Clinical and Radiographic Evaluation of Reconstruction and Prosthetic Rehabilitation of mandibular resection defects using iliac grafts combined with implant placement
Hammuda, A., El-Asfahani, I. (2019). Clinical and Radiographic Evaluation of Reconstruction and Prosthetic Rehabilitation of mandibular resection defects using iliac grafts combined with implant placement. EKB Journal Management System, 65(Issue 2 - April (Oral Surgery)), 1121-1133. doi: 10.21608/edj.2019.72181
Abdullah A. Hammuda; Iman A. El-Asfahani. "Clinical and Radiographic Evaluation of Reconstruction and Prosthetic Rehabilitation of mandibular resection defects using iliac grafts combined with implant placement". EKB Journal Management System, 65, Issue 2 - April (Oral Surgery), 2019, 1121-1133. doi: 10.21608/edj.2019.72181
Hammuda, A., El-Asfahani, I. (2019). 'Clinical and Radiographic Evaluation of Reconstruction and Prosthetic Rehabilitation of mandibular resection defects using iliac grafts combined with implant placement', EKB Journal Management System, 65(Issue 2 - April (Oral Surgery)), pp. 1121-1133. doi: 10.21608/edj.2019.72181
Hammuda, A., El-Asfahani, I. Clinical and Radiographic Evaluation of Reconstruction and Prosthetic Rehabilitation of mandibular resection defects using iliac grafts combined with implant placement. EKB Journal Management System, 2019; 65(Issue 2 - April (Oral Surgery)): 1121-1133. doi: 10.21608/edj.2019.72181

Clinical and Radiographic Evaluation of Reconstruction and Prosthetic Rehabilitation of mandibular resection defects using iliac grafts combined with implant placement

Egyptian Dental Journal
Article 15, Volume 65, Issue 2 - April (Oral Surgery), April 2019, Pages 1121-1133    PDF (1.11 M)
Document Type: Original Article
DOI: 10.21608/edj.2019.72181
Authors
Abdullah A. Hammuda1; Iman A. El-Asfahani2
1Lecturer of Oral and Maxillofacial Surgery, Faculty of Dentistry, Minia university
2Lecturer of Removable Prosthodontics, Faculty of Dentistry, Minia University
Abstract
The aim of the current study was to evaluate efficacy of using iliac grafts combined with implants and retaining a provisional fixed-detachable (hybrid) prosthesis in the reconstruction of mandibular defects regarding average bone loss in graft height, peri-implant marginal bone loss, maximum bite force, facial asymmetry ,patient satisfaction and oral health quality of life (OHRQoL).
Patients and methods: 11 patients were subjected to mandibular marginal resection with immediate reconstruction by autogenous iliac crest graft with implant placement. After 6 months they were rehabilitated with provisional screw-retained prosthesis. Radiographic assessment of average bone loss in graft height and marginal bone loss around dental implants was performed. Facial asymmetry, Maximum bite force, Patient satisfaction and oral health quality of life (OHRQoL) were assessed after the first surgery, at loading, 6 and 12 months later.
Results: Average bone loss of graft height (mean 2.14±1.03). Average peri-implant Marginal bone loss after 1 year 1.42±0.38. The increase in marginal bone loss along the study period was significant (P<0.001). Maximum bite force of the rehabilitated side increased significantly along the study period. There was a statistically high significant difference between the scores of all OHIP-5 items scores except in the scores of the difficulty doing usual jobs item.
Conclusion: Within the limitations of this study, it was concluded that construction of mandibular defect using iliac crest graft combined with dental implants and retaining a provisional fixed- detachable prothesis can be an effective procedure to restore bony defect, facial asymmetry, maximum bite force, patient satisfaction and oral health quality of life.
Keywords
Mandibulectomy; Mandibular defect; iliac crest; non-vascularized graft; maximum bite force; Dental implants; marginal bone loss; and patient satisfaction
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