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Protocol and Evaluation of 3D-Planned Microsurgical and Dental Implant Reconstruction of Maxillary Cleft Critical Size Defects in Adolescents and Young Adults

Functional and esthetic final reconstruction of the cleft maxilla is still challenging. Current reconstructive and augmentation techniques do not provide sufficient bone and soft tissue support for the predictable rehabilitation with dental implants due to presence of maxillary bone critical size de...

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Autores principales: Dowgierd, Krzysztof, Pokrowiecki, Rafał, Borowiec, Maciej, Sokolowska, Zuzanna, Dowgierd, Martyna, Wos, Jan, Kozakiewicz, Marcin, Krakowczyk, Łukasz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8197203/
https://www.ncbi.nlm.nih.gov/pubmed/34073752
http://dx.doi.org/10.3390/jcm10112267
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author Dowgierd, Krzysztof
Pokrowiecki, Rafał
Borowiec, Maciej
Sokolowska, Zuzanna
Dowgierd, Martyna
Wos, Jan
Kozakiewicz, Marcin
Krakowczyk, Łukasz
author_facet Dowgierd, Krzysztof
Pokrowiecki, Rafał
Borowiec, Maciej
Sokolowska, Zuzanna
Dowgierd, Martyna
Wos, Jan
Kozakiewicz, Marcin
Krakowczyk, Łukasz
author_sort Dowgierd, Krzysztof
collection PubMed
description Functional and esthetic final reconstruction of the cleft maxilla is still challenging. Current reconstructive and augmentation techniques do not provide sufficient bone and soft tissue support for the predictable rehabilitation with dental implants due to presence of maxillary bone critical size defects and soft tissue deficiency, scaring and poor vascularity. In this article the protocol for the use of 3D virtual surgical planning and microvascular tissue transfers for the reconstruction and rehabilitation of cleft maxilla is presented. Twenty-five patients (8 male/17 female) aged 14–41 years old with cleft-associated critical size defects were treated by 3D-virtual planned microvascular tissue transfers taken either from fibula, iliac crest, radial forearm, or medial femoral condyle. Follow-up lasted 1–5 years. No significant bone resorption (p > 0.005) nor volume loss of the graft was observed (p = 0.645). Patients received final permanent prosthetic reconstruction of the anterior maxilla based on 2–5 dental implants, depending on the defect severity. This is the first study presenting the use of virtual planning in the final restoration of the cleft maxilla with microvascular tissue transfers and dental implants. Presented protocol provide highly functional and aesthetic results.
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spelling pubmed-81972032021-06-13 Protocol and Evaluation of 3D-Planned Microsurgical and Dental Implant Reconstruction of Maxillary Cleft Critical Size Defects in Adolescents and Young Adults Dowgierd, Krzysztof Pokrowiecki, Rafał Borowiec, Maciej Sokolowska, Zuzanna Dowgierd, Martyna Wos, Jan Kozakiewicz, Marcin Krakowczyk, Łukasz J Clin Med Article Functional and esthetic final reconstruction of the cleft maxilla is still challenging. Current reconstructive and augmentation techniques do not provide sufficient bone and soft tissue support for the predictable rehabilitation with dental implants due to presence of maxillary bone critical size defects and soft tissue deficiency, scaring and poor vascularity. In this article the protocol for the use of 3D virtual surgical planning and microvascular tissue transfers for the reconstruction and rehabilitation of cleft maxilla is presented. Twenty-five patients (8 male/17 female) aged 14–41 years old with cleft-associated critical size defects were treated by 3D-virtual planned microvascular tissue transfers taken either from fibula, iliac crest, radial forearm, or medial femoral condyle. Follow-up lasted 1–5 years. No significant bone resorption (p > 0.005) nor volume loss of the graft was observed (p = 0.645). Patients received final permanent prosthetic reconstruction of the anterior maxilla based on 2–5 dental implants, depending on the defect severity. This is the first study presenting the use of virtual planning in the final restoration of the cleft maxilla with microvascular tissue transfers and dental implants. Presented protocol provide highly functional and aesthetic results. MDPI 2021-05-24 /pmc/articles/PMC8197203/ /pubmed/34073752 http://dx.doi.org/10.3390/jcm10112267 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
Dowgierd, Krzysztof
Pokrowiecki, Rafał
Borowiec, Maciej
Sokolowska, Zuzanna
Dowgierd, Martyna
Wos, Jan
Kozakiewicz, Marcin
Krakowczyk, Łukasz
Protocol and Evaluation of 3D-Planned Microsurgical and Dental Implant Reconstruction of Maxillary Cleft Critical Size Defects in Adolescents and Young Adults
title Protocol and Evaluation of 3D-Planned Microsurgical and Dental Implant Reconstruction of Maxillary Cleft Critical Size Defects in Adolescents and Young Adults
title_full Protocol and Evaluation of 3D-Planned Microsurgical and Dental Implant Reconstruction of Maxillary Cleft Critical Size Defects in Adolescents and Young Adults
title_fullStr Protocol and Evaluation of 3D-Planned Microsurgical and Dental Implant Reconstruction of Maxillary Cleft Critical Size Defects in Adolescents and Young Adults
title_full_unstemmed Protocol and Evaluation of 3D-Planned Microsurgical and Dental Implant Reconstruction of Maxillary Cleft Critical Size Defects in Adolescents and Young Adults
title_short Protocol and Evaluation of 3D-Planned Microsurgical and Dental Implant Reconstruction of Maxillary Cleft Critical Size Defects in Adolescents and Young Adults
title_sort protocol and evaluation of 3d-planned microsurgical and dental implant reconstruction of maxillary cleft critical size defects in adolescents and young adults
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8197203/
https://www.ncbi.nlm.nih.gov/pubmed/34073752
http://dx.doi.org/10.3390/jcm10112267
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