Fully 3‐dimensional digitally planned reconstruction of a mandible with a free vascularized fibula and immediate placement of an implant‐supported prosthetic construction
Identifieur interne : 000074 ( Istex/Corpus ); précédent : 000073; suivant : 000075Fully 3‐dimensional digitally planned reconstruction of a mandible with a free vascularized fibula and immediate placement of an implant‐supported prosthetic construction
Auteurs : Rutger H. Schepers ; Gerry M. Raghoebar ; Arjan Vissink ; Lars U. Lahoda ; W. Joerd Van Der Meer ; Jan L. Roodenburg ; Harry Reintsema ; Max J. WitjesSource :
- Head & Neck [ 1043-3074 ] ; 2013-04.
English descriptors
- KwdEn :
- Center groningen, Composite mandibular reconstruction, Cone beam, Conventional planning, Craniofac surg, Cumulative dose, Dental implants, Dental prostheses, Dental prosthesis, Denture, Digitally, Drilling guide, Exact location, Exact position, Fibula, Fibula graft, Fibula reconstruction, First step, Flap, Free fibula grafts, Free flaps, Free vascularized fibula, Full arch bridge, Graft, Groningen, Head april, Immediate prosthetic loading, Implant, Implant placement, Implant position, Intermediate occlusal guide, Intraoral image, Intraoral scanner, Laboratory steps, Lower border, Lower prosthesis, Mandible, Maxillofacial, Maxillofacial surgery, Necrotic bone, Occlusal guide, Onlay graft, Optical scan, Oral maxillofac implants, Oral maxillofac surg, Osteotomized fibula, Plast reconstr surg, Prosthesis, Reconstructive surgeon, Right fibula, Right side, Scanner, Secondary reconstruction, Simplant, Simplant crystal, Simplant software, Skin graft, Software, Software packages, Software systems, Squamous cell carcinoma, Surg, Titanium, Treatment plan, Upper dentition, Upper right, Virtual, Virtual planning, Virtual techniques, Virtual treatment planning.
- Teeft :
- Center groningen, Composite mandibular reconstruction, Cone beam, Conventional planning, Craniofac surg, Cumulative dose, Dental implants, Dental prostheses, Dental prosthesis, Denture, Digitally, Drilling guide, Exact location, Exact position, Fibula, Fibula graft, Fibula reconstruction, First step, Flap, Free fibula grafts, Free flaps, Free vascularized fibula, Full arch bridge, Graft, Groningen, Head april, Immediate prosthetic loading, Implant, Implant placement, Implant position, Intermediate occlusal guide, Intraoral image, Intraoral scanner, Laboratory steps, Lower border, Lower prosthesis, Mandible, Maxillofacial, Maxillofacial surgery, Necrotic bone, Occlusal guide, Onlay graft, Optical scan, Oral maxillofac implants, Oral maxillofac surg, Osteotomized fibula, Plast reconstr surg, Prosthesis, Reconstructive surgeon, Right fibula, Right side, Scanner, Secondary reconstruction, Simplant, Simplant crystal, Simplant software, Skin graft, Software, Software packages, Software systems, Squamous cell carcinoma, Surg, Titanium, Treatment plan, Upper dentition, Upper right, Virtual, Virtual planning, Virtual techniques, Virtual treatment planning.
Abstract
Reconstruction of craniofacial defects becomes complex when dental implants are included for functional rehabilitation. We describe a fully 3‐dimensional (3D) digitally planned reconstruction of a mandible and immediate prosthetic loading with a fibula graft in a 2‐step surgical approach.
