RT Journal Article
T1 Virtual Surgical Planning, Stereolitographic Models and CAD/CAM Titanium Mesh for Three-Dimensional Reconstruction of Fibula Flap with Iliac Crest Graft and Dental Implants
A1 Navarro Cuéllar, Carlos
A1 Tousidonis Rial, Manuel
A1 Antúnez Conde, Raúl
A1 Ochandiano Caicoya, Santiago
A1 Navarro Cuéllar, Ignacio
A1 Arenas de Frutos, Gema
A1 Sada Urmeneta, Ángela
A1 García-Hidalgo Alonso, María Isabel
A1 Navarro Vila, Carlos León Martín Pascual
A1 Salmerón Escobar, José Ignacio
AB Mandibular reconstruction with fibula flap shows a 3D discrepancy between the fibula and the remnant mandible. Eight patients underwent three-dimensional reconstruction of the fibula flap with iliac crest graft and dental implants through virtual surgical planning (VSP), stereolitographic models (STL) and CAD/CAM titanium mesh. Vertical ridge augmentation and horizontal dimensions of the fibula, peri-implant bone resorption of the iliac crest graft, implant success rate and functional and aesthetic results were evaluated. Vertical reconstruction ranged from 13.4 mm to 10.1 mm, with an average of 12.22 mm. Iliac crest graft and titanium mesh were able to preserve the width of the fibula, which ranged from 8.9 mm to 11.7 mm, with an average of 10.1 mm. A total of 38 implants were placed in the new mandible, with an average of 4.75 ± 0.4 implants per patient and an osseointegration success rate of 94.7%. Two implants were lost during the osseointegration period (5.3%). Bone resorption was measured as peri-implant bone resorption at the mesial and distal level of each implant, with a variation between 0.5 mm and 2.4 mm, and with a mean of 1.43 mm. All patients were rehabilitated with a fixed implant prosthesis with good aesthetic and functional results.
PB MDPI
SN 2077-0383
YR 2021
FD 2021-04-29
LK https://hdl.handle.net/20.500.14352/108672
UL https://hdl.handle.net/20.500.14352/108672
LA eng
NO Navarro Cuéllar, C.; Tousidonis Rial, M.; Antúnez-Conde, R.; Ochandiano Caicoya, S.; Navarro Cuéllar, I.; Arenas de Frutos, G.; Sada Urmeneta, Á.; García-Hidalgo Alonso, M.I.; Navarro Vila, C.; Salmerón Escobar, J.I. Virtual Surgical Planning, Stereolitographic Models and CAD/CAM Titanium Mesh for Three-Dimensional Reconstruction of Fibula Flap with Iliac Crest Graft and Dental Implants. J. Clin. Med. 2021, 10, 1922. https://doi.org/10.3390/jcm10091922
DS Docta Complutense
RD 25 abr 2025