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Study of Treatment Methods for Surrounding Soft Tissues of Implants Following Mandibular Reconstructions with Fibula-Free Flaps

In maxillofacial reconstruction implant treatment, unsatisfactory soft tissue treatment of the area around the implant may lead to inflammation. As a result, appropriate soft tissue treatment is critical. To the best of our knowledge, there are no studies that compare the different tissue treatment...

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Autores principales: Nakaue, Kazuhiko, Horita, Satoshi, Imada, Mitsuhiko, Yamamoto, Kazuhiko, Sugiura, Tsutomu, Ueda, Nobuhiro, Yamakawa, Nobuhiro, Nakayama, Yohei, Kirita, Tadaaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559181/
https://www.ncbi.nlm.nih.gov/pubmed/32635391
http://dx.doi.org/10.3390/dj8030067
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author Nakaue, Kazuhiko
Horita, Satoshi
Imada, Mitsuhiko
Yamamoto, Kazuhiko
Sugiura, Tsutomu
Ueda, Nobuhiro
Yamakawa, Nobuhiro
Nakayama, Yohei
Kirita, Tadaaki
author_facet Nakaue, Kazuhiko
Horita, Satoshi
Imada, Mitsuhiko
Yamamoto, Kazuhiko
Sugiura, Tsutomu
Ueda, Nobuhiro
Yamakawa, Nobuhiro
Nakayama, Yohei
Kirita, Tadaaki
author_sort Nakaue, Kazuhiko
collection PubMed
description In maxillofacial reconstruction implant treatment, unsatisfactory soft tissue treatment of the area around the implant may lead to inflammation. As a result, appropriate soft tissue treatment is critical. To the best of our knowledge, there are no studies that compare the different tissue treatment methods available. Hence, in this study, we compare three soft tissue treatment methods around implants after mandibular reconstruction is achieved with a fibula-free flap. Out of 33 patients who underwent mandible reconstruction using fibula-free flaps between 2006 and 2015, 5 were selected for this study. A total of 17 implants were used for treatment by the final prosthetics of the five patients. Three soft tissue treatment methods with free gingival graft (FGG) were evaluated, namely, installing a splint in a modified abutment to protect the wounded area during a palatal mucosa transplant (method 1), installing a splint or dentures to a locator abutment (method 2), and the use of screw-in fixed dentures (method 3). The method that could guarantee the widest keratinized mucosa was the screw-in fixed denture method. The results of our study indicated that employing screw-in fixed dentures for FGG may be a useful soft tissue treatment for mandible reconstruction implants.
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spelling pubmed-75591812020-10-29 Study of Treatment Methods for Surrounding Soft Tissues of Implants Following Mandibular Reconstructions with Fibula-Free Flaps Nakaue, Kazuhiko Horita, Satoshi Imada, Mitsuhiko Yamamoto, Kazuhiko Sugiura, Tsutomu Ueda, Nobuhiro Yamakawa, Nobuhiro Nakayama, Yohei Kirita, Tadaaki Dent J (Basel) Article In maxillofacial reconstruction implant treatment, unsatisfactory soft tissue treatment of the area around the implant may lead to inflammation. As a result, appropriate soft tissue treatment is critical. To the best of our knowledge, there are no studies that compare the different tissue treatment methods available. Hence, in this study, we compare three soft tissue treatment methods around implants after mandibular reconstruction is achieved with a fibula-free flap. Out of 33 patients who underwent mandible reconstruction using fibula-free flaps between 2006 and 2015, 5 were selected for this study. A total of 17 implants were used for treatment by the final prosthetics of the five patients. Three soft tissue treatment methods with free gingival graft (FGG) were evaluated, namely, installing a splint in a modified abutment to protect the wounded area during a palatal mucosa transplant (method 1), installing a splint or dentures to a locator abutment (method 2), and the use of screw-in fixed dentures (method 3). The method that could guarantee the widest keratinized mucosa was the screw-in fixed denture method. The results of our study indicated that employing screw-in fixed dentures for FGG may be a useful soft tissue treatment for mandible reconstruction implants. MDPI 2020-07-03 /pmc/articles/PMC7559181/ /pubmed/32635391 http://dx.doi.org/10.3390/dj8030067 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nakaue, Kazuhiko
Horita, Satoshi
Imada, Mitsuhiko
Yamamoto, Kazuhiko
Sugiura, Tsutomu
Ueda, Nobuhiro
Yamakawa, Nobuhiro
Nakayama, Yohei
Kirita, Tadaaki
Study of Treatment Methods for Surrounding Soft Tissues of Implants Following Mandibular Reconstructions with Fibula-Free Flaps
title Study of Treatment Methods for Surrounding Soft Tissues of Implants Following Mandibular Reconstructions with Fibula-Free Flaps
title_full Study of Treatment Methods for Surrounding Soft Tissues of Implants Following Mandibular Reconstructions with Fibula-Free Flaps
title_fullStr Study of Treatment Methods for Surrounding Soft Tissues of Implants Following Mandibular Reconstructions with Fibula-Free Flaps
title_full_unstemmed Study of Treatment Methods for Surrounding Soft Tissues of Implants Following Mandibular Reconstructions with Fibula-Free Flaps
title_short Study of Treatment Methods for Surrounding Soft Tissues of Implants Following Mandibular Reconstructions with Fibula-Free Flaps
title_sort study of treatment methods for surrounding soft tissues of implants following mandibular reconstructions with fibula-free flaps
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559181/
https://www.ncbi.nlm.nih.gov/pubmed/32635391
http://dx.doi.org/10.3390/dj8030067
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