Long-term results of osseointegrated implant-based dental rehabilitation in oncology patients reconstructed with a fibula free flap

Clinical Implant Dentistry and Related Research
Gerardo PellegrinoClaudio Marchetti

Abstract

Dental rehabilitation with conventional prostheses after microvascular jaw reconstruction is often unsuccessful because of the altered oral anatomy and the lack of adequate dentition for fixation. This retrospective study evaluated the long-term outcomes of patients who underwent jaws reconstruction with a fibula free flap and subsequent rehabilitation with implant-supported prostheses. In total, 21 patients were enrolled; 108 osseointegrated dental implants, positioned on 21 fibular free flaps were assessed. Follow-up examinations were performed according to a standardized protocol, including clinical and radiological evaluations. The mean follow-up after implant insertion was 90.2 (range, 20-204) months. The overall implant survival rate was 97.2% at the 12-month follow-up, 86.5% at 60 months, and 79.3% at 120 months. The rate of overall implant success was 95.4% at the 12-month follow-up, 73.5% at 60 months, and 64.7% at 120 months. Implant failure was more common in patients that had implants placed after they underwent radiation therapy. Peri-implantitis and mucositis were identified in 14.8% and 20.3% of surviving implants, respectively, at the 5- and 10-year follow-up. The risk of developing peri-implantitis was estimate...Continue Reading

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Citations

Jun 4, 2019·Clinical Oral Investigations·Mariana Raquel da Cruz VegianLuana Marotta Reis de Vasconcellos
Jun 25, 2020·Clinical Implant Dentistry and Related Research·Funda GokerMassimo Del Fabbro
Sep 24, 2020·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·David H YangCaroline Tram Nguyen
Jun 1, 2020·Oral Diseases·Funda GokerMassimo Del Fabbro
Aug 15, 2020·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Lucas M RitschlThomas Mücke
May 15, 2021·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Johannes N LoddersEngelbert A J M Schulten
Aug 12, 2021·Facial Plastic Surgery : FPS·Adrian OngYadranko Ducic
Aug 18, 2021·Laryngoscope Investigative Otolaryngology·Gabriela L LillyMark K Wax

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