Dental implant treatment in vascularized bone flaps after jaw reconstruction

doi:10.7518/hxkq.2023.2023005

Abstract

Abstract:

Jaw defects caused by various reasons often seriously affect appearance and function. The goal of the treatment of oral and maxillofacial tumors should include the cure of the tumor and the restoration of premorbid function. The development of microsurgery and digital surgery technology has promoted the development of jaw reconstruction with vascularized free bone flap. Good appearance and improved predictability could be obtained with the help of preope-rative visual design. How to rehabilitate occlusal function on the reconstructed jaw and improve the quality of life of patients has become an important research direction. This article discusses the challenge of jaw reconstruction, the selection of vascularized bone flap, the choice of implant timing, the treatment of peri-implant soft tissue, and the influence of radiotherapy on implants after jaw reconstruction.

Key words: jaw defect reconstruction, vascularized fibula flap, vascularized iliac crest flap, dental implant, radial therapy

CLC Number:

R 782.2

Shan Xiaofeng, Cai Zhigang.. Dental implant treatment in vascularized bone flaps after jaw reconstruction[J]. West China Journal of Stomatology, 2023, 41(2): 123-128.

Figures/Tables 6

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骨瓣类型	骨长度/cm	血管蒂长度/cm	骨质类型	血管蒂动脉直径/mm	双组手术	供区并发症	骨瓣成功率	种植成功率
腓骨瓣	<20	较长	骨皮质	2~3	可以	较轻	高	较高
髂骨瓣	<10	4~5	骨皮质和松质	1~2	可以	较轻	高	较高

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