Implant-supported overdenture placement after fibula flap-based mandibular reconstruction using guided bone regeneration with titanium mesh and tenting screws: A clinical report.
Kensuke Yamauchi, Kazuhiro Imoto, Naoko Sato et al.
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Case in brief
A 63-year-old man with a history of segmental mandibulectomy for ameloblastoma underwent fibula free-flap reconstruction. Due to insufficient bone volume, guided bone regeneration (GBR) was utilized with titanium mesh and tenting screws. Following consolidation, four implants were placed, leading to successful rehabilitation with a titanium bar and LOCATOR-retained overdenture. At one year, the patient showed significant improvement in appearance and masticatory function without complications.
Diagnostic / clinical pearl
The combination of guided bone regeneration and a staged approach after fibula flap surgery can lead to predictable functional reconstruction in patients with inadequate bone volume.