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Journal of Long-Term Effects of Medical Implants

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.v14.i4.30
12 pages

Mandibular Reconstruction with Microsurgical Bone Flap and Dental Implants

Feng Zhang
Division of Plastic Surgery, Microsurgery Laboratory, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216
Tiffany Jackman
Division of Plastic Surgery; University of Mississippi Medical Center, Jackson, Mississippi, USA
Harold M. Livingston
School of Dentistry; University of Mississippi Medical Center, Jackson, Mississippi, USA
William C. Lineaweaver
Division of Plastic Surgery. The University of Mississippi Medical Center, 2500, North State Street, Jackson, MS 39216-4505

ABSTRACT

Functional reconstruction of the mandible following resection or traumatic injury depends on the bony reconstruction and support dental implants. Microsurgical bone flaps allow the transfer of bone and soft tissue with a rich vascular supply and provide a firm basis for placement of dental implants in mandible reconstruction. Endosseous dental implants may improve functional restoration by ensuring the stable dentition essential for normal mastication and speech. In this review article, donor sites of microsurgical bone flaps, criteria for placement of dental implants, timing for dental implantation, bone resorption, role of radiotherapy and hyperbaric oxygen, and success rate of dental implants are discussed.