2005, Number 2
Occlusion and dental implants with three different techniques for mandibular reconstruction after hemimandibulectomy
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ABSTRACTMandibular reconstruction is a condition in which both the bone defect and the function must be restored. A number of procedures –from grafts to distant bone flaps- have been used for correcting bone defects. However, adequate chewing has been restored in only a few cases. The purpose of this paper is to present the results obtained with three different techniques of mandibular reconstruction after hemimandibulectomy in 16 patients. Full-thickness galeoparietal bone flap were used in eight patients, free iliac crest graft in three patients, and free fibular grafts in five patients. Occlusion on the nonoperated side and the possibility and ease of osseointegrated denture in the vascularized bone transfer were evaluated. The full-thickness galeoparietal flap and free iliac crest bone flap appeared to be good options. Nevertheless, only acceptable or poor occlusion could be achieved on the normal side. The fibular free flap showed good results and good occlusion. Nonetheless, dental implantation was difficult because a prosthesis was necessary for reaching the normal height of the mandible was necessary.
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