J Korean Acad Prosthodont.  2020 Jul;58(3):268-274. 10.4047/jkap.2020.58.3.268.

Oral rehabilitation using implant supported fixed dental prostheses in a growing patient who underwent mandibulectomy and fibular free flap

• Lee HY
• Kim JH

• KMID: 2504696
• DOI: http://doi.org/10.4047/jkap.2020.58.3.268

Abstract

Functional and esthetic recovery through reconstruction of the oral and maxillofacial system is important for patients who underwent mandibulectomy due to lesions such as oral cancer. The fibula free flap, which is frequently used in the reconstruction of the mandible, is easy to prosthetic restoration with implant placement. However, patients with growing periods have difficulty in treatment with implants when the size of the fibula is small and residual growth remains. This case is an 11-year-old female patient who underwent mandibulectomy due to osteosarcoma and reconstruction of the mandible using a fibular free flap. Functional and esthetic recovery were obtained through prosthetic restoration using implant-supported fixed prostheses. Implantation site, number of implants, and type of prostheses were considered. Implant-supported fixed prostheses were delivered at 13 years old, and after an additional 1 year observation, stable results were obtained. However, observing changes in the maxillofacial system through further examinations is necessary.

Keyword

Fibular free flap; Growth; Implant supported fixed dental prosthesis; Mandibulectomy