Journal of International Society for Simulation Surgery

International Society for Simulation Surgery (국제컴퓨터가상수술학회)
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How Can We Improve Crown-Implant Ratio in Reconstructed Mandible with Fibular Free Flap?: A New Surgical Technique Using 3D RP Model and Reconstruction Titanium Plates

  • Kim, Dong-Young (Department of Oral And Maxillofacial Surgery, College of Medicine, University of Ulsan, Asan Medical Center) ;
  • Ahn, Kang-Min (Department of Oral And Maxillofacial Surgery, College of Medicine, University of Ulsan, Asan Medical Center)
  • Received : 2017.05.09
  • Accepted : 2017.05.15
  • Published : 2017.06.03
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Abstract

Fibular free flap reconstruction is the flap of the choice in long-span mandibular bone reconstruction. The most common disadvantage of the fibular flap is short bone height to install dental implant. Double barrel fibular flap has been tried, however, bulky flap in the oral cavity hinder its use. Titanium reconstruction plate has been used simultaneously with the free fibular flap to stabilize occlusion and to fix the fibular flap. In this study, titanium reconstruction plate was fixed in the lower border of the mandible and the fibular free flap was fixed in the superior border of the titanium plate to improve implant-crown ratio. This new technique improved the longevity of the dental prosthodontics with dental implants.

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References

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