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Mandibular reconstruction with microsurgical bone flap and dental implants
Feng Zhang1, Tiffany Jackman, Harold M Livingston
1Division of Plastic Surgery, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, USA. fzhang@surgery.umsmed.edu
Journal of Long-Term Effects of Medical Implants
|September 28, 2004
Summary
Reconstructing the mandible with microsurgical bone flaps provides a stable base for dental implants, improving function after injury. This review covers flap options, implant placement, and success factors for better mastication and speech.
Area of Science:
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
- Dental Implantology
Background:
- Mandibular reconstruction is crucial after resection or trauma.
- Dental implants are essential for restoring mastication and speech.
- Microsurgical bone flaps offer vascularized tissue for reconstruction.
Purpose of the Study:
- To review the use of microsurgical bone flaps in mandibular reconstruction.
- To discuss factors influencing dental implant success in reconstructed mandibles.
- To provide guidance on implant placement and timing.
Main Methods:
- Literature review of microsurgical techniques and dental implantology.
- Analysis of donor sites for bone flaps.
- Discussion of criteria for implant placement and timing.
- Evaluation of factors affecting implant survival.
Main Results:
- Microsurgical bone flaps provide a reliable foundation for endosseous dental implants.
- Successful osseointegration is influenced by bone quality, surgical technique, and patient factors.
- Radiotherapy and hyperbaric oxygen may impact outcomes.
Conclusions:
- Microsurgical bone flaps are effective for mandibular reconstruction supporting dental implants.
- Optimal functional restoration requires careful consideration of implant placement and timing.
- Further research on optimizing implant success in irradiated fields is warranted.