Health Condition 1: K080- Exfoliation of teeth due to systemic causes Health Condition 2: null- Patients with mandibular defects post resection for benign or malignant lesions that have been reconstructed with free fibula vascularized flap for whom dental rehabilitation has to be carried out.
Conditions
Interventions
Intervention1: removeable partial denture supported by 4 titanium dental implants: in this group, removeable partial denture would be provided after insertion of 4 dental implants. Four dental implant
Sponsors
Dr Vinay V Kumar
Eligibility
Inclusion criteria
Inclusion criteria: Partly dentate patients who have undergone free fibula flap reconstuction of a resection defect of mandible by free fibula flap. Patients should have remaining natural dentition on the native mandible side so that implants are not to be inserted in the native mandible. No local and systemic contraindication for implantation. History of radiotherapy will not be considered as a contraindication for implantation. Favorable inter-ridge relation of the reconstructed hemi-mandible to allow adequate functional rehabilitation of implant supported prosthesis. Sufficient bone in the reconstructed mandible to place implants without augmentation procedures. To allow adaptation existing dentures have to be worn for at least for 3 months prior to recruitment to the study.
Exclusion criteria
Exclusion criteria: Patient not meeting the incusion criteria. • Patients with mandible defects not confirming to L defects or large soft tissue defects that involve the tongue and tonsils. • Completely edentulous patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objective of this study is to have longitudinal case controlled study data on the difference of quality of life measurements of these patients who at the baseline have non implant supported removable partial denture when compared to finalized treatment outcome with implant supported removable partial dentures.Timepoint: Baseline (at prosthesis insertion) 6 months following prosthesis insertion 12 months following prosthesis insertion | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary objective of this randomized clinical study is to evaluate the treatment outcome using two implants- or four implants- supported removable partial dentures in patients with reconstructed hemi mandible (with free fibula flap) post resectionTimepoint: Baseline (at prosthesis insertion) 6 months following prosthesis insertion 12 months following prosthesis insertion | — |
Countries
India
Contacts
Public ContactDr Vinay V Kumar
M R Ambedkar Dental College and Hospital
Outcome results
None listed