Open AccessInterim Implant-Supported Resection Prosthesis Following Fibula Free Flap Reconstruction of the Arch with Immediate Implants: A Novel Approach for the Oncologic Patient
Author(s) -
Evan B. Rosen,
Zain Ahmed,
Amr A Habib,
Joseph M. Huryn,
Joseph Randazzo,
Jennifer R. Cracchiolo,
Evan Matros,
Jonas A. Nelson,
Robert J. Allen
Publication year - 2020
Publication title -
the international journal of periodontics and restorative dentistry/international journal of periodontics and restorative dentistry
Language(s) - English
Resource type - Journals
eISSN - 1945-3388
pISSN - 0198-7569
DOI - 10.11607/prd.4675
Subject(s) - medicine , prosthesis , rehabilitation , interim , implant , maxilla , fibula , dental prosthesis , free flap , head and neck cancer , dentistry , surgery , radiation therapy , physical therapy , tibia , archaeology , history
Oral cancer treatment involving the maxilla and/or mandible often results in esthetic and functional deficits that can diminish the patient's quality of life. As a result, expeditious reconstruction of the defect and dental rehabilitation is desirable. Dental rehabilitation shortly after reconstruction with an osteocutaneous free flap and resection prosthesis is a persistent challenge for patients with oncologic defects where immediate dental rehabilitation is not a possibility. Additionally, conventional prosthesis fabrication techniques are impractical or impossible due to postoperative anatomical changes and limitations in clinical armamentarium. To address these limitations, a technique and a novel implant-supported prosthetic workflow for the oncologic patient were developed to provide interim dental rehabilitation for such clinical situations. This article describes the prosthesis fabrication technique, reports short-term outcomes, and evaluates patient-reported quality-of-life outcomes using the FACE-Q Head and Neck Cancer Module.