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Journal of Oral Science & Rehabilitation No. 4, 2016

Journal of Oral Science & Rehabilitation 26 Volume 2 | Issue 4/2016 P e r i i m p l a n t s o f t - t i s s u e m a n a g e m e n t Periimplant soft-tissue management in patients with a fibula free flap reconstruction: Case series and description of a new technique Abstract O b j e c t i v e Objective: The aim of the present pilot case series studywas to present a new technique for managing the periimplant soft tissue before implant placement, the soft-tissue template technique. M a t e r i a l s a n d m e t h o d s This study was designed as a pilot case series study. At least six months afterreconstructionwithafibulafreeflap,allcrestalsofttissue,including skin and muscle, was removed, leaving only periosteum attached to the reconstructed alveolarcrest.The softtissuewasthen remodeled accord- ing to a new technique. One month after complete soft-tissue healing, implantswereinsertedwithaflaplesstechniqueusingacomputer-guided template. Three to six months later, a screw-retained prosthesis was delivered.Outcomemeasureswereimplantsurvivalandperiimplantmu- cosal response, based on probing pocket depth (PPD) and bleeding on probing (BOP). R e s u l t s Six patients (four males and two females) with a mean age of 48.4 years were treated. A total of 32 implants were inserted. No dropout occurred during the entire follow-up period. No implant failed and the overall im- plant survival ratewas 100% 12 months afterdefinitive prosthesis deliv- ery.All ofthe patients presentedwith healthysoft tissue, stable PPD and good BOP values at the one-year follow-up. The mean PPD values were 3.6 ± 0.6 mm and the mean BOP values were 9 ± 4.8%. C o n c l u s i o n Within the limitations of the study, this technique appeared to improve the quality of transplanted periimplant soft tissue. Further clinical trials are needed to validate this approach. K e y w o r d s Free flap, fibula, periimplant soft tissue. Silvio Mario Meloni,a Mario Tallarico,a Luigi Canullob Giacomo De Riub & Olindo Massarellia a University of Sassari, Sassari, Italy b Freelance researcher, Rome, Italy C o r r e s p o n d i n g a u t h o r : Dr. Silvio Mario Meloni T +39 392 9963636 F +39 079 229002 H o w t o c i t e t h i s a r t i c l e : Meloni SM, Tallarico M, Canullo L, De Riu G., Massarelli O. Periimplant soft-tissue management in patients with a fibula free flap reconstruction: case series and description of a new technique. J Oral Science Rehabilitation. 2016 Dec;2(4):26–30. T +393929963636 F +39079229002

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