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Master Thesis

Réhabilitation implantaire sur fibula : revue de la littérature

Abstract : Implant-prosthetic management of patients with loss of jaw substance is complex, requiring rehabilitation with removable prostheses that are often poorly accepted by patients. The objective of this study was to review the literature in order to evaluate the implant-prosthetic survival rate of patients who had undergone per- or post-operative fibula free flap (FFF) reconstruction, and to identify the influence of radiotherapy according to the time of irradiation. Fourteen articles with low levels of evidence and heterogeneous data, published between 1995 and 2021, were selected, corresponding to 801 implants. The implant success and survival rates were 83.3% and 86.2% respectively with a mean duration of 46.6 and 91.4 months. The implants were performed on average 16.8 months after reconstruction surgery (83.5%) and after radiotherapy (average dose 55.8 Gy). Implant prognosis was worse when radiation was performed before implant placement. There is no scientific evidence yet on the optimal time to perform the implant procedure in either per or postradiotherapy situations. In the absence of radiotherapy, the prognosis for implants in FFF is similar to that in native bone (91 to 96.8%). Advances in CAD/CAM and the digital chain should make it possible to optimize these procedures by limiting the number of interventions (implants intraoperatively during reconstruction surgery) and to improve the final prognosis.
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Master Thesis
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Submitted on : Monday, April 11, 2022 - 10:00:28 AM
Last modification on : Tuesday, April 12, 2022 - 3:34:14 AM



Distributed under a Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International License


  • HAL Id : dumas-03636701, version 1


Matthis Samuel. Réhabilitation implantaire sur fibula : revue de la littérature. Chirurgie. 2021. ⟨dumas-03636701⟩



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