Url:
DOI: 10.1002/hed.21922
Links to Exploration step
ISTEX:01544AC6606A8D4FD74C7C80BEB50D3ACBD687E4Le document en format XML
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Schepers</name><affiliation><mods:affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: r.h.schepers@kchir.umcg.nl</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence address: Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, the Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M" last="Raghoebar">Gerry M. 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Schepers</name><affiliation><mods:affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: r.h.schepers@kchir.umcg.nl</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence address: Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, the Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M" last="Raghoebar">Gerry M. Raghoebar</name><affiliation><mods:affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Vissink, Arjan" sort="Vissink, Arjan" uniqKey="Vissink A" first="Arjan" last="Vissink">Arjan Vissink</name><affiliation><mods:affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Lahoda, Lars U" sort="Lahoda, Lars U" uniqKey="Lahoda L" first="Lars U." last="Lahoda">Lars U. Lahoda</name><affiliation><mods:affiliation>Department of Plastic Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Van Der Meer, W Joerd" sort="Van Der Meer, W Joerd" uniqKey="Van Der Meer W" first="W. Joerd" last="Van Der Meer">W. Joerd Van Der Meer</name><affiliation><mods:affiliation>Department of Orthodontics, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Roodenburg, Jan L" sort="Roodenburg, Jan L" uniqKey="Roodenburg J" first="Jan L." last="Roodenburg">Jan L. 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xml:lang="en"><term>Center groningen</term><term>Composite mandibular reconstruction</term><term>Cone beam</term><term>Conventional planning</term><term>Craniofac surg</term><term>Cumulative dose</term><term>Dental implants</term><term>Dental prostheses</term><term>Dental prosthesis</term><term>Denture</term><term>Digitally</term><term>Drilling guide</term><term>Exact location</term><term>Exact position</term><term>Fibula</term><term>Fibula graft</term><term>Fibula reconstruction</term><term>First step</term><term>Flap</term><term>Free fibula grafts</term><term>Free flaps</term><term>Free vascularized fibula</term><term>Full arch bridge</term><term>Graft</term><term>Groningen</term><term>Head april</term><term>Immediate prosthetic loading</term><term>Implant</term><term>Implant placement</term><term>Implant position</term><term>Intermediate occlusal guide</term><term>Intraoral image</term><term>Intraoral scanner</term><term>Laboratory steps</term><term>Lower border</term><term>Lower prosthesis</term><term>Mandible</term><term>Maxillofacial</term><term>Maxillofacial surgery</term><term>Necrotic bone</term><term>Occlusal guide</term><term>Onlay graft</term><term>Optical scan</term><term>Oral maxillofac implants</term><term>Oral maxillofac surg</term><term>Osteotomized fibula</term><term>Plast reconstr surg</term><term>Prosthesis</term><term>Reconstructive surgeon</term><term>Right fibula</term><term>Right side</term><term>Scanner</term><term>Secondary reconstruction</term><term>Simplant</term><term>Simplant crystal</term><term>Simplant software</term><term>Skin graft</term><term>Software</term><term>Software packages</term><term>Software systems</term><term>Squamous cell carcinoma</term><term>Surg</term><term>Titanium</term><term>Treatment plan</term><term>Upper dentition</term><term>Upper right</term><term>Virtual</term><term>Virtual planning</term><term>Virtual techniques</term><term>Virtual treatment planning</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Center groningen</term><term>Composite mandibular reconstruction</term><term>Cone beam</term><term>Conventional planning</term><term>Craniofac surg</term><term>Cumulative dose</term><term>Dental implants</term><term>Dental prostheses</term><term>Dental prosthesis</term><term>Denture</term><term>Digitally</term><term>Drilling guide</term><term>Exact location</term><term>Exact position</term><term>Fibula</term><term>Fibula graft</term><term>Fibula reconstruction</term><term>First step</term><term>Flap</term><term>Free fibula grafts</term><term>Free flaps</term><term>Free vascularized fibula</term><term>Full arch bridge</term><term>Graft</term><term>Groningen</term><term>Head april</term><term>Immediate prosthetic loading</term><term>Implant</term><term>Implant placement</term><term>Implant position</term><term>Intermediate occlusal guide</term><term>Intraoral image</term><term>Intraoral scanner</term><term>Laboratory steps</term><term>Lower border</term><term>Lower prosthesis</term><term>Mandible</term><term>Maxillofacial</term><term>Maxillofacial surgery</term><term>Necrotic bone</term><term>Occlusal guide</term><term>Onlay