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Prosthetic Rehabilitation In A Patient With MRONJ With Vascularized Free Fibula And Osseointegrated Dental Implants

Year: 2025

Type: article

Abstract: Medication-related osteonecrosis of the jaw (MRONJ) is an identifiable disorder that frequently affects cancer patients taking particular medications that promote bone resorption. Other variables that raise the likelihood of developing osteonecrosis include tooth extractions and bone trauma. The paradigm for arranging intricate craniofacial reconstructions has evolved as a result of technological advancement. The advent of 3D planning and stereolithographic printing of patient models helps in pre-planning the entire surgery well in advance of the actual surgery. Use of a vascularized free fibula flap has been a popular method of osseous reconstruction because of its adequate length and acceptance of dental implants. In this case study, a patient with advanced drug-induced osteonecrosis of the maxilla was successfully treated with hemi-maxillectomy, reconstruction with a vascularized free fibula flap, and implant-supported prosthetic rehabilitation.

Source: JOURNAL OF CLINICAL PROSTHODONTICS AND IMPLANTOLOGY

DOI: 10.55995/j-cpi.2025001

Authors: Smrithi N S, Ranjith Varghese, Vimalambiga Ramani

Institutions: Tamil Nadu Dr. M.G.R. Medical University, Ganga Hospital

Language: English

Topic: Reconstructive Surgery and Microvascular Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4414276887

FWCI:

Cites: 28

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