The main limitation of the free fibula flap reconstruction is bone height that is insufficient for restoring both the skeletal base and the alveolar ridge. This is especially evident when the native mandible is dentate at the unaffected site adjacent to fibula flap. In implant-borne dental rehabilitation, if the reconstructed alveolar ridge is low, we may get an inadequate crown-to-implant ratio. To overcome the high discrepancy between the reconstructed alveolar crest and the native one, some therapeutic options have been introduced: fixation of the fibula at the level of the residual alveolar crest of the healthy side, primary use of the fibula as a double-barrel graft, delayed onlay bone graft on the fibula, later vertical distraction osteogenesis and secondary osteotomies to correct malocclusion after fibula. Techniques for vertical bone augmentation in fibula flap are here discussed.

Bone Augmentation / Nocini, Pier Francesco; Anesi, Alexandre; Fior, Andrea. - (2019), pp. 53-65. [10.1007/978-3-030-10684-3_7]

Bone Augmentation

Anesi, Alexandre
Conceptualization
;
2019

Abstract

The main limitation of the free fibula flap reconstruction is bone height that is insufficient for restoring both the skeletal base and the alveolar ridge. This is especially evident when the native mandible is dentate at the unaffected site adjacent to fibula flap. In implant-borne dental rehabilitation, if the reconstructed alveolar ridge is low, we may get an inadequate crown-to-implant ratio. To overcome the high discrepancy between the reconstructed alveolar crest and the native one, some therapeutic options have been introduced: fixation of the fibula at the level of the residual alveolar crest of the healthy side, primary use of the fibula as a double-barrel graft, delayed onlay bone graft on the fibula, later vertical distraction osteogenesis and secondary osteotomies to correct malocclusion after fibula. Techniques for vertical bone augmentation in fibula flap are here discussed.
2019
Atlas of Mandibular and Maxillary Reconstruction with the Fibula Flap: a step-by-step approach
978-3-030-10682-9
978-3-030-10684-3
Bone Augmentation / Nocini, Pier Francesco; Anesi, Alexandre; Fior, Andrea. - (2019), pp. 53-65. [10.1007/978-3-030-10684-3_7]
Nocini, Pier Francesco; Anesi, Alexandre; Fior, Andrea
File in questo prodotto:
File Dimensione Formato  
Bone Augmentation.pdf

Accesso riservato

Tipologia: Versione pubblicata dall'editore
Dimensione 3.51 MB
Formato Adobe PDF
3.51 MB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

Licenza Creative Commons
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1187176
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus ND
  • ???jsp.display-item.citation.isi??? ND
social impact