graft</term><term>Optical scan</term><term>Oral maxillofac implants</term><term>Oral maxillofac surg</term><term>Osteotomized fibula</term><term>Plast reconstr surg</term><term>Prosthesis</term><term>Reconstructive surgeon</term><term>Right fibula</term><term>Right side</term><term>Scanner</term><term>Secondary reconstruction</term><term>Simplant</term><term>Simplant crystal</term><term>Simplant software</term><term>Skin graft</term><term>Software</term><term>Software packages</term><term>Software systems</term><term>Squamous cell carcinoma</term><term>Surg</term><term>Titanium</term><term>Treatment plan</term><term>Upper dentition</term><term>Upper right</term><term>Virtual</term><term>Virtual planning</term><term>Virtual techniques</term><term>Virtual treatment planning</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Reconstruction of craniofacial defects becomes complex when dental implants are included for functional rehabilitation. We describe a fully 3‐dimensional (3D) digitally planned reconstruction of a mandible and immediate prosthetic loading with a fibula graft in a 2‐step surgical approach.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>fibula</json:string><json:string>implant</json:string><json:string>mandible</json:string><json:string>prosthesis</json:string><json:string>software</json:string><json:string>groningen</json:string><json:string>surg</json:string><json:string>digitally</json:string><json:string>graft</json:string><json:string>maxillofacial</json:string><json:string>simplant</json:string><json:string>virtual planning</json:string><json:string>denture</json:string><json:string>dental implants</json:string><json:string>flap</json:string><json:string>scanner</json:string><json:string>lower prosthesis</json:string><json:string>head april</json:string><json:string>drilling guide</json:string><json:string>implant position</json:string><json:string>implant placement</json:string><json:string>cone beam</json:string><json:string>center groningen</json:string><json:string>oral maxillofac surg</json:string><json:string>occlusal guide</json:string><json:string>simplant crystal</json:string><json:string>skin graft</json:string><json:string>right fibula</json:string><json:string>first step</json:string><json:string>treatment plan</json:string><json:string>upper dentition</json:string><json:string>upper right</json:string><json:string>optical scan</json:string><json:string>simplant software</json:string><json:string>fibula reconstruction</json:string><json:string>secondary reconstruction</json:string><json:string>lower border</json:string><json:string>immediate prosthetic loading</json:string><json:string>free vascularized fibula</json:string><json:string>plast reconstr surg</json:string><json:string>titanium</json:string><json:string>laboratory steps</json:string><json:string>reconstructive surgeon</json:string><json:string>free flaps</json:string><json:string>intraoral image</json:string><json:string>cumulative dose</json:string><json:string>squamous cell carcinoma</json:string><json:string>fibula graft</json:string><json:string>virtual treatment planning</json:string><json:string>oral maxillofac implants</json:string><json:string>free fibula grafts</json:string><json:string>conventional planning</json:string><json:string>maxillofacial surgery</json:string><json:string>craniofac surg</json:string><json:string>exact position</json:string><json:string>software systems</json:string><json:string>intermediate occlusal guide</json:string><json:string>full arch bridge</json:string><json:string>exact location</json:string><json:string>dental prosthesis</json:string><json:string>osteotomized fibula</json:string><json:string>intraoral scanner</json:string><json:string>onlay graft</json:string><json:string>dental prostheses</json:string><json:string>virtual techniques</json:string><json:string>right side</json:string><json:string>necrotic bone</json:string><json:string>composite mandibular reconstruction</json:string><json:string>software packages</json:string><json:string>virtual</json:string></teeft></keywords><author><json:item><name>Rutger H. Schepers DDS, MD</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</json:string><json:string>E-mail: r.h.schepers@kchir.umcg.nl</json:string><json:string>Correspondence address: Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, the Netherlands</json:string></affiliations></json:item><json:item><name>Gerry M Raghoebar DDS, MD, PhD</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</json:string></affiliations></json:item><json:item><name>Arjan Vissink DDS, MD, PhD</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</json:string></affiliations></json:item><json:item><name>Lars U. Lahoda MD, PhD</name><affiliations><json:string>Department of Plastic Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</json:string></affiliations></json:item><json:item><name>W. Joerd Van der