title: Insertion torque of dental implants after microvascular fibular grafting.
abstract: We have measured the necessary torque to the initial stabilisation of dental implants in revascularised bony transplants for reconstruction of the maxilla and mandible in edentulous patients. We installed 28 dental implants in 7 patients who had had reconstructions of the maxilla and mandible by microsurgical flaps. At the time of the installation of the implants, we measured the torque for final stabilisation. The minimum torque was 20 Newton centimetres (Ncm) in 11 implants, and the maximum 45Ncm in 8. The measure of torque was not influenced by sex, age group, or time between transplant and implant.
authors.affiliation: Division of Plastic Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil. Electronic address: pszmaluf@uol.com.br.
authors.forename: P S Z
authors.initials: PS
authors.lastname: Maluf
authors.affiliation: Division of Plastic Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
authors.forename: A W
authors.initials: AW
authors.lastname: Ching
authors.affiliation: Division of Plastic Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
authors.forename: P
authors.initials: P
authors.lastname: Angeletti
authors.affiliation: Division of Plastic Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
authors.forename: J L G
authors.initials: JL
authors.lastname: Bretos
authors.affiliation: Division of Plastic Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
authors.forename: L M
authors.initials: LM
authors.lastname: Ferreira
mesh_terms: D000328:Adult; D000368:Aged; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D064592:Autografts / Q000637:transplantation*; D016025:Bone Transplantation / Q000379:methods*; D059605:Dental Implant-Abutment Design; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D003764:Dental Materials / Q000737:chemistry; D005260:Female; D005360:Fibula / Q000601:surgery; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D016348:Osseointegration / Q000502:physiology; D013524:Surgical Flaps / Q000637:transplantation; D014025:Titanium / Q000737:chemistry; D019415:Torque; D060053:Transplant Donor Site / Q000601:surgery
chemical_list: D015921:Dental Implants; D003764:Dental Materials; D014025:Titanium
keywords: Dental implantation; Endosseous; Fibular free flaps; Tissue transplantation; Torque