De Riu, Giacomo and Meloni, Silvio Mario and Pisano, Milena and Massarelli, Olindo and Tullio, Antonio (2012) Computed tomography-guided implant surgery for dental rehabilitation in mandible reconstructed with a fibular free flap: description of the technique. British Journal of Oral and Maxillofacial Surgery, Vol. 50 (1), p. 30-35. eISSN 1532-1940. Article.
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The fibular free flap, with or without a cutaneous component, is the gold standard for reconstructing mandibular defects. Dental prosthetic rehabilitation is possible this way, even if the prosthesis-based implant is still a challenge because of the many anatomical and prosthetic problems. We think that complications can be overcome or reduced by adopting the new methods of computed tomography (CT)-assisted implant surgery (NobelGuide®, Nobel Biocare AB, Goteborg, Sweden). Here we describe the possibility of using CT-guided implant surgery with a flapless approach and immediate loading in mandibles reconstructed with fibular free flaps.
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