Evaluation of postoperative peri-implant reactive tissues following implant supported prosthetic rehabilitation in fibula free flaps

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Oral Surgery Oral Medicine Oral Pathology Oral Radiology Pub Date : 2024-08-31 DOI:10.1016/j.oooo.2024.08.017

Samuel D. Raffaelli DDS , Timothy W. Neal DDS, MD , Jonathan J. Jelmini DDS, MD , Roderick Y. Kim DDS, MD, MBA, FACS , Fayette C. Williams DDS, MD, FACS

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Abstract

Objectives

The purpose of this study was to measure the frequency of peri-implant reactive tissue development in a cohort of patients following immediate implant supported prosthetic rehabilitation in fibula free flaps at our institution and to document 2 cases of management based on our institution's experience.

Study Design

To address this question of study design, a case series was performed from October 2014 to May 2022. We included patients that underwent a fibula free flap reconstruction of the mandible or maxilla with immediate implant placement and dental prostheses fabrication. Forty-four patients met the inclusion criteria, and, among the participants, a total of 26 male patients (59%) and 18 female patients (41%) were evaluated, with 185 implants placed all together.

Results

Twenty patients (45%) were treated for benign pathology, 12 with malignant pathology (27%), 5 with trauma (11%), and 7 with osteoradionecrosis (16%). Postoperative peri-implant reactive tissues were seen to develop at 39 of the implant sites (21%).

Conclusion

Reactive tissues were found to be a common complication in patients treated with fibular free flap reconstructions involving implant rehabilitation. Our institution noted that local excision of such reactive tissues, in addition to silver nitrate cauterization and topical steroid application, may provide reasonable success in dealing with these occurrences. (Oral Surg Oral Med Oral Pathol Oral Radiol YEAR;VOL:page range)

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评估腓骨游离瓣种植体支持修复术后种植体周围反应性组织的情况

本研究的目的是测量在本机构接受腓骨游离瓣即刻种植支持修复术的患者群中种植体周围反应性组织发生的频率，并根据本机构的经验记录2个处理病例。为了解决这一研究设计问题，我们在 2014 年 10 月至 2022 年 5 月期间进行了一项病例系列研究。我们纳入了接受下颌或上颌腓骨游离瓣重建术并立即植入种植体和制作义齿的患者。有 44 名患者符合纳入标准，其中共有 26 名男性患者（59%）和 18 名女性患者（41%）接受了评估，共植入了 185 个种植体。其中，20 名患者（45%）因良性病变接受治疗，12 名患者（27%）因恶性病变接受治疗，5 名患者（11%）因外伤接受治疗，7 名患者（16%）因骨坏死接受治疗。术后有 39 个种植部位（21%）出现了种植体周围反应性组织。反应性组织是腓骨游离瓣重建术患者常见的并发症之一。我院指出，除了硝酸银烧灼和局部应用类固醇外，局部切除此类反应性组织也可成功解决这些问题。(口腔外科口腔医学口腔病理学口腔放射年；卷：页码范围）。

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来源期刊

Oral Surgery Oral Medicine Oral Pathology Oral Radiology DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.80

自引率

6.90%

发文量

1217

审稿时长

2-4 weeks

期刊介绍： Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology is required reading for anyone in the fields of oral surgery, oral medicine, oral pathology, oral radiology or advanced general practice dentistry. It is the only major dental journal that provides a practical and complete overview of the medical and surgical techniques of dental practice in four areas. Topics covered include such current issues as dental implants, treatment of HIV-infected patients, and evaluation and treatment of TMJ disorders. The official publication for nine societies, the Journal is recommended for initial purchase in the Brandon Hill study, Selected List of Books and Journals for the Small Medical Library.