Free flap jaw reconstruction with dental implantation: A single‐institution experience

Author:

Ostrander Benjamin T.12ORCID,Meller Leo13,Harmon Matthew13,Archambault Katya2,Kristallis Thanos2,Hammer Daniel14,Orosco Ryan K.56ORCID

Affiliation:

1. Department of Otolaryngology‐Head and Neck Surgery University of California San Diego Health San Diego California USA

2. Moores Cancer Center University of California San Diego Health La Jolla California USA

3. School of Medicine University of California San Diego La Jolla California USA

4. Department of Oral and Maxillofacial Surgery Naval Medical Center San Diego San Diego California USA

5. Department of Surgery, Division of Otolaryngology University of New Mexico Albuquerque New Mexico USA

6. University of New Mexico Comprehensive Cancer Center Albuquerque New Mexico USA

Abstract

AbstractBackgroundWe sought to review our institution's experience with dental implant placement in free flap jaw reconstruction to determine factors impacting restoration of dental occlusion.MethodsExactly 48 patients underwent free flap jaw reconstruction with or without dental restoration from 2017 to 2022. Primary outcome was achievement of restored dental occlusion after jaw free flap reconstruction.ResultsA total of 48 patients with a mean age of 59.8 ± 16.4 years underwent jaw reconstruction from 2017 to 2022. Ten patients (20.8%) received osteointegrated dental implants. Two patients received a temporary dental prosthesis, 12 ± 4 months after initial reconstruction. Three patients received a final prosthesis, with a mean time to final prosthesis of 17.7 ± 12.4 months. Five patients did not receive any prosthesis despite placement of implants.ConclusionA minority of patients received dental implant placement with free flap jaw reconstruction and only a small subset of these received a definitive dental prosthesis.

Publisher

Wiley

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