.  2021 Jun;25(2):. 10.32542/implantology.2021010.

CAD-CAM fabricated Milled-bar and Implant Overdenture after Reconstruction with a Fibular Free Flap: A Clinical Report

Affiliations
  • 1Clinical Professor, Department of Prosthodontics, Seoul National University Dental Hospital, School of Dentistry, Seoul National University, Seoul , Korea

Abstract

This clinical report describes the oral rehabilitation of a patient who underwent total mandibulectomy and subsequent fibular f ree flap reconstruction. The patient had adverse sof t tissue conditions for a tissue-borne prosthesis and placement of a sufficient number of implants to support a fixed prosthesis was not possible. Therefore, a titanium milled bar supported by four implants was fabricated, and a fabricated overdenture was placed on the milled bar without overlying sof t tissue using CAD-CAM technology. A series of treatment procedures for the patient and their follow-up has been presented in this report.

Keyword

CAD-CAM; Fibular f ree flap; Implant restoration; Milled bar; Total mandibulectomy
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