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

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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引用次数: 0

摘要

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)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of postoperative peri-implant reactive tissues following implant supported prosthetic rehabilitation in fibula free flaps
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. 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. 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%). 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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