CAD-CAM fabricated Milled-bar and Implant Overdenture after Reconstruction with a Fibular Free Flap: A Clinical Report
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This clinical report describes the oral rehabilitation of a patient who underwent total mandibulectomy and subsequent fibular free flap reconstruction. The patient had adverse soft tissue conditions for a tissue-borne prosthesis and placement of a sufficient number of implants to support a fixed prosthesis was not possible. Therefore, a titanium milled bar supported by four implants was fabricated, and a fabricated overdenture was placed on the milled bar without overlying soft tissue using CAD-CAM technology. A series of treatment procedures for the patient and their follow-up has been presented in this report.
Abstract
This clinical report describes the oral rehabilitation of a patient who underwent total mandibulectomy and subsequent fibular free flap reconstruction. The patient had adverse soft tissue conditions for a tissue-borne prosthesis and placement of a sufficient number of implants to support a fixed prosthesis was not possible. Therefore, a titanium milled bar supported by four implants was fabricated, and a fabricated overdenture was placed on the milled bar without overlying soft tissue using CAD-CAM technology. A series of treatment procedures for the patient and their follow-up has been presented in this report.
참고문헌 (12)
- Meloni SM, "Computer assisted dental rehabilitation in free flaps reconstructed jaws: one year follow-up of a prospective clinical study", Br J Oral Maxillofac Surg, 50, pp.726~731 (2012)
- Schrag C, "Complete rehabilitation of the mandible following segmental resection", J Surg Oncol, 94, pp.538~545 (2006)
- Urken ML, "Oromandibular reconstruction using microvascular composite free flaps", Arch Otolaryngol Head Neck Surg, 117, pp.733~744 (1991)
- Hidalgo DA, "Fibula free flap : a new method of mandible reconstruction", Plast Reconstr Surg, 84, pp.71~79 (1989)
- Sozzi D, "Implant rehabilitation in fibula-free flap reconstruction: A retrospective study of cases at 1-18 years following surgery", J Craniomaxillofac Surg, 45, pp.1655~1661 (2017)
- Sumi Y, "Interface analysis of titanium implants in a human vascularized fibula bone graft", J Oral Maxillofac Surg, 59, pp.213~216 (2001)
- Chiapasco M, "Clinical outcome of dental implants placed in fibula-free flaps used for the reconstruction of maxillo-mandibular defects following ablation for tumors or osteoradionecrosis", Clin Oral Implant Res, 17, pp.220~228 (2006)
- Hayter JP, "Oral rehabilitation with endosteal implants and free flaps", Int J Oral Maxillofac Surg, 25, pp.3~12 (1996)
- Roumanas ED, "Use of osseointegrated implants in the restoration of head and neck defects", J Calif Dent Assoc, 34, pp.711~718 (2006)
- Foster RD, "Vascularized bone flaps versus nonvascularized bone grafts for mandibular reconstruction: an outcome analysis of primary bony union and endosseous implant success", Head Neck, 21, pp.66~71 (1999)
- Blake F, "Retrospective assessment of the peri-implant mucosa of implants inserted in reanastomosed or free bone grafts from the fibula or iliac crest", Int J Oral Maxillofac Implants, 23, pp.1102~1108 (2008)
- Lang LA, "A critically appraised topic review of computer-aided design", computer-aided machining of removable partial denture frameworks, 2014, pp.58, 247~255
