Insertion torque of dental implants after microvascular fibular grafting

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.