Rehabilitation using implants in free fibula flap of a patient with ameloblastoma: Case report with 4-year follow-up

Srivastava, Gunjan; Padhiary, Subrat Kumar; Nayak, Tusar Kanti; Mishra, Niranjan

doi:10.4103/njms.njms_239_20

Cited by 5 publications

(7 citation statements)

References 21 publications

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“…Most articles were published after 2013 (25: 71.4%). Four (24%) studies were conducted in India [ 42 , 44 , 55 , 58 ], Turkey [ 27 , 32 , 47 , 49 ] and Brazil [ 37 , 46 , 52 ], 3 (18%) in the USA [ 30 , 35 , 41 ], Spain [ 31 , 50 , 57 ], China [ 28 , 33 , 43 ], Korea [ 38 , 39 , 53 ], 2 (12%) in Italy [ 36 , 48 ], Finland [ 29 , 40 ] and other studies (6%) in Japan [ 54 ], Colombia [ 59 ], Iran [ 56 ], Taiwan [ 25 ], Austria [ 26 ] and Romania [ 45 ] (Tables 2 and 4 ).…”

Section: Resultsmentioning

confidence: 99%

“…The most common histologic variant was the plexiform type (11%) [ 26 , 37 , 39 , 49 ], followed by the follicular variant (8%) [ 26 , 34 , 38 , 45 , 46 ]. The most affected anatomical region was the mandible (94%) [ 25 , 27 – 49 , 51 – 56 , 58 , 59 ], mainly the posterior (58.3%) and left side of the face (42%), followed by the posterior maxilla (75%) [ 26 , 50 , 57 ]. Clinically, 97% of patients were asymptomatic (did not report pain) [ 25 – 51 , 53 , 54 , 57 – 59 ], and 91% presented cortical expansion [ 25 – 41 , 44 – 47 , 49 – 52 , 55 , 56 , 59 ].…”

Section: Resultsmentioning

confidence: 99%

“…Clinically, 97% of patients were asymptomatic (did not report pain) [ 25 – 51 , 53 , 54 , 57 – 59 ], and 91% presented cortical expansion [ 25 – 41 , 44 – 47 , 49 – 52 , 55 , 56 , 59 ]. Radiographically, 97% of the lesions were radiolucent [ 25 – 53 , 55 , 56 , 58 , 59 ], multilocular (89.10%) [ 25 , 27 – 53 , 56 , 58 , 59 ], well-defined (73.43%) [ 26 – 43 , 45 – 53 , 56 , 58 , 59 ]. Bone resorption was present in 50% [ 27 , 29 , 31 , 32 , 35 – 43 , 45 – 53 , 56 ] of the cases, and 45.31% of the cases had a displacement of teeth adjacent to the tumor lesion [ 27 , 29 , 31 , 32 , 35 – 42 , 56 ].…”

Section: Resultsmentioning

confidence: 99%

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Implant-supported prosthetic rehabilitation after Ameloblastomas treatment: a systematic review

Alarcón-Sánchez,

Becerra-Ruíz,

Yessayan

et al. 2023

BMC Oral Health

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Background Ameloblastoma (AM), the benign counterpart of ameloblastic carcinoma, is a benign odontogenic tumor of epithelial origin, naturally aggressive, with unlimited growth potential and a high tendency to relapse if not adequately removed. Patients with AM treated surgically can benefit from dental implant therapy, promoting oral rehabilitation and improving their quality of life. The present study aimed to determine the survival rate of dental implants placed after surgical treatment of patients affected by AM. In addition, there were two secondary objectives: 1) To evaluate which dental implant loading protocols are most frequently used and 2) To determine the type of prosthetic restoration most commonly used in these patients. Methods The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines were followed during the study. Searches were performed in three databases (PubMed/MEDLINE, Scopus, and Google Scholar) until November 2023. Additionally, the electronic search was enriched by an iterative hand search of journals related to oral pathology and medicine, maxillofacial surgery, and oral prosthodontics and implantology. Only reports and case series in English from January 2003 to date were included. The Joanna Briggs Institute tool (JBI-Case Reports/Case Series) was used for the study quality assessment. Results The total number of patients and implants studied were 64 and 271, respectively, all with surgically treated AM. The patient’s ages ranged from 8 to 79 years, with a mean (SD) age of 37.3 ± 16.4. Fifty-three percent were male and 47% were female. The range of follow-up duration was 1 to 22 years. An implant survival/success rate of 98.1% was reported. In addition, most of them were conventionally loaded (38.3%). Hybrid implant-supported fixed dentures were the most commonly used by prosthodontists (53%). Conclusions Oral rehabilitation with dental implants inserted in free flaps for orofacial reconstruction in surgically treated patients with AM can be considered a safe and successful treatment modality.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Implant-supported prosthetic rehabilitation after Ameloblastomas treatment: a systematic review

