Clinical and Functional Outcomes of Implant Prostheses in Fibula Free Flaps

Abstract

Introduction Functional reconstruction of jaw defects due to surgical resection is a challenge in maxillofacial surgery. The fibula free flap in combination with dental implants has exhibited growing popularity for such reconstructions. This study aimed at evaluating the clinical and functional outcome of dental implants inserted in fibula free flaps and dental implants used for orofacial reconstruction following ablation of tumors. Materials and methods A clinical follow-up study of 10 patients was conducted after oral surgery, who received vascularized fibula bone grafts and endosseous implants for functional jaw reconstruction during a 12-year period. The follow-up protocol included a clinical examination and radiological evaluation and interview using a questionnaire. Information on postoperative recovery after the surgical reconstruction phase and implant placement, type of diet, swallowing problems, speech intelligibility, lip competence, and perceived facial appearance was collected and analyzed. Results The survival rate of fibula free flap was 100%. The survival and success rates of implants placed in the fibula flaps at the end of the follow-up period were 100 and 94% respectively. Conclusion Implants placed in fibula bone grafts have been shown to integrate normally. Surgical reconstruction with vascularized fibula bone grafts followed by placement of dental implants after jaw resection can provide good clinical and functional outcomes for oral rehabilitation with a prosthesis. How to cite this article A riga P, N arayanan V, J ain A R, Philip JM, Nathan S. Clinical and Functional Outcomes of Implant Prostheses in Fibula Free Flaps. World J Dent 2017;8(3):171-176.

Awareness Towards Fixed Orthodontic Treatment Among High School Students in Perambur - A Survey

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KAP On Connective Tissue Grafts in Implant Aest

“…However, the anatomical limits, occlusal space management, occlusal stability and periodontal status must be considered prior to the planning of the esthetic parameters for the future prosthetic restoration (forna and Agop-forna, 2019) Aesthetic outcomes are important for successful dental implantation which are determined by the smile and lip line. previously our department has published extensive research on various aspects of prosthetic dentistry ('evaluation of Corrosive Behavior of four nickel-chromium Alloys in Artificial Saliva by Cyclic polarization Test:An in vitro Study ', 2017;ganapathy, kannan and venugopalan, 2017;Jain, 2017aJain, , 2017bRanganathan, ganapathy and Jain, 2017;Ariga et al, 2018;gupta, Ariga and Deogade, 2018;Anbu et al, 2019;Duraisamy et al, 2019;Ashok and ganapathy, 2019;varghese, Ramesh and veeraiyan,), this vast research experience has inspired us to do research on connective tissue graft in implant aesthetics. The aim of the study is to evaluate the knowledge attitude and practise on connective tissue used in implant aesthetics.…”

KAP on Haemostasis and Usage of Styptics Among Dental Students

“…Previously our department has published extensive research on various aspects of prosthetic dentistry ('evaluation of Corrosive Behavior of Four nickelchromium Alloys in Artificial Saliva by Cyclic Polarization Test:An in vitro Study ', 2017;ganapathy, Kannan and Venugopalan, 2017;Jain, 2017aJain, , 2017bRanganathan, ganapathy and Jain, 2017;Ariga et al, 2018;gupta, Ariga and Deogade, 2018;Anbu et al, 2019;Ashok and ganapathy, 2019;Duraisamy et al, 2019;Varghese, Ramesh and Veeraiyan, 2019), this vast research experience has inspired us to research about various methods practiced and general knowledge of halitosis among dental students. The main purpose of this study being that by determining the frequently practiced methods in management of hemorrhage and a better insight on the degree of understanding of homeostasis and use of haemostatic agents.…”