Gingival hyperplasia around implants in the maxilla and jaw reconstructed by fibula free flap

Ciocca, Leonardo; Corinaldesi, Giuseppe; Marchetti, Claudio; Scotti, Roberto

doi:10.1016/j.ijom.2007.12.010

Cited by 22 publications

(9 citation statements)

References 9 publications

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“…9,33 A reliable solution to this problem may be skin removal around implants and substitution with oral mucosa grafts harvested from the palate, with the objective of obtaining an adequate zone of firmly attached keratinized mucosa around implants. 32 Firmly attached gingiva-like soft tissue could prevent peri-implant soft tissue inflammation and facilitate oral hygiene. 26 The time between mandibular reconstruction and implant placement ranged from 0 to 79 months in the included studies, except for one that used prefabrication of vascularized free flaps.…”

Section: Discussionmentioning

confidence: 99%

Survival, Function, and Complications of Oral Implants Placed in Bone Flaps in Jaw Rehabilitation: A Systematic Review

Zhang¹,

Ding²,

Liu³

et al. 2016

Int J Prosthodont

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M andibular or maxillary continuity defects due to tumor resection, traumatic injuries, severe atrophy, or congenital anomalies can lead to significant facial deformity; altered oral function affecting mastication, speech, swallowing, and/or saliva retention; and subsequent psychologic problems. Aimed to achieve restoration of function and esthetics, oral rehabilitation of patients with bony defects of the jaws remains an important and challenging problem. 1,2 Free vascularized bone flaps have become a reliable procedure in the reconstruction of jaws and the adjacent soft tissue during the last few decades, especially for cases with large and complex defects. 3,4 Survival rates of 92% or higher for free vascularized bone flaps for the reconstruction of the jaws have been reported. 3-5 On the other hand, dental restoration is most important for function and esthetics after jaw resection. 6 Conventional prostheses are often difficult or unsuitable for rehabilitation of masticatory function because of the abnormal condition of hard and soft tissues postreconstruction. Placement of implants in reconstructed jaws permits fabrication of dental prostheses with improved stability and retention, 7-9 which facilitates the support of soft tissues and provides a stable platform for mastication and speech. 1 Rehabilitation of oral function and esthetics has been shown to be achievable by use of vascularized free flaps with the placement of endosseous implants. 2,3

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Section: Discussionmentioning

confidence: 99%

Survival, Function, and Complications of Oral Implants Placed in Bone Flaps in Jaw Rehabilitation: A Systematic Review

Zhang¹,

Ding²,

Liu³

et al. 2016

Int J Prosthodont

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show abstract

“…In this study, gingival hyperplasia may be caused by chronic inflammation and minimal attached and keratinized gingiva around the implants. Chronic inflammation was associated with local factors, such as plaque, calculus, bacteria, or other unknown factors . Previous reports showed that skin grafts or free gingival grafts from the palate around can inhibit or reduce inflammation and prevent gingival hyperplasia …”

Section: Discussionmentioning

confidence: 99%

“…Chronic inflammation was associated with local factors, such as plaque, calculus, bacteria, or other unknown factors. 28 Previous reports showed that skin grafts or free gingival grafts from the palate around can inhibit or reduce inflammation and prevent gingival hyperplasia. 29 Based on the above data, oral hygiene played a critical role in the prevention of gingival hyperplasia and even peri-implantitis in the successful restoration of the oral function of the patients in the present study.…”

Section: Discussionmentioning

confidence: 99%

Restoration of Oral Function for Adult Edentulous Patients with Ectodermal Dysplasia: A Prospective Preliminary Clinical Study

Wang

et al. 2015

Clin Implant Dent Rel Res

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“…In all of these situations, if soft tissue problems are not addressed, implant-supported dental rehabilitation can lead to complications such as poor hygiene around implants, hyperplastic peri-implant tissue, soft tissue infections, and abscesses that may eventually lead to loss of implants and the dental rehabilitation [16].…”

Section: Introductionmentioning

confidence: 99%

Sub-Periosteal Dissection with Denture-Guided Epithelial Regeneration: A Novel Method for Peri-Implant Soft Tissue Management in Reconstructed Mandibles

Kumar

Jacob

Kuriakose

2015

J. Maxillofac. Oral Surg.

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Background In patients with reconstructed mandibles using free fibula flaps, management of soft tissues around implants supporting dental rehabilitation, is often a clinical problem. Aim The aim of this paper is to describe a new technique, namely ''Sub-periosteal dissection and denture-guided epithelial regeneration (SD-DGER)'', as a method of periimplant soft tissue management in these patients. Materials and methodsThe technique consists of performing a subperiosteal dissection with creation of buccal and lingual flaps. These flaps form the buccal and lingual vestibule. Implants are placed and an interim denture is immediately loaded onto the implants to guide the regenerated epithelium. A keratinized mucosal layer is formed on the bare fibula bone in six months time. Results This technique was successful in producing fixed keratinized epithelial tissue around implants in patients with mandibles reconstructed using the free fibula flap in patients who did not undergo radiotherapy. ConclusionThe sub-periosteal dissection with denture guided epithelial regeneration is a predictable form of periimplant soft tissue management in selected patients with reconstructed jaws.

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Gingival hyperplasia around implants in the maxilla and jaw reconstructed by fibula free flap

Cited by 22 publications

References 9 publications

Survival, Function, and Complications of Oral Implants Placed in Bone Flaps in Jaw Rehabilitation: A Systematic Review

Survival, Function, and Complications of Oral Implants Placed in Bone Flaps in Jaw Rehabilitation: A Systematic Review

Restoration of Oral Function for Adult Edentulous Patients with Ectodermal Dysplasia: A Prospective Preliminary Clinical Study

Sub-Periosteal Dissection with Denture-Guided Epithelial Regeneration: A Novel Method for Peri-Implant Soft Tissue Management in Reconstructed Mandibles

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