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Assessment of bone density and stability with immediately loaded dental implants with the All‐on‐Four technique in free vascularized fibular grafts used for mandibular reconstruction
Author(s) -
Shawky Mohamed,
Elbeialy Ramy R.,
Khashaba Mohammed M.,
Zedan Mohamed H.
Publication year - 2021
Publication title -
clinical implant dentistry and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.338
H-Index - 85
eISSN - 1708-8208
pISSN - 1523-0899
DOI - 10.1111/cid.13011
Subject(s) - masticatory force , fibula , medicine , mandibular arch , initial stability , dentistry , rehabilitation , mandible (arthropod mouthpart) , orthodontics , dental arch , arch , implant , surgery , tibia , civil engineering , botany , engineering , biology , genus , physical therapy
Background Following free fibula flaps (FFF) reconstruction of mandibular defects the patients need an early dental rehabilitation to regain their masticatory function and enhance their feeding and nutrition. Methods This study included 10 patients, with mandibular defects previously reconstructed with FFF that span the area between the two mandibular angles. They received a full arch fixed restoration supported by four implants using a pilot drilling guide to perform a flapless operation. The stability of the placed dental implants was assessed along with the changes in bone density. Results There was a statistically significant increase in stability after 3 and 6 months, and there was a decrease in density after 6 months. The patient satisfaction improved over the follow‐up period. Conclusion The All‐on‐Four technique is reliable and economic for early functional rehabilitation of resected jaws reconstructed with FFF; however, further studies are needed to investigate the changes in fibula bone density over time and with function.