumor resection, and demonstrated that they seem to reduce bone resorption significantly, probably due to the fact that prosthetic load stimulates the graft and inhibits bone resorption (5,10). The period of time of delay between bone graft reconstruction and implant placement can fluctuate from 4 to 6 months.…”

Section: Discussionmentioning

confidence: 99%

“…The basic method for providing bone with osteogenic capacity in the maxillary area is carried out by non�vascularized bone grafts. Autogenous bone grafts taken from the iliac crest have demonstrated to be a very reliable means for the reconstruction of maxillofacial defects after ablation of tumors (5). Subsequent to the osseous anatomic reconstruction, masticatory function of missing teeth can be achieved by placing dental implants and using implant�supported prosthesis.…”

Section: Introductionmentioning

confidence: 99%

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Myxofibroma of the maxilla. Reconstruction with iliac crest graft and dental implants after tumor resection

Infante-Cossío¹,

Martínez-de-Fuentes²,

García-Perla-García³

et al. 2011

Med Oral

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Odontogenic fibromyxomas are benign odontogenic tumors of mesenchymal origin of rare presentation in the oral cavity, which exhibit locally aggressive behavior and are prone to local recurrence. The controversy has mainly been on therapeutic management with recommendations varying, depending on the clinical cases, from simple curettage of lesion to segmental bone resection. �e present a case report describing the reconstruction of an os� on to segmental bone resection. �e present a case report describing the reconstruction of an os� �e present a case report describing the reconstruction of an osseous defect in the maxilla and the restoration with dental implants in a 32 year old female patient after radical surgical excision due to an odontogenic fibromyxoma with locally aggressive behavior. The primary reconstruction of maxillary discontinuity defect was carried out by an immediate non�vascularized cortico�cancellous iliac crest graft. Using a computer�guided system for the implant treatment�planning, three dental implants were secondary placed in the bone graft by means of flapless implant surgery. The patient was subsequently restored with an implant�supported fixed prosthesis that has remained in continuous function for a period of three years. The surgical, reconstructive and restorative treatment sequence and techniques are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Myxofibroma of the maxilla. Reconstruction with iliac crest graft and dental implants after tumor resection

Infante-Cossío¹,

Martínez-de-Fuentes²,

García-Perla-García³

et al. 2011

Med Oral

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“…11 It also provides adequate bone for the reconstruction of the maxillofacial defects and facial contour, otherwise it is possible to place implants with acceptable resorption rates due to long term results in the literature. 4,16 Chiapasco et al 4 compared behavior of the implants in bone grafts which were placed after reconstruction of the resected mandibles. They found similar peri-implant bone resorption in autogenous grafts (anterior iliac crest or fibula) and revascularized iliac or fibula flaps, 24 months after prosthetic load.…”

mentioning

confidence: 99%

Büyük Boyutlu Odontojenik Fibromanin Anterior İliak Kret ve İmplant Destekli Sabit Protez ile Tedavisi: Olgu Sunumu

Soylu¹,

Kılıç²,

Zortuk³

et al. 2017

Cumhuriyet Dental Journal

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Purpose: Odontogenic fibroma (OF) is a rare benign odontogenic neoplasm and classified as central (COF) and peripheral (POF) type and COF has two sub groups; epithelium-poor (simple) type and epithelium-rich (WHO or complex) type. Treatment modality of OF is surgical excision. However, after large-scaled excision, reconstruction of the defect may be required. Case Report: 39 years old male patient referred with complain of a painless swelling in anterior maxilla. Incisional biopsy showed that the lesion is simple type OF. Under general anesthesia, lesion enucleated and defect reconstructed with anterior iliac graft. After 8 months, 3 dental implants were placed and final reconstruction was done with implant supported fixed prosthesis. Discussion: OF is a benign and very rare odontogenic neoplasm accounting for 0.5 -5% of odontogenic tumors. Treatment modality of OF is enucleation and curettage, but after enucleation of huge OF, reconstruction may be challenging by the size of the defect. Anterior iliac graft is a gold standard among all autologous bone graft sources and it also provides adequate bone for the reconstruction of the maxillofacial defects, otherwise it is possible to place implants with acceptable resorption rates. Conclusion: Reconstruction of the jaw defects with anterior iliac graft and implant supported fixed prosthesis after enucleation of huge size tumors such as COF, is a feasible method.

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“…If bone loss is significant, intraoral facial prosthetics are the only realistic option for recovering the facial profile and some degree of oral function, such as speaking, mastication and swallowing. Autogenous bone is the gold-standard material for such reconstruction because it has a high inherent physiological capacity for bone formation and demonstrates similar mechanical properties to those of the excised bone [1][2][3][4][5][6][7] , but also carries the risk of extensive bone resorption at the donor site 6) . A heterograft may be used as an alternative, but is itself complicated by the possibility of cross-infection 8,9) .…”

Section: Introductionmentioning

confidence: 99%

Tri-calcium phosphate (ß-TCP) can be artificially synthesized by recycling dihydrate gypsum hardened

et al. 2014

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Calcium phosphate is known as a major component of biological hard tissues. This study aimed to produce calcium phosphate by recycling kneaded surplus gypsum. β-dihydrate gypsum was derived from commercial dental β-hemihydrate gypsum, which was mechanically powdered and mixed with the liquid component of a commercial zinc phosphate cement. This mixture was fired at 1,200°C and evaluated by XRD analysis, thermal analysis and scanning electron microscopy (SEM). An acceptable ratio of mixing was 4 g of β-dihydrate gypsum powder to 1.5 mL of phosphoric acid liquid. XRD peaks were monotonic below 800°C, but new ß-TCP was formed by firing at 900°C or more, although TG-DTA analysis of synthetic ß-TCP suggested that some residual dihydrate gypsum remained in the sample. SEM images indicated a fused-block bone-like structure covered with phosphorus and calcium. These results suggest that production of synthetic β-TCP is possible through ecological techniques using recycled materials.

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Long‐term results of mandibular reconstruction with autogenous bone grafts and oral implants after tumor resection

Cited by 105 publications

References 17 publications

Myxofibroma of the maxilla. Reconstruction with iliac crest graft and dental implants after tumor resection

Myxofibroma of the maxilla. Reconstruction with iliac crest graft and dental implants after tumor resection

Büyük Boyutlu Odontojenik Fibromanin Anterior İliak Kret ve İmplant Destekli Sabit Protez ile Tedavisi: Olgu Sunumu

Tri-calcium phosphate (ß-TCP) can be artificially synthesized by recycling dihydrate gypsum hardened

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