Treatment of a microvascular reconstructed mandible using an implant-supported fixed partial denture: case report

Oral rehabilitation of patients with mandibular discontinuity defects is a problem that faces both the oral surgeon and the restorative dentist. Advances in microvascular surgery can provide the mandible with vital bone grafts. Often, reconstruction of the bony defect alone does not guarantee an adequate foundation for successful conventional prosthetic rehabilitation. Osseointegrated implants placed in the microvascularized grafted bone offer an opportunity for improved function and patient satisfaction. This case report describes the use of an implant-supported bridge in a vascularized fibular bone graft to reconstruct a traumatic partially resected mandible.