Treatment Of A Microvascular Reconstructed Mandible Using An Implant-Supported Fixed Partial Denture: Case Report

Treatment of Hemi‐Mandibulectomy Defect with Implant‐Supported Telescopic Removable Prosthesis. A Clinical Report

“…However, the resulting height of the hard tissue in sites restored with the FFF is usually deficient. This is critical in cases of partial mandibular resection where the contralateral side is unaffected and the occlusal plane is found further cranially, and an unfavorable “crown‐to‐implant ratio” is introduced to the implant‐supported restoration. To overcome this disadvantage, several techniques have been proposed, such as the “double barrel” fibula transfer or the use of vertical distraction osteogenesis to improve bone height.…”

“…Dental implants provide considerable solutions as supporting elements, where lack of adequate support and retention from the remaining teeth and compromised edentulous areas exist . Implants placed in FFFs have been shown to achieve adequate osseointegration and comparable long‐term success to implants placed in native bone .…”

“…The use of implant‐supported removable prostheses makes treatment more feasible for rehabilitation of orofacial defects . Various clinical studies and case reports have demonstrated the use of different clip and bar designs, stud attachments, or magnets for such cases. The use of a double crown system (conical crowns) on implants, in combination with an overdenture, has been shown to be very successful .…”

“…Large volumes of autogenous combined soft‐ and hard‐tissue grafts can be transferred from various donor sites and used for the reconstruction of deficiencies . Among the numerous available options, the osteocutaneous free fibula flap (FFF) represents a widely used treatment modality for the reconstruction of mandibular defects and allows for repair of the mandibular continuity …”

“…After reconstructive surgery, drastic changes in oral anatomy as well as the establishment of new anatomical relationships make dental rehabilitation with a conventional prosthesis challenging . Although removable prostheses can adequately support the facial soft tissues, the new denture‐bearing surfaces occasionally fail to provide ideal retention and stability …”