Digital technology-enhanced reconstruction and rehabilitation following mandible fibular flap grafting with implants: a case report
ObjectiveIn this paper, we report a case of missing posterior teeth after mandibular fibular flap grafting and implant restoration by means of a digital restorative process, in the hope that the application of digital technology will help the patient to comfortably establish an adapted occlusal rela...
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Frontiers Media S.A.
2025-03-01
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| Series: | Frontiers in Dental Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fdmed.2025.1554315/full |
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| author | Shuang Li Shuang