Journal of Periodontology & Implant Dentistry, Vol 2, No 2 (2010)

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Prefabricated free fibula flap for reconstruction of a maxillary defect: a case report

Fereydoun Parnia, Shahram Nazerani, Roodabeh Koodaryan, Negar Motayagheni


The present article describes a case of prosthetic rehabilitation with the new technique of prefabricated osteo-cutaneous free fibula flap for reconstructing a maxillary defect which had resulted from ameloblastoma. The fibula and a cuff of 6-8 mm were prepared with its pedicle intact. The bone flap was left in place with its pedicle intact for 2 to 3 months; the skin graft and the flap were free of inflammation. The fibula flap was then transferred to the maxilla. Implant placement was performed 4 to 6 months after transfer of the flap to the oral cavity. Three titanium implants, with a width of 4 mm and a length of 13 mm, were placed using a conventional two-stage protocol. A cement-retained 5-unit metal-ceramic fixed partial denture was fabricated.

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JPID ISSN 2008-7748 (print) 2008-7756 (online)
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