Publication

Abstract : The application of vascularized fibula graft has become a standard methodology in the reconstruction of sizeable maxillo-mandibular defects. Fibula graft provides bi-cortical anchorage for dental implants. However, the mobile non-keratinized tissue on bone presents with proliferation after prosthetic intervention. The large prosthetic space also poses a challenge. Excessive height of the prosthesis above the implant platform creates a vertical cantilever that magnifies torque stresses on the crestal bone. This causes an overload on the implant-bone and the abutment-implant interface. Hence, there is a high chance of loosening or fracture of connecting screw. Increased prosthetic space makes it difficult for the patient to maintain oral hygiene. This paper presents cases with the prosthetic management of fibula reconstructed jaws with various types of implant supported prostheses that provide solutions to the above-mentioned challenges.