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Application of the "All-on-Four" concept and guided surgery in a mandible treated with a free vascularized fibula flap.

Identifieur interne : 000F34 ( PubMed/Checkpoint ); précédent : 000F33; suivant : 000F35

Application of the "All-on-Four" concept and guided surgery in a mandible treated with a free vascularized fibula flap.

Auteurs : Pier Francesco Nocini [Italie] ; Massimo Albanese ; Roberto Castellani ; Guglielmo Zanotti ; Luciano Canton ; Guido Bissolotti ; Daniele De Santis

Source :

RBID : pubmed:23172503

Descripteurs français

English descriptors

Abstract

In this article, we describe the first case in the literature in which 3D computer-assisted treatment planning and guided surgery enabled a patient affected by extreme paraphysiologic mandibular bone atrophy to be treated with a free vascularized fibula flap and, after a period of healing, the flapless installation of 4 immediately loaded dental implants. The computer-fabricated surgical guide allowed placement of the implants according to the "All-on-Four" concept in a proper spatial preplanned position and by tilting 1 implant, avoiding an area of bone discontinuity. Additionally, this technique allowed the production of a prefabricated temporary prosthesis, delivered after implant insertion, which could be immediately loaded. The use of a fibula flap makes it possible to create greater bone thickness while computer-assisted treatment planning and guided surgery provide several advantages over the traditional technique.

DOI: 10.1097/SCS.0b013e318270fdcf
PubMed: 23172503


Affiliations:


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Le document en format XML

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<name sortKey="Nocini, Pier Francesco" sort="Nocini, Pier Francesco" uniqKey="Nocini P" first="Pier Francesco" last="Nocini">Pier Francesco Nocini</name>
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<nlm:affiliation>From the Department of Surgical Sciences, Dental and Maxillofacial Department, University of Verona, Verona, Italy.</nlm:affiliation>
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<name sortKey="Zanotti, Guglielmo" sort="Zanotti, Guglielmo" uniqKey="Zanotti G" first="Guglielmo" last="Zanotti">Guglielmo Zanotti</name>
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<name sortKey="Canton, Luciano" sort="Canton, Luciano" uniqKey="Canton L" first="Luciano" last="Canton">Luciano Canton</name>
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<name sortKey="Bissolotti, Guido" sort="Bissolotti, Guido" uniqKey="Bissolotti G" first="Guido" last="Bissolotti">Guido Bissolotti</name>
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<term>Fibula (transplantation)</term>
<term>Free Tissue Flaps (blood supply)</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
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<term>Fibula ()</term>
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<term>Lambeaux tissulaires libres ()</term>
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<term>Pose immédiate d'implant dentaire</term>
<term>Reconstruction de crête alvéolaire ()</term>
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<div type="abstract" xml:lang="en">In this article, we describe the first case in the literature in which 3D computer-assisted treatment planning and guided surgery enabled a patient affected by extreme paraphysiologic mandibular bone atrophy to be treated with a free vascularized fibula flap and, after a period of healing, the flapless installation of 4 immediately loaded dental implants. The computer-fabricated surgical guide allowed placement of the implants according to the "All-on-Four" concept in a proper spatial preplanned position and by tilting 1 implant, avoiding an area of bone discontinuity. Additionally, this technique allowed the production of a prefabricated temporary prosthesis, delivered after implant insertion, which could be immediately loaded. The use of a fibula flap makes it possible to create greater bone thickness while computer-assisted treatment planning and guided surgery provide several advantages over the traditional technique.</div>
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