Mandibular reconstruction in adults: a review

Goh, Bee Tin; Lee, Shermin; Tideman, H.; Stoelinga, Paul J.W.

doi:10.1016/j.ijom.2008.03.002

Cited by 270 publications

(219 citation statements)

References 115 publications

(58 reference statements)

Supporting

Mentioning

193

Contrasting

Unclassified

Order By: Relevance

“…They are made with the intention of bridging a defect, stabilizing remaining segments, and maintaining occlusion and facial contour. 26 In this patient, the resected area was small and vascularized bone grafts were not used, and any complications related with reconstruction plates were not observed.…”

Section: Discussionmentioning

confidence: 80%

Rehabilitation of Partial Mandibulectomy Using Implant-Supported Removable Prosthesis in an Irradiated Patient: Case Report

Arslan¹,

Yazicioğlu²,

Güngör³

2015

Turkiye Klinikleri J Dental Sci Cases

View full text Add to dashboard Cite

50umor resections of the tongue, mandible, and adjacent tissues cause problems in prosthetic treatment. Resection of the large parts of these tissues may result in several problems such as speech and articulation problems, difficulty in chewing and swallowing, retrusion and deviation of the mandible, difficulty in controlling lips and jaws in excursions, compromised control of salivary secretions or xerostomia, facial asymmetry, sensory loss, and severe cosmetic disfigurement. Implant retained prosthesis is the best treatment option for these patients. Furthermore, this treatment improves the quality of life. However, mandibular resection patients usually undergo radiotherapy, so implants may fail, and treatment plan can be changed. The purpose of this clinical report is to present a patient with a partially resected mandible treated with implant supported prosthesis. A 51 year-old man with partially resected mandible was referred to prosthetic department for the treatment. The patient was treated with implant supported removable prosthesis with presicion attachments as locator and bar retained attachments. For improving the retantion; an extracoronal attachment was placed to remaining canine. And the maxilla was rehabilitated with fixed partial dentures and presicion attachment prosthesis. Finally, the patient was satisfied with the final result of the function and esthetic appearance of the prostheses.K Ke ey y W Wo or rd ds s: : Radiotherapy; mouth neoplasms; dental prosthesis, implant-supported Ö ÖZ ZE ET T Protetik tedavisi yapılmamış mandibular rezeksiyonlu hastalar; estetik açıdan yüz deformitesi, dengeli olmayan bir oklüzyon ve sosyal fonksiyonlarındaki eksiklikten yakınmaktadır. İmplant destekli protez yapımı bu hastaların fonksiyonel ve estetik açıdan tedavisi için etkili bir seçenektir. Ayrıca, bu tip protezler yaşam kalitesinin yükselmesini sağlamaktadır. Bununla birlikte bu hastalar çoğu zaman radyoterapi almak zorunda kalırlar ve implant kaybı nedeniyle protetik planlamanın değişmesi gerekebilir. Bu vaka raporunun amacı, mandibulası kısmi olarak rezeke edilmiş ve radyoterapi almış bir hastaya ait implant destekli protez yapımının sunulmasıdır. 51 yaşındaki erkek hasta protetik tedavi için protez bölümüne başvurdu. Hastaya kron dışı hassas tutucu, lokator ve bar tutuculu hareketli bir implant destekli protez yapılmasına karar verildi. Üst çenenin tedavisinde; sabit parsiyel protez ve hassas tutuculu hareketli protez kullanıldı. Hasta daimi protezin fonksiyonu ve estetik görünümü açısından memnun olarak kliniğimizden ayrıldı.A An na ah ht ta ar r K Ke el li im me el le er r: : Radyoterapi; ağız tümörleri; diş protezi, implant destekli T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J D De en nt ta al l S Sc ci i C Ca as se es s 2 20 01 15 5; ;1 1( (1 1) ): :5 50 0--5 5

show abstract

Section: Discussionmentioning

confidence: 80%

Rehabilitation of Partial Mandibulectomy Using Implant-Supported Removable Prosthesis in an Irradiated Patient: Case Report

Arslan¹,

Yazicioğlu²,

Güngör³

2015

Turkiye Klinikleri J Dental Sci Cases

View full text Add to dashboard Cite

show abstract

“…Some authors believe that the method of immobilization has a big role to play in the success of the graft, [29] -(32), Okoturo [28] - (10), Schlieve et al [23] - (13), Shirani et al [30] -(4), Obiechina et al [25] - (13), Agrawal et al [3] - (8) 80 (74.8)…”

