ArticlePlastic and reconstructive surgery2020
Short-Term Outcomes following Virtual Surgery-Assisted Immediate Dental Implant Placement in Free Fibula Flaps for Oncologic Mandibular Reconstruction.
Article in Plastic and reconstructive surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Digital workflow feasibility for the fabrication of intraoral maxillofacial prosthetics after surgical resection: a systematic literature review.Acta odontologica Scandinavica · 2024Pooled it
- Meta-analysis of the survival rate and postoperative infection rate of primary and secondary implants after vascularized fibula transplantation for reconstruction of jaw defects.International journal of implant dentistry · 2023Pooled it
- Robot-assisted jaw-in-a-day based on the sandwich approach: case series.Maxillofacial plastic and reconstructive surgery · 2026Article
- Minimally invasive myo-osseous chimeric DCIA-flap without crest, spine and skin to reconstruct composite defects of the mandible using virtual surgical planning and CAD/CAM technology.European journal of medical research · 2025Article
- Evaluation of radiation therapy on grafted and non-grafted defects: an experimental rat model.Journal of applied oral science : revista FOB · 2025Article
- Prosthetic rehabilitation of segmental mandibulectomy patient using a free fibula flap and Corticobasal implant supported prosthesis: A Case report.International journal of surgery case reports · 2024Article
- Imaging in Autologous Breast Reconstruction.Cancers · 2024Review
- Computer-Assisted Surgery in Mandible Reconstruction.Seminars in plastic surgery · 2024Review
- Evolution of Medical Modeling and 3D Printing in Microvascular Midface Reconstruction: Literature Review and Experience at MD Anderson Cancer Center.Medicina (Kaunas, Lithuania) · 2023Review
- Innovative Strategies in Microvascular Head and Neck Reconstruction.Medicina (Kaunas, Lithuania) · 2023Review
- Outcomes of immediate dental implants in vascularised bone flaps for mandibular reconstruction.ANZ journal of surgery · 2023Article
- Virtual Surgical Planning in Free Tissue Transfer for Orbito-Maxillary Reconstruction.Seminars in plastic surgery · 2022Review
- Immediate Dental Implant Placement in the Oncologic Setting: A Conceptual Framework.Plastic and reconstructive surgery. Global open · 2021Article
- Finite element biomechanical comparison of bone-driven and occlusion-driven fibular flap positioning in lateral segmental mandibular reconstruction.Journal of oral biology and craniofacial researchArticle
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Authors and funding
8 authors.
Funding
Abstract
backgroundDespite reports demonstrating feasibility of immediate dental implant placement in mandibular reconstruction with free fibula flaps for benign disease, this practice is not routinely used in the oncologic setting. The authors aim to demonstrate the safety of immediate dental implant placement for oncologic mandible reconstruction.
methodsIn 2017, the authors' center began immediate dental implant placement in free fibula flaps for oncologic patients undergoing mandibulectomy reconstruction. Immediate dental implant placement patients were compared to a historical cohort also reconstructed with computer-aided design and manufacturing technology beginning in 2011 (n = 34) as a noninferiority study design. Primary outcomes of interest included 90-day complications, time to radiotherapy, and time to and number of patients achieving dental restoration.
resultsSixty-one patients underwent free fibula flaps following mandibulectomy using computer-aided design and manufacturing. Seventy-two dental implants were placed in the immediate dental implant placement cohort (n = 27). No differences were noted in major or minor 90-day complications between groups (p > 0.05). Radiotherapy was required in 55 percent in the immediate dental implant placement cohort versus 62 percent in the historical cohort, with no significant difference in time to radiotherapy (67.6 days versus 62.2 days, respectively). One dental implant was removed for nonosseointegration noted during vestibuloplasty. Fourteen (51.8 percent) immediate dental implant patients had complete dental restoration at 90 days compared with none in the historical cohort (p < 0.05).
conclusionsImmediate dental implant placement is a safe procedure with an unchanged short-term complication profile and no delay in radiotherapy initiation. Patients undergoing immediate dental implant placement are more likely to complete full dental rehabilitation. Long-term and health-related quality-of-life outcomes remain to be determined. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
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