CAD-CAM fabricated Milled-bar and Implant Overdenture after Reconstruction with a Fibular Free Flap: A Clinical Report

Yuseung Yi

doi:10.32542/implantology.2021010

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2021 Vol.25, Issue 2 Preview Page

Clinical or Case Report

CAD-CAM fabricated Milled-bar and Implant Overdenture after Reconstruction with a Fibular Free Flap: A Clinical Report

30 June 2021. pp. 95-103

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Abstract

This clinical report describes the oral rehabilitation of a patient who underwent total mandibulectomy and subsequent fibular f ree flap reconstruction. The patient had adverse sof t 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 sof t tissue using CAD-CAM technology. A series of treatment procedures for the patient and their follow-up has been presented in this report.

Keywords

CAD-CAM

Fibular free flap

Implant restoration

Milled bar

Total mandibulectomy

References

Meloni SM, Riu GD, Pisano M, Massarelli O, Tullio A. Computer assisted dental rehabilitation in free flaps reconstructed jaws: one year follow-up of a prospective clinical study. Br J Oral Maxillofac Surg 2012;50:726-31. 10.1016/j.bjoms.2011.12.00622240395

Schrag C, Chang YM, Tsai CY, Wei FC. Complete rehabilitation of the mandible following segmental resection. J Surg Oncol 2006;94:538-45. 10.1002/jso.2049117061277

Urken ML, Weinberg H, Vickery C, Buchbinder D, Lawson W, Biller HF. Oromandibular reconstruction using microvascular composite free flaps. Arch Otolaryngol Head Neck Surg 1991;117:733-44. 10.1001/archotol.1991.018701900450101863438

Hidalgo DA. Fibula free flap: a new method of mandible reconstruction. Plast Reconstr Surg 1989;84:71-9. 10.1097/00006534-198907000-000142734406

Sozzi D, Novelli G, Silva R, Connelly ST, Tartaglia GM. Implant rehabilitation in fibula-free flap reconstruction: A retrospective study of cases at 1-18 years following surgery. J Craniomaxillofac Surg 2017;45:1655-61. 10.1016/j.jcms.2017.06.02128823690

Sumi Y, Hasegawa T, Miyaishi O, Ueda M. Interface analysis of titanium implants in a human vascularized fibula bone graft. J Oral Maxillofac Surg 2001;59:213-6. 10.1053/joms.2001.2049811213993

Chiapasco M, Biglioli F, Autelitano L, Romeo E, Brusati R. 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 2006;17:220-8. 10.1111/j.1600-0501.2005.01212.x16584419

Hayter JP, Cawood JI. Oral rehabilitation with endosteal implants and free flaps. Int J Oral Maxillofac Surg 1996;25:3-12. 10.1016/S0901-5027(96)80004-X

Roumanas ED, Chang TL, Beumer J. Use of osseointegrated implants in the restoration of head and neck defects. J Calif Dent Assoc 2006;34:711-8.

Foster RD, Anthony JP, Sharma A, Pogrel MA. Vascularized bone flaps versus nonvascularized bone grafts for mandibular reconstruction: an outcome analysis of primary bony union and endosseous implant success. Head Neck 1999;21:66-71. 10.1002/(SICI)1097-0347(199901)21:1<66::AID-HED9>3.0.CO;2-Z

Blake F, Bubenheim M, Heiland M, Pohlenz P, Schmelzle R, Gbara A, et al. 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 2008;23:1102‑8.

Lang LA, Tulunoglu I. A critically appraised topic review of computer-aided design/computer-aided machining of removable partial denture frameworks. Dent Clin North Am 2014;58:247-55. 10.1016/j.cden.2013.09.00624286656

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 : 25
No :2
Pages :95-103
Received Date : 2021-05-15
Revised Date : 2021-06-06
Accepted Date : 2021-06-10
DOI :https://doi.org/10.32542/implantology.2021010

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

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