Meer DDS</name><affiliations><json:string>Department of Orthodontics, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</json:string></affiliations></json:item><json:item><name>Jan L. Roodenburg DDS, MD, PhD</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</json:string></affiliations></json:item><json:item><name>Harry Reintsema DDS</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</json:string></affiliations></json:item><json:item><name>Max J. Witjes DDS, MD, PhD</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>3D</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>digital</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>reconstruction</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>mandible</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>fibula</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>implants</value></json:item></subject><articleId><json:string>HED21922</json:string></articleId><arkIstex>ark:/67375/WNG-CP00Z60S-0</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>caseStudy</json:string></originalGenre><abstract>Reconstruction of craniofacial defects becomes complex when dental implants are included for functional rehabilitation. We describe a fully 3‐dimensional (3D) digitally planned reconstruction of a mandible and immediate prosthetic loading with a fibula graft in a 2‐step surgical approach.</abstract><qualityIndicators><score>5.958</score><pdfWordCount>3490</pdfWordCount><pdfCharCount>21654</pdfCharCount><pdfVersion>1.4</pdfVersion><pdfPageCount>6</pdfPageCount><pdfPageSize>612 x 810 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>39</abstractWordCount><abstractCharCount>289</abstractCharCount><keywordCount>6</keywordCount></qualityIndicators><title>Fully 3‐dimensional digitally planned reconstruction of a mandible with a free vascularized fibula and immediate placement of an implant‐supported prosthetic construction</title><pmid><json:string>22025326</json:string></pmid><genre><json:string>case-report</json:string></genre><host><title>Head & Neck</title><language><json:string>unknown</json:string></language><doi><json:string>10.1002/(ISSN)1097-0347</json:string></doi><issn><json:string>1043-3074</json:string></issn><eissn><json:string>1097-0347</json:string></eissn><publisherId><json:string>HED</json:string></publisherId><volume>35</volume><issue>4</issue><pages><first>E109</first><last>E114</last><total>6</total></pages><genre><json:string>journal</json:string></genre><author><json:item><name>Jonathan Irish MD, FRCSC</name></json:item></author><subject><json:item><value>Case Report</value></json:item></subject></host><namedEntities><unitex><date><json:string>2013</json:string><json:string>2007</json:string><json:string>2008</json:string></date><geogName></geogName><orgName><json:string>University of Groningen</json:string><json:string>University Medical Center Groningen</json:string><json:string>Imaging Sciences International</json:string><json:string>Department of Orthodontics, University Medical Center Groningen and University</json:string><json:string>Department of Oral and Maxillofacial Surgery</json:string><json:string>Dentsply International</json:string><json:string>Dentsply International, York</json:string><json:string>Sirona Dental Systems, Charlotte</json:string><json:string>Department of Plastic Surgery, University Medical Center Groningen and University</json:string><json:string>Wiley Periodicals, Inc</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Martin Group</json:string><json:string>Associates</json:string><json:string>E.S. Healthcare</json:string><json:string>Jan L. Roodenburg</json:string><json:string>Max J. Witjes</json:string><json:string>W.L. Gore</json:string><json:string>R. H. Schepers</json:string><json:string>Lars U. Lahoda</json:string><json:string>Arjan Vissink</json:string><json:string>Harry Reintsema</json:string><json:string>Gerry M. Raghoebar</json:string><json:string>H. 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Joerd</forename><surname>Van der Meer</surname><roleName type="degree">DDS</roleName></persName><affiliation>Department of Orthodontics, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands<address><country key="NL"></country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Jan L.</forename><surname>Roodenburg</surname><roleName type="degree">DDS, MD, PhD</roleName></persName><affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands<address><country key="NL"></country></address></affiliation></author><author xml:id="author-0006"><persName><forename type="first">Harry</forename><surname>Reintsema</surname><roleName type="degree">DDS</roleName></persName><affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands<address><country key="NL"></country></address></affiliation></author><author xml:id="author-0007"><persName><forename type="first">Max J.