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Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/3836

Title: Study of Treatment Methods for Surrounding Soft Tissues of Implants Following Mandibular Reconstructions with Fibula-Free Flaps.
Other Titles: 腓骨皮弁による下顎骨再建術術後のインプラント周囲軟組織における治療方法の検討
Authors: Nakaue, Kazuhiko
Horita, Satoshi
Imada, Mitsuhiko
Yamamoto, Kazuhiko
Sugiura, Tsutomu
Ueda, Nobuhiro
Yamakawa, Nobuhiro
Nakayama, Yohei
Kirita, Tadaaki
Keywords: free gingival graft (FGG)
maxillofacial reconstruction
keratinized mucosa
soft tissue treatment
fibula-free flap mandible reconstruction
Issue Date: Jul-2020
Publisher: MDPI
Citation: Dentistry journal Vol.8 No.3 Article No.67 (2020 Jul)
Abstract: In maxillofacial reconstruction implant treatment, unsatisfactory soft tissue treatment of the area around the implant may lead to inflammation. As a result, appropriate soft tissue treatment is critical. To the best of our knowledge, there are no studies that compare the different tissue treatment methods available. Hence, in this study, we compare three soft tissue treatment methods around implants after mandibular reconstruction is achieved with a fibula-free flap. Out of 33 patients who underwent mandible reconstruction using fibula-free flaps between 2006 and 2015, 5 were selected for this study. A total of 17 implants were used for treatment by the final prosthetics of the five patients. Three soft tissue treatment methods with free gingival graft (FGG) were evaluated, namely, installing a splint in a modified abutment to protect the wounded area during a palatal mucosa transplant (method 1), installing a splint or dentures to a locator abutment (method 2), and the use of screw-in fixed dentures (method 3). The method that could guarantee the widest keratinized mucosa was the screw-in fixed denture method. The results of our study indicated that employing screw-in fixed dentures for FGG may be a useful soft tissue treatment for mandible reconstruction implants.
Description: 博士(医学)・乙第1491号・令和2年12月24日
Copyright © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
URI: http://hdl.handle.net/10564/3836
ISSN: 23046767
Academic Degrees and number: 24601B1491
Degree-granting date: 2020-12-24
Degree name: 博士(医学)
Degree-granting institutions: 奈良県立医科大学
Appears in Collections:2020年度

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