TY - JOUR AU - Ruggiero, G. AU - Bocca, N. AU - Carossa, M. AU - Gassino, G. PY - 2020/07/08 Y2 - 2024/03/28 TI - Alterations in surgical interventions to improve the prosthetic prognosis in patients with mandibular defects: a review of the literature JF - Journal of Osseointegration JA - J Osseointegr VL - 12 IS - 4 SE - Articles DO - 10.23805/JO.2020.12.03.5 UR - https://journalofosseointegration.eu/jo/article/view/354 SP - 736-743 AB - <p class="p1"><strong>Aim </strong>The present review was aimed to identify the surgical procedures to enhance the prosthetic prognosis in patients with mandibular defects.</p><p class="p1"><strong>Methods </strong>A literature search was performed on the databases<span class="Apple-converted-space">  </span>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: (€œprosthesis" or "prosthetic") AND "prognosis" AND "mandibulectomy"; (€œprosthesis" or "prosthetic") AND "prognosis" AND ("defect" or "reconstruction" or "resection") and ("mandibular" or "mandible").</p><p class="p1"><strong>Results </strong>The selection process yielded 43 papers after the databases search, while 7 books and 3 congress proceedings were included after the manual search.</p><p class="p1"><strong>Conclusion</strong> 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.</p> ER -