Section: Discussionmentioning

confidence: 99%

“…Okoturo [28] -(4), Schlieve et al [23] - (2), Obiechina et al [25] - (3) 9 (8.4) Odontogenic myxoma/fibromyxoma Schlieve et al [23] -(2), Okoturo [28] - (2), Obiechina et al [25] - (2), Shirani et al [30] - (1) 7 (6.5) Odontogenic keratocyst Shirani et al [30] - (1), Agrawal et al [3] - (1) 2 (1.9)…”

Section: Ossifying Fibromamentioning

confidence: 99%

“…Obiechina et al [25] - (2) 2 (1.9) Cementoblastoma Schlieve et al [23] - (1) 1 (0.9) Odontogenic cyst Okoturo [28] - (1) 1 (0.9) Central giant cell granuloma Okoturo [28] - (1) 1 (0.9) Spindle cell tumor Shirani et al [30] - (1 ) 1 (0.9) Arteriovenous malformation Schlieve et al [23] - (1) 1 (0.9) Osteoblastoma Schlieve et al [23] - (1) 1 (0.9) Osteomyelitis Agrawal et al [3] - (1) 1 (0.9) Total 107 (100) [23] -(2), Obiechina et al [25] -(1), Agrawal et al [3] -(3), Simon et al [29] -(2), Olusanya et al [19] - (2) Wound dehiscence 5 (31.3) Okoturo [28] -(2), Agrawal et al [3] -(1), Olusanya et al [19] - (2) Orocutaneous fistulation 1 (6.2) Okoturo [28] - (1) Total 16 (100) Although a number of the studies in this review employed rigid fixation of the graft with the use of plates and the authors claiming it as one of the main factors for graft success. Few of the studies due to non-affordability of plates by patients employed the use of stainless steel wires for immobilization with good outcomes even in long defect spans.…”

Section: Ameloblastic Fibromamentioning

confidence: 99%

See 1 more Smart Citation

Immediate iliac bone graft reconstruction of post ablative defect of benign mandibular pathology - a systematic review

Ogundipe¹,

Gbolahan²

2017

PAR

View full text Add to dashboard Cite

“…For mandibular reconstruction, the free fibula flap may be used as an osseous flap or as an osseocutaneous flap [10]. Osseous flaps are used when there is minimal soft tissue/mucosal resection done [11].…”

Section: Introductionmentioning

confidence: 99%

Sub-Periosteal Dissection with Denture-Guided Epithelial Regeneration: A Novel Method for Peri-Implant Soft Tissue Management in Reconstructed Mandibles

Kumar

Jacob

Kuriakose

2015

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

Background In patients with reconstructed mandibles using free fibula flaps, management of soft tissues around implants supporting dental rehabilitation, is often a clinical problem. Aim The aim of this paper is to describe a new technique, namely ''Sub-periosteal dissection and denture-guided epithelial regeneration (SD-DGER)'', as a method of periimplant soft tissue management in these patients. Materials and methodsThe technique consists of performing a subperiosteal dissection with creation of buccal and lingual flaps. These flaps form the buccal and lingual vestibule. Implants are placed and an interim denture is immediately loaded onto the implants to guide the regenerated epithelium. A keratinized mucosal layer is formed on the bare fibula bone in six months time. Results This technique was successful in producing fixed keratinized epithelial tissue around implants in patients with mandibles reconstructed using the free fibula flap in patients who did not undergo radiotherapy. ConclusionThe sub-periosteal dissection with denture guided epithelial regeneration is a predictable form of periimplant soft tissue management in selected patients with reconstructed jaws.

show abstract

Mandibular reconstruction in adults: a review

Cited by 270 publications

References 115 publications

Rehabilitation of Partial Mandibulectomy Using Implant-Supported Removable Prosthesis in an Irradiated Patient: Case Report

Rehabilitation of Partial Mandibulectomy Using Implant-Supported Removable Prosthesis in an Irradiated Patient: Case Report

Immediate iliac bone graft reconstruction of post ablative defect of benign mandibular pathology - a systematic review

Sub-Periosteal Dissection with Denture-Guided Epithelial Regeneration: A Novel Method for Peri-Implant Soft Tissue Management in Reconstructed Mandibles

Contact Info

Product

Resources

About