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Mandibulotomy and implant insertion.

Pieter J Schoen1, Gerry M Raghoebar, Arjan Vissink

  • 1Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands. p.j.shoen@kchir.azg.nl

Head & Neck
|September 4, 2003
PubMed
Summary
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This study demonstrates that combining mandibulotomy with endosseous implant placement is safe for edentulous patients. The novel technique facilitated simultaneous procedures without complications, leading to successful implant outcomes.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Oncologic Surgery

Background:

  • Mandibulotomy is a surgical procedure often required for accessing oral and oropharyngeal tumors.
  • Simultaneous implant placement during mandibulotomy presents unique surgical challenges.

Purpose of the Study:

  • To develop and prospectively assess a technique for performing mandibulotomy and endosseous implant insertion concurrently.
  • To evaluate the safety and efficacy of this combined surgical approach.

Main Methods:

  • A novel surgical technique was applied to five edentulous patients.
  • Pilot drilling for implants preceded mandibulotomy; final drilling and insertion occurred post-reconstruction.
  • Patients underwent radiotherapy and received implant-supported overdentures, with regular clinical and radiographic follow-up.

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Main Results:

  • No intraoperative or postoperative complications related to the combined procedure were reported.
  • No adverse mucosal reactions or osteoradionecrosis occurred during radiotherapy.
  • All 20 inserted implants maintained healthy peri-implant parameters, with no implant loss.

Conclusions:

  • The described technique allows for the safe combination of mandibulotomy and endosseous implant insertion in the ventral mandible.
  • This approach offers a viable solution for rehabilitating edentulous patients requiring mandibulotomy for tumor resection.