[Alveolar ridge atrophy. The free vascularized fibular flap as alternative treatment in severe alveolar atrophy].
Implant-supported overdentures are the goal of treatment of the edentulous atrophic jaw. To gain adequate height there is in some instances need for additional bone augmentation. Ridge augmentation using a free vascularised fibular flap is one of the newer techniques. Prefabrication of fibular flaps, as described in this article, is a two-stage procedure to overcome the problems of osseointegration and missing attached gingiva. Accurate pre-operative 3-D-model planning, implant placement and vestibuloplasty in the first stage allow for occlusion driven reconstruction and immediate function in the second stage after a delay of six weeks. Based on our clinical experience the technique and the results are discussed.
Rohner
Dennis
D
Cfc hirslanden, Cranio Faciales Centrum, Hirslanden Klinik Aarau, Schanzweg 7, CH-5000 Aarau. dennis.rohner@hirslanden.ch
D016301:Alveolar Bone Loss / Q000601:surgery*; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods*; D003758:Dental Implantation, Endosseous / Q000379:methods*; D005360:Fibula / Q000637:transplantation; D006801:Humans; D021621:Imaging, Three-Dimensional; D007575:Jaw, Edentulous / Q000000981:diagnostic imaging; D008953:Models, Anatomic; D003765:Models, Dental; D019647:Oral Surgical Procedures; D011859:Radiography; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps / Q000098:blood supply; D014727:Vestibuloplasty