All on Four Technique, Free Fibula Flaps, Reconstructed Jaws
Conditions
Brief summary
The use of free vascularized fibula flaps for bony reconstruction has proved its success as a substitution for the resected bone and in some instances, the surrounding soft tissues The aim of this case series study is to evaluate the stability of the dental implants placed in free fibula flaps substituting a resected mandible and/or maxilla when they are immediately loaded with the All-On-Four technique along with the patient satisfaction.
Detailed description
• Preoperative phase : Patients will be subjected to: * Case history including personal data, medical, surgical and family history. * Clinical examination * Radiographic examination using computed tomography (C.T) bony and soft tissue window. * Diagnostic studying casts. * Operative phase : All cases will undergo surgery under local regional anesthesia. Injection of local anaesthesia (Articaine 4% and 1:100000 epinephrine) for regional infiltration. Sequential drilling then insertion of the dental implant fixtures and abutments on which the prefabricated temporary prosthesis will be fixed. • Postoperative care Proper postoperative instructions will be given to the patient such as strict oral hygiene measures and soft diet for 1 month, in addition to the postoperative medications including antibiotics (amoxicillin 1g capsules b.d.s ) and analgesics (diclofenac potassium 50mg as needed). Adherence to follow ups will be also instructed
Interventions
DEVICEimmediate loading with all on four technique in FFF
All cases will undergo surgery under local regional anesthesia. Injection of local anaesthesia (Articaine 4% and 1:100000 epinephrine) for regional infiltration. Sequential drilling then insertion of the dental implant fixtures and abutments on which the prefabricated temporary prosthesis will be fixed.
Sponsors
Cairo University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
15 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Patients with reconstructed jaws with free fibula flaps in either or both jaws. * Age group : from 15 to 60 years old * No sex predilection * Patients with no contraindications to surgical intervention
Exclusion criteria
* Patients with systemic condition counteracting with the surgical procedure.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary Stability | 6 months | The primary outcome is the implant stability determined by the insertion torque at the time of insertion using OSSTELL device |
Countries
Egypt
Outcome results
None listed