An implant-supported prosthetic rehabilitation after a fibula free flap reconstruction should ne considered a valid solution in serected patients but the soft tissue complications, that often occur, could compromise the long-term success. The objectives of this study are: to evalutate the survival and success rates of implants placed in fibula-free flaps used to reconstruct maxillary and mandibular defects following surgical resection: to evaluate the differences between the clinical outcome of the native fibula-free flap and vertically distracted fibula-free flaps and the differences between the different kind of perimplants mucous. Implants placed in fibula free flaps were demonstrated to integrate normally, with an regular survival but lower success rate. We have marked bone resorption around the implants probably due to the formation of granulomatous tissue. We have a high number of complications of perimplant mucosa. Corrective soft tissues surgeries are required, careful peri-implant follow-up and the maintenance of oral hygiene is mandatory

LOW IMPLANT SUCCESS IN FIBULA-FREE FLAPS: A LONG TERM RETROSPECTIVE RESULTS

PELLEGRINO, GERARDO;LIZIO, GIUSEPPE;CORINALDESI, GIUSEPPE;BIANCHI, ALBERTO;MARCHETTI, CLAUDIO
2011

Abstract

An implant-supported prosthetic rehabilitation after a fibula free flap reconstruction should ne considered a valid solution in serected patients but the soft tissue complications, that often occur, could compromise the long-term success. The objectives of this study are: to evalutate the survival and success rates of implants placed in fibula-free flaps used to reconstruct maxillary and mandibular defects following surgical resection: to evaluate the differences between the clinical outcome of the native fibula-free flap and vertically distracted fibula-free flaps and the differences between the different kind of perimplants mucous. Implants placed in fibula free flaps were demonstrated to integrate normally, with an regular survival but lower success rate. We have marked bone resorption around the implants probably due to the formation of granulomatous tissue. We have a high number of complications of perimplant mucosa. Corrective soft tissues surgeries are required, careful peri-implant follow-up and the maintenance of oral hygiene is mandatory
EAO 20th Annual Scientific meeting programme and abstracts
916
916
Pellegrino G; Macchia MT;Lizio G; Corinaldesi G; Bianchi A; Marchetti C
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/108610
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