Alarcón-Sánchez,

Becerra-Ruíz,

Yessayan

et al. 2023

BMC Oral Health

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“…Since Hidalgo introduced free tissue transplantation to restore jaw defects ( Hakim et al, 2015 ), vascularized fibula flaps have been widely considered the gold standard for mandibular reconstruction ( Srivastava et al, 2022 ) due to their multiple advantages. When the vascularized upper layer of the double-layer fibula is suitable for implantation, the lower layer can effectively restore facial contour and provide better support for soft tissues ( Li et al, 2023a ).…”

Section: Introductionmentioning

confidence: 99%

“…Simultaneous implant surgery during the operation can restore the patient’s bite and chewing function early, reduce surgical trauma, and shorten the repair time ( Srivastava et al, 2022 ). Simultaneous implant surgery can not only restore the patient’s chewing, articulation, and other functions early, but also play a positive role in slowing down the absorption of transplanted fibula, promoting bone tissue regeneration and reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Application of 3D printed titanium mesh and digital guide plate in the repair of mandibular defects using double-layer folded fibula combined with simultaneous implantation

Li,

Mi,

Bai

et al. 2024

Front. Bioeng. Biotechnol.

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Fibula transplantation plays an irreplaceable role in restoring the function and morphology of the defected mandible. However, the complex load-bearing environment of the mandible makes it urgent to accurately reconstruct the mandible, ensure the position of the condyle after surgery, and restore the patient’s occlusal function and contour. The intervention of digital design and three-dimensional (3D) printed titanium mesh provides a more efficient method and idea to solve this problem. Digital design guides the accurate positioning, osteotomy, and simultaneous implant placement during surgery, and 3D printed titanium mesh ensures stable condyle position after surgery, restoring good mandibular function. The double-layer folded fibula maintains the vertical height of the mandible and a good facial contour, and simultaneous implant placement can establish a good occlusal relationship. This study conducted a retrospective analysis of five patients with jaw defects who underwent digital fibula reconstruction over the past 3 years. It was found that the surgical protocol combining digital design, 3D printed intraoperative guides, 3D printed titanium mesh, free fibula flap, immediate implant, and occlusal reconstruction to repair jaw defects had more ideal facial appearance and biological function. It will provide a more reliable surgical protocol for clinical management of large mandibular defects.

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Potential involvement of polycystins in the pathogenesis of ameloblastomas: Analysis based on bioinformatics and immunohistochemistry

Yang

Hou

et al. 2023

Archives of Oral Biology

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Rehabilitation using implants in free fibula flap of a patient with ameloblastoma: Case report with 4-year follow-up

Cited by 5 publications

References 21 publications

Implant-supported prosthetic rehabilitation after Ameloblastomas treatment: a systematic review

Implant-supported prosthetic rehabilitation after Ameloblastomas treatment: a systematic review

Application of 3D printed titanium mesh and digital guide plate in the repair of mandibular defects using double-layer folded fibula combined with simultaneous implantation

Potential involvement of polycystins in the pathogenesis of ameloblastomas: Analysis based on bioinformatics and immunohistochemistry

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