Dental Implantation After Jaws Resection in Oncopediatrics

Abstract

Resume. The purpose of the work. Improving the technique of dental implantation in the area of free vascularized fibular flap in the projection of the jaws in adolescents who underwent jaw resection. Materials and methods. In this study, 9 patients with jaw neoplasms who underwent jaw resection aged 12 to 18 years (average age 13.4; 5 girls, 4 boys) were treated, including 6 patients with malignant tumors and 3 patients with benign jaw formations. Results. Based on digital planning, it was possible to improve the technique of dental implantation in the projection of a free fibular flap in adolescents who underwent jaw resection. This made it possible to reduce the risks of complications of dental implantation in the projection of a free fibular flap in adolescents who underwent jaw resection. Also, digital planning optimizes surgical intervention in the volume of dental implantation. 8 patients were fully rehabilitated by the time of adulthood (prosthetics was performed on dental implants in the area of a free vascularized fibular graft in the projection of the jaw) and 1 patient, due to the failure of the fibular flap, was rehabilitated using removable prosthetics. Conclusions. Based on the results of the study, the algorithm of rehabilitation of patients after jaw resection in oncopediatrics has been improved by means of using digital planning during dental implantation