title: Computed tomography-guided implant surgery for dental rehabilitation in mandible reconstructed with a fibular free flap: description of the technique.
abstract: The fibular free flap, with or without a cutaneous component, is the gold standard for reconstructing mandibular defects. Dental prosthetic rehabilitation is possible this way, even if the prosthesis-based implant is still a challenge because of the many anatomical and prosthetic problems. We think that complications can be overcome or reduced by adopting the new methods of computed tomography (CT)-assisted implant surgery (NobelGuide, Nobel Biocare AB, Goteborg, Sweden). Here we describe the possibility of using CT-guided implant surgery with a flapless approach and immediate loading in mandibles reconstructed with fibular free flaps.
authors.affiliation: Maxillofacial Surgery Department, University of Sassari, Viale San Pietro 43/B, 07100 Sassari, Italy.
authors.forename: Giacomo
authors.initials: G
authors.lastname: De Riu
authors.forename: Silvio Mario
authors.initials: SM
authors.lastname: Meloni
authors.forename: Milena
authors.initials: M
authors.lastname: Pisano
authors.forename: Olindo
authors.initials: O
authors.lastname: Massarelli
authors.forename: Antonio
authors.initials: A
authors.lastname: Tullio
mesh_terms: D001860:Bone Plates; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005360:Fibula; D005500:Follow-Up Studies; D058752:Free Tissue Flaps; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D057893:Immediate Dental Implant Loading / Q000379:methods*; D008297:Male; D008334:Mandible / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000601:surgery; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation; D010347:Patient Care Planning; D018714:Radiotherapy, Adjuvant; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods; D025321:Surgery, Computer-Assisted; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome; D014584:User-Computer Interface