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Interim Implant-Supported Resection Prosthesis Following Fibula Free Flap Reconstruction of the Arch with Immediate Implants: A Novel Approach for the Oncologic Patient
- Source :
- Int J Periodontics Restorative Dent
- Publication Year :
- 2020
- Publisher :
- Quintessence Publishing, 2020.
-
Abstract
- Oral cancer treatment involving the maxilla and/or mandible often results in esthetic and functional deficits that can diminish the patient's quality of life. As a result, expeditious reconstruction of the defect and dental rehabilitation is desirable. Dental rehabilitation shortly after reconstruction with an osteocutaneous free flap and resection prosthesis is a persistent challenge for patients with oncologic defects where immediate dental rehabilitation is not a possibility. Additionally, conventional prosthesis fabrication techniques are impractical or impossible due to postoperative anatomical changes and limitations in clinical armamentarium. To address these limitations, a technique and a novel implant-supported prosthetic workflow for the oncologic patient were developed to provide interim dental rehabilitation for such clinical situations. This article describes the prosthesis fabrication technique, reports short-term outcomes, and evaluates patient-reported quality-of-life outcomes using the FACE-Q Head and Neck Cancer Module.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Free flap
Free Tissue Flaps
Prosthesis
Article
Interim
medicine
Humans
Fibula
Dental Implants
Rehabilitation
business.industry
Dental Implantation, Endosseous
Head and neck cancer
Dental prosthesis
medicine.disease
Surgery
stomatognathic diseases
Maxilla
Quality of Life
Periodontics
Dental Prosthesis, Implant-Supported
Mandibular Reconstruction
Oral Surgery
business
Subjects
Details
- ISSN :
- 01987569
- Volume :
- 40
- Database :
- OpenAIRE
- Journal :
- The International Journal of Periodontics & Restorative Dentistry
- Accession number :
- edsair.doi.dedup.....ee01332c0e9799281310d0ee4d626ee3