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Virtual Surgical Planning, Stereolitographic Models and CAD/CAM Titanium Mesh for Three-Dimensional Reconstruction of Fibula Flap with Iliac Crest Graft and Dental Implants

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 (ST...

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Autores principales: Navarro Cuéllar, Carlos, Tousidonis Rial, Manuel, Antúnez-Conde, Raúl, Ochandiano Caicoya, Santiago, Navarro Cuéllar, Ignacio, Arenas de Frutos, Gema, Sada Urmeneta, Ángela, García-Hidalgo Alonso, María Isabel, Navarro Vila, Carlos, Salmerón Escobar, José Ignacio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8124267/
https://www.ncbi.nlm.nih.gov/pubmed/33946731
http://dx.doi.org/10.3390/jcm10091922
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author Navarro Cuéllar, Carlos
Tousidonis Rial, Manuel
Antúnez-Conde, Raúl
Ochandiano Caicoya, Santiago
Navarro Cuéllar, Ignacio
Arenas de Frutos, Gema
Sada Urmeneta, Ángela
García-Hidalgo Alonso, María Isabel
Navarro Vila, Carlos
Salmerón Escobar, José Ignacio
author_facet Navarro Cuéllar, Carlos
Tousidonis Rial, Manuel
Antúnez-Conde, Raúl
Ochandiano Caicoya, Santiago
Navarro Cuéllar, Ignacio
Arenas de Frutos, Gema
Sada Urmeneta, Ángela
García-Hidalgo Alonso, María Isabel
Navarro Vila, Carlos
Salmerón Escobar, José Ignacio
author_sort Navarro Cuéllar, Carlos
collection PubMed
description 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.
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spelling pubmed-81242672021-05-17 Virtual Surgical Planning, Stereolitographic Models and CAD/CAM Titanium Mesh for Three-Dimensional Reconstruction of Fibula Flap with Iliac Crest Graft and Dental Implants Navarro Cuéllar, Carlos Tousidonis Rial, Manuel Antúnez-Conde, Raúl Ochandiano Caicoya, Santiago Navarro Cuéllar, Ignacio Arenas de Frutos, Gema Sada Urmeneta, Ángela García-Hidalgo Alonso, María Isabel Navarro Vila, Carlos Salmerón Escobar, José Ignacio J Clin Med Article 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. MDPI 2021-04-29 /pmc/articles/PMC8124267/ /pubmed/33946731 http://dx.doi.org/10.3390/jcm10091922 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Navarro Cuéllar, Carlos
Tousidonis Rial, Manuel
Antúnez-Conde, Raúl
Ochandiano Caicoya, Santiago
Navarro Cuéllar, Ignacio
Arenas de Frutos, Gema
Sada Urmeneta, Ángela
García-Hidalgo Alonso, María Isabel
Navarro Vila, Carlos
Salmerón Escobar, José Ignacio
Virtual Surgical Planning, Stereolitographic Models and CAD/CAM Titanium Mesh for Three-Dimensional Reconstruction of Fibula Flap with Iliac Crest Graft and Dental Implants
title Virtual Surgical Planning, Stereolitographic Models and CAD/CAM Titanium Mesh for Three-Dimensional Reconstruction of Fibula Flap with Iliac Crest Graft and Dental Implants
title_full Virtual Surgical Planning, Stereolitographic Models and CAD/CAM Titanium Mesh for Three-Dimensional Reconstruction of Fibula Flap with Iliac Crest Graft and Dental Implants
title_fullStr Virtual Surgical Planning, Stereolitographic Models and CAD/CAM Titanium Mesh for Three-Dimensional Reconstruction of Fibula Flap with Iliac Crest Graft and Dental Implants
title_full_unstemmed Virtual Surgical Planning, Stereolitographic Models and CAD/CAM Titanium Mesh for Three-Dimensional Reconstruction of Fibula Flap with Iliac Crest Graft and Dental Implants
title_short Virtual Surgical Planning, Stereolitographic Models and CAD/CAM Titanium Mesh for Three-Dimensional Reconstruction of Fibula Flap with Iliac Crest Graft and Dental Implants
title_sort virtual surgical planning, stereolitographic models and cad/cam titanium mesh for three-dimensional reconstruction of fibula flap with iliac crest graft and dental implants
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8124267/
https://www.ncbi.nlm.nih.gov/pubmed/33946731
http://dx.doi.org/10.3390/jcm10091922
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