Abstract
Continuity defects in bone after resection of the jaw may cause problems, and osseo-myocutaneous
free flaps are the gold standard for their reconstruction. Implant-supported prosthetic
rehabilitation is reliable with these microvascular options, although it is still
a serious challenge. The aim of this prospective clinical study was to describe the
advantages of implants restored according to a computer-assisted surgical protocol.
A group of 10 consecutive patients (both sexes) had already been treated and followed
up for at least 1 year after prosthetic loading. The NobelGuide protocol had to be
modified to adapt the technique for these patients who had had reconstructions. A
total of 56 fixtures were installed and, when possible, immediately loaded (overall
survival of implants 95%). Every patient was given correct provisional prosthetic
rehabilitation, which was most satisfactory as far as chewing, social functioning,
and overall quality of life were concerned. Three-dimensional computed tomographic
(CT) examination showed a mean (SD) marginal bone loss of 1.06 (0.5) mm. We used a modified technique of computer-assisted implant surgery in jaws that
had been reconstructed with free flaps; from these preliminary findings this approach
seems valid when it comes to function, improving prosthetic restoration, and aesthetics.
Keywords
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Article info
Publication history
Published online: January 12, 2012
Accepted:
December 13,
2011
Identification
Copyright
© 2012 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
