Mandibular Rehabilitation with Fibula Free Flap and Dental Implant: A 4-Year Follow–up

Soobeen Yun; Ahjin Kim; Jin-yong Cho

doi:10.32542/implantology.2024023

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2024 Vol.28, Issue 4 Preview Page

Clinical or Case Report

Mandibular Rehabilitation with Fibula Free Flap and Dental Implant: A 4-Year Follow–up

31 December 2024. pp. 218-227

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Abstract

A 21-year-old male with a plexiform-type ameloblastoma in the left mandible underwent decompression, partial mandibulectomy, and reconstruction using a fibula free flap. Virtual surgical planning facilitated precise resection and optimal placement of the fibula graft at the mid-height of the mandible, thereby improving the crown-to-implant ratio. The temporomandibular joint (TMJ) disc was preserved during mandibulectomy to prevent ankylosis and support functional remodeling of the neo-condyle. Postoperatively, malocclusion was managed through intermaxillary fixation, and implant rehabilitation was initiated after a 9-month healing period. At the 55-month follow-up, the patient exhibited stable occlusion, restored mouth opening, and absence of recurrence or complications at the reconstruction or implant sites. The neo-condyle demonstrated rounded contours resembling a natural condyle, and implant osseointegration was achieved without prosthetic complications. This case elucidates the significance of precise fibula flap positioning at the mid-height of the mandible to ensure long-term implant stability. Additionally, it highlights the pivotal role of TMJ disc preservation in facilitating functional recovery.

Keywords

Dental implants

Fibular free flap

Implant restoration

Mandibular reconstruction

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Information

Publisher :The Korean Academy of Oral & Maxillofacial Implantology
Publisher(Ko) :대한구강악안면임플란트학회
Journal Title :Journal of implantology and applied sciences
Journal Title(Ko) :대한구강악안면임플란트학회지
Volume : 28
No :4
Pages :218-227
Received Date : 2024-11-22
Revised Date : 2024-12-23
Accepted Date : 2024-12-24
DOI :https://doi.org/10.32542/implantology.2024023

Journal of implantology and applied sciences ISSN:2765-7833(Print) 2765-7841(Online) 대한구강악안면임플란트학회지

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