alterations in surgical interventions to improve the prosthetic prognosis in patients with mandibular defects: a review of the literature

  • G. Ruggiero | gennaro_ruggiero@hotmail.it Department of Neurosciences, Reproductive and Odontostomatological Sciences, University “Federico II” of Naples, Naples, Italy., Italy.
  • N. Bocca Department of Surgical Sciences, Interdipartimental Center of Research (CIR), Dental School, Oral and Maxillofacial Rehabilitation, University of Turin, Turin, Italy., Italy.
  • M. Carossa Department of Surgical Sciences, Interdipartimental Center of Research (CIR), Dental School, Oral and Maxillofacial Rehabilitation, University of Turin, Turin, Italy., Italy.
  • G. Gassino

Abstract

Aim The present review was aimed to identify the surgical procedures to enhance the prosthetic prognosis in patients with mandibular defects.

Methods A literature search was performed on the databases  PubMed/Medline, Scopus, Embase, Google Scholar, Dynamed and Grey Literature, in addition to congress proceedings and books written in Italian or English language. The literature search was conducted using the following keywords: (“prosthesis” or “prosthetic”) AND “prognosis” AND “mandibulectomy”; (“prosthesis” or “prosthetic”) AND “prognosis” AND (“defect” or “reconstruction” or “resection”) and (“mandibular” or “mandible”).

Results The selection process yielded 43 papers after the databases search, while 7 books and 3 congress proceedings were included after the manual search.

Conclusion To enhance the prosthetic prognosis, the surgeons must preserve the tongue mobility and as many teeth as possible; vestibuloplasty could be needed, while intraseptal bone cuts and specific resection lines are recommended. The use of fibula graft, osseointegrated implants, and digital technologies can improve the prosthetic prognosis.

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Published
2020-07-08
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Articles
Keywords:
mandibulectomy, prosthetic prognosis, microvascularized graft, mandibular defect, maxillofacial prosthesis
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How to Cite
Ruggiero, G., Bocca, N., Carossa, M., & Gassino, G. (2020). alterations in surgical interventions to improve the prosthetic prognosis in patients with mandibular defects: a review of the literature. Journal of Osseointegration. https://doi.org/10.23805/10.23805 /JO.2020.12.03.4