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


https://doi.org/10.23805/JO.2020.12.03.5
Vol. 12 No. 4 (2020)
Published: 8 July 2020
mandibulectomy, prosthetic prognosis, microvascularized graft, mandibular defect, maxillofacial prosthesis
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Authors

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

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: (€œprosthesis" or "prosthetic") AND "prognosis" AND "mandibulectomy"; (€œprosthesis" 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.


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, 12(4), 736–743. https://doi.org/10.23805/JO.2020.12.03.5

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