Full-staged digital and prosthetic guided protocol for the insertion of dental implants in autogenous free bone grafts after reconstruction of segmental mandibular defects

Mounir, Samy; Mounir, Mohamed; Gibaly, Amr

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dc.contributor.author	Mounir, Samy
dc.contributor.author	Mounir, Mohamed
dc.contributor.author	Gibaly, Amr
dc.date.accessioned	2020-04-26T09:23:56Z
dc.date.available	2020-04-26T09:23:56Z
dc.date.issued	2020
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dc.identifier.issn	18651550
dc.identifier.issn	10.1007/s10006-020-00839-6
dc.identifier.uri	https://t.ly/aFLk
dc.description	Scopus	en_US
dc.description.abstract	Purpose: This study aims to evaluate the clinical and radiographic outcomes of dental implants, inserted in consolidated free bone grafts; postsegmental mandibular resection, after following a fully guided staged protocol, which established a systematic approach that correlates the grafted bone and the enclosed implants to the undisturbed mandibular segments and the maxillary occlusal plane. Methods: Seven patients were enrolled in the study; all were diagnosed for mandibular locally aggressive tumors. All of the patients were subjected to computer-guided segmental mandibular resections, secondary free iliac crest bone graft; aided by computer-guided harvest and prosthetic guidance of the graft positioning and fixation. Finally, the guided bone grafts; after being consolidated, received twenty-nine computer-guided dental implants. Results: By the end of the period of osseointegration, the predetermined criteria of implant success judged the success of twenty-five implants, versus the failure of four implants, with (86.2%) percentage of success. Conclusion: The clinical and radiographic assessments demonstrated sound base bone grafts, which succeeded not only to restore the native mandibular continuity and configuration but also to direct the fair-sized embedded dental implants into favorable coastal locations and axial projections, which influenced a smooth prosthetic rehabilitation. © 2020, Springer-Verlag GmbH Germany, part of Springer Nature.	en_US
dc.description.uri	https://www.scimagojr.com/journalsearch.php?q=11900154405&tip=sid&clean=0
dc.language.iso	en_US	en_US
dc.publisher	Springer	en_US
dc.relation.ispartofseries	Oral and Maxillofacial Surgery;
dc.subject	Computer-guided	en_US
dc.subject	Dental implants	en_US
dc.subject	Free bone graft	en_US
dc.subject	Iliac crest	en_US
dc.subject	Mandibular resection	en_US
dc.subject	Prosthetic-guided	en_US
dc.title	Full-staged digital and prosthetic guided protocol for the insertion of dental implants in autogenous free bone grafts after reconstruction of segmental mandibular defects	en_US
dc.type	Article	en_US
dc.Affiliation	October University for modern sciences and Arts (MSA)