title: Development of stable peri-implant soft tissue and mentolabial sulcus depth with an implant-retained soft tissue conformer after osteocutaneous flap reconstruction.
abstract: Excessive soft tissue bulk, movement, chronic inflammation, and hypertrophy in periimplant areas pose challenges for long-term management of peri-implant soft tissues surrounding osteocutaneous flap reconstructions. A case history report is presented on the predictable establishment of stable peri-implant soft tissue and improved mentolabial sulcus depth in a patient treated for high-grade osteosarcoma of the mandible. Following surgical resection, reconstruction with osteocutaneous fibula free flap, and endosseous implant placement, a combined surgical and prosthetic approach was used through a lip switch vestibuloplasty and an implant-retained soft tissue conformer.
authors.affiliation: Department of Dental Specialties, Mayo Clinic, Rochester, MN, USA. dhima.matilda@mayo.edu
authors.forename: Matilda
authors.initials: M
authors.lastname: Dhima
authors.forename: Kevin L
authors.initials: KL
authors.lastname: Rieck
authors.forename: Kevin
authors.initials: K
authors.lastname: Arce
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Salinas
mesh_terms: D000328:Adult; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003832:Denture, Partial, Removable; D005260:Female; D058752:Free Tissue Flaps; D005881:Gingiva / Q000601:surgery*; D006801:Humans; D008046:Lip / Q000473:pathology; D008334:Mandible / Q000601:surgery; D008339:Mandibular Neoplasms / Q000534:rehabilitation* / Q000601:surgery; D008866:Microsurgery / Q000379:methods; D012516:Osteosarcoma / Q000534:rehabilitation / Q000601:surgery; D019651:Plastic Surgery Procedures; D014727:Vestibuloplasty / Q000295:instrumentation* / Q000379:methods*
chemical_list: D015921:Dental Implants