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Assessment of functional improvement with implant-supported prosthetic rehabilitation after mandibular reconstruction with a microvascular free fibula flap: A study of 25 patients.

Identifieur interne : 001444 ( Ncbi/Merge ); précédent : 001443; suivant : 001445

Assessment of functional improvement with implant-supported prosthetic rehabilitation after mandibular reconstruction with a microvascular free fibula flap: A study of 25 patients.

Auteurs : Anne-Gaëlle Bodard [France] ; Samuel Salino [France] ; Aline Desoutter [France] ; Sophie Deneuve [France]

Source :

RBID : pubmed:25438740

Descripteurs français

English descriptors

Abstract

Mandibular reconstruction with a microvascular free fibula flap is widely used after oncologic resection because it allows functional and esthetic restoration of the mandibular arch and implant-retained prostheses.

DOI: 10.1016/j.prosdent.2014.08.005
PubMed: 25438740

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pubmed:25438740

Le document en format XML

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<term>Communication</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Partial, Fixed</term>
<term>Eating (physiology)</term>
<term>Esthetics, Dental</term>
<term>Feeding Behavior</term>
<term>Female</term>
<term>Fibula (surgery)</term>
<term>Follow-Up Studies</term>
<term>Free Tissue Flaps (transplantation)</term>
<term>Humans</term>
<term>Male</term>
<term>Mandibular Reconstruction (methods)</term>
<term>Mastication (physiology)</term>
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<term>Adulte d'âge moyen</term>
<term>Communication</term>
<term>Complications postopératoires</term>
<term>Comportement alimentaire</term>
<term>Consommation alimentaire (physiologie)</term>
<term>Dentisterie esthétique</term>
<term>Femelle</term>
<term>Fibula ()</term>
<term>Humains</term>
<term>Intelligibilité de la parole (physiologie)</term>
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<term>Lambeaux tissulaires libres (transplantation)</term>
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<term>Transplantation osseuse ()</term>
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<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
<term>Mandibular Reconstruction</term>
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<term>Intelligibilité de la parole</term>
<term>Mastication</term>
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<term>Eating</term>
<term>Mastication</term>
<term>Speech Intelligibility</term>
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<term>Fibula</term>
<term>Transplant Donor Site</term>
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<term>Aged</term>
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<div type="abstract" xml:lang="en">Mandibular reconstruction with a microvascular free fibula flap is widely used after oncologic resection because it allows functional and esthetic restoration of the mandibular arch and implant-retained prostheses.</div>
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<Title>The Journal of prosthetic dentistry</Title>
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<ArticleTitle>Assessment of functional improvement with implant-supported prosthetic rehabilitation after mandibular reconstruction with a microvascular free fibula flap: A study of 25 patients.</ArticleTitle>
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<AbstractText Label="STATEMENT OF PROBLEM" NlmCategory="BACKGROUND">Mandibular reconstruction with a microvascular free fibula flap is widely used after oncologic resection because it allows functional and esthetic restoration of the mandibular arch and implant-retained prostheses.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purpose of this study was to highlight the results that can be expected from an implant-supported prosthesis on a free fibula flap.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Patients treated with a microvascular free fibula flap and rehabilitated prosthetically were included. The number of osteotomies, number of implants, type of prosthesis, follow-up after placement of the prosthesis, preimplant surgery, and periimplant complications were reported. Subjective criteria, including patient satisfaction and improvement of masticatory function, were collected by means of a questionnaire that covered the type of diet, restrictions when eating, intelligibility of speech, and communication levels.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty-six patients were included: 11 patients had implant-supported dentures, and 15 had fixed prostheses. Prosthetic follow-up was over 5 years for 15 patients and less than 1 year for 2 patients. Hyperplasia was a periimplant complication for 7 patients. Overall, satisfaction was good for 24 patients (score greater than 5/10; mean score, 7.3/10). Esthetics were improved for 20 patients. Speech was improved for 6 patients, and diet improved for 9 patients.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Implant-retained dentures seem preferable for patients, with notable esthetic alteration, although a screw-retained fixed resin-bonded prosthesis remains a good alternative. Improved mastication is more notable with patients who are completely edentulous and with large reconstructions but nevertheless remains disappointing. Whether dental restoration is necessary in treatments with short lateral flaps is worth questioning.</AbstractText>
<CopyrightInformation>Copyright © 2015 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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<Affiliation>Assistant Professor, Staff Oral Surgeon, Head and Neck Department, Regional Center Against Cancer Léon Bérard, University Claude, Bernard Lyon I, France. Electronic address: anne-gaelle.bodard@lyon.unicancer.fr.</Affiliation>
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