</forename><surname>Witjes</surname><roleName type="degree">DDS, MD, PhD</roleName></persName><affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands<address><country key="NL"></country></address></affiliation></author><idno type="istex">01544AC6606A8D4FD74C7C80BEB50D3ACBD687E4</idno><idno type="ark">ark:/67375/WNG-CP00Z60S-0</idno><idno type="DOI">10.1002/hed.21922</idno><idno type="unit">HED21922</idno><idno type="toTypesetVersion">file:HED.HED21922.pdf</idno></analytic><monogr><editor xml:id="editor-0000"><persName><forename type="first">Jonathan</forename><surname>Irish</surname><roleName type="degree">MD, FRCSC</roleName></persName></editor><title level="j" type="main">Head & Neck</title><title level="j" type="alt">HEAD AND NECK</title><idno type="pISSN">1043-3074</idno><idno type="eISSN">1097-0347</idno><idno type="book-DOI">10.1002/(ISSN)1097-0347</idno><idno type="book-part-DOI">10.1002/hed.v35.4</idno><idno type="product">HED</idno><imprint><biblScope unit="vol">35</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="E109">E109</biblScope><biblScope unit="page" to="E114">E114</biblScope><biblScope unit="page-count">6</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2013-04"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head>
Background
<p>Reconstruction of craniofacial defects becomes complex when dental implants are included for functional rehabilitation. We describe a fully 3‐dimensional (3D) digitally planned reconstruction of a mandible and immediate prosthetic loading with a fibula graft in a 2‐step surgical approach.</p>
Methods
<p>A 54‐year‐old man had development of osteoradionecrosis of the mandible. The resection, cutting and implant placement in the fibula were virtually planned. Cutting/drilling guides were 3D printed, and the suprastructure was computer‐aided design and computer‐aided manufacturing milled.</p>
Results
<p>For the first operation, the implants were inserted in the fibula, and the position was registered by an optical scanning technique that defined the final planning of the suprastructure. For the second operation, the osteoradionecrosis was resected, the fibula was harvested and, with the denture fixed on the preinserted implants, placed in the mandibula guided by the occlusion.</p>
Conclusion
<p>It was possible to plan a mandibular reconstruction with immediate prosthetic loading completely by 3D virtual techniques. Head Neck, 2013</p></abstract><textClass><keywords xml:lang="en"><term xml:id="kwd1">3D</term><term xml:id="kwd2">digital</term><term xml:id="kwd3">reconstruction</term><term xml:id="kwd4">mandible</term><term xml:id="kwd5">fibula</term><term xml:id="kwd6">implants</term></keywords><keywords rend="articleCategory"><term>Case Report</term></keywords><keywords rend="tocHeading1"><term>Case Reports</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/01544AC6606A8D4FD74C7C80BEB50D3ACBD687E4/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" 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agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-27"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-03"></event></eventGroup><numberingGroup><numbering type="pageFirst">E109</numbering><numbering type="pageLast">E114</numbering></numberingGroup><correspondenceTo>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, the Netherlands</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:HED.HED21922.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="10"></count><count type="tableTotal" number="0"></count><count type="referenceTotal" number="16"></count><count type="wordTotal" number="4079"></count></countGroup><titleGroup><title type="main" xml:lang="en">Fully 3‐dimensional digitally planned reconstruction of a mandible with a free vascularized fibula and immediate placement of an implant‐supported prosthetic construction</title><title type="short" xml:lang="en">3‐Dimensional Digitally Planned Reconstruction</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Rutger H.</givenNames><familyName>Schepers</familyName><degrees>DDS, MD</degrees></personName><contactDetails><email>r.h.schepers@kchir.umcg.nl</email></contactDetails></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Gerry M</givenNames><familyName>Raghoebar</familyName><degrees>DDS, MD, PhD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Arjan</givenNames><familyName>Vissink</familyName><degrees>DDS, MD, PhD</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Lars U.</givenNames><familyName>Lahoda</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af3"><personName><givenNames>W. Joerd</givenNames><familyName>Van der Meer</familyName><degrees>DDS</degrees></personName></creator><creator xml:id="au6" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Jan L.</givenNames><familyName>Roodenburg</familyName><degrees>DDS, MD, PhD</degrees></personName></creator><creator xml:id="au7" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Harry</givenNames><familyName>Reintsema</familyName><degrees>DDS</degrees></personName></creator><creator xml:id="au8" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Max J.</givenNames><familyName>Witjes</familyName><degrees>DDS, MD, PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="NL" type="organization"><unparsedAffiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="NL" type="organization"><unparsedAffiliation>Department of Plastic Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="NL" type="organization"><unparsedAffiliation>Department of Orthodontics, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">3D</keyword><keyword xml:id="kwd2">digital</keyword><keyword xml:id="kwd3">reconstruction</keyword><keyword xml:id="kwd4">mandible</keyword><keyword xml:id="kwd5">fibula</keyword><keyword xml:id="kwd6">implants</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><section xml:id="abs1-1"><title type="main">Background</title><p>Reconstruction of craniofacial defects becomes complex when dental implants are included for functional rehabilitation. We describe a fully 3‐dimensional (3D) digitally planned reconstruction of a mandible and immediate prosthetic loading with a fibula graft in a 2‐step surgical approach.</p></section><section xml:id="abs1-2"><title type="main">Methods</title><p>A 54‐year‐old man had development of osteoradionecrosis of the mandible. The resection, cutting and implant placement in the fibula were virtually planned. Cutting/drilling guides were 3D printed, and the suprastructure was computer‐aided design and computer‐aided manufacturing milled.</p></section><section xml:id="abs1-3"><title type="main">Results</title><p>For the first operation, the implants were inserted in the fibula, and the position was registered by an optical scanning technique that defined the final planning of the suprastructure. For the second operation, the osteoradionecrosis was resected, the fibula was harvested and, with the denture fixed on the preinserted implants, placed in the mandibula guided by the occlusion.</p></section><section xml:id="abs1-4"><title type="main">Conclusion</title><p>It was possible to plan a mandibular reconstruction with immediate prosthetic loading completely by 3D virtual techniques. Head Neck, 2013</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Fully 3‐dimensional digitally planned reconstruction of a mandible with a free vascularized fibula and immediate placement of an implant‐supported prosthetic construction</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>3‐Dimensional Digitally Planned Reconstruction</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Fully 3‐dimensional digitally planned reconstruction of a mandible with a free vascularized fibula and immediate placement of an implant‐supported prosthetic construction</title></titleInfo><name type="personal"><namePart type="given">Rutger H.</namePart><namePart type="family">Schepers</namePart><namePart type="termsOfAddress">DDS, MD</namePart><affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</affiliation><affiliation>E-mail: r.h.schepers@kchir.umcg.nl</affiliation><affiliation>Correspondence address: Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, the Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Gerry M</namePart><namePart type="family">Raghoebar</namePart><namePart type="termsOfAddress">DDS, MD, PhD</namePart><affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Arjan</namePart><namePart type="family">Vissink</namePart><namePart type="termsOfAddress">DDS, MD, PhD</namePart><affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lars U.</namePart><namePart type="family">Lahoda</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Plastic Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">W. 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We describe a fully 3‐dimensional (3D) digitally planned reconstruction of a mandible and immediate prosthetic loading with a fibula graft in a 2‐step surgical approach.</abstract><abstract>A 54‐year‐old man had development of osteoradionecrosis of the mandible. The resection, cutting and implant placement in the fibula were virtually planned. Cutting/drilling guides were 3D printed, and the suprastructure was computer‐aided design and computer‐aided manufacturing milled.</abstract><abstract>For the first operation, the implants were inserted in the fibula, and the position was registered by an optical scanning technique that defined the final planning of the suprastructure. For the second operation, the osteoradionecrosis was resected, the fibula was harvested and, with the denture fixed on the preinserted implants, placed in the mandibula guided by the occlusion.</abstract><abstract>It was possible to plan a mandibular reconstruction with immediate prosthetic loading completely by 3D virtual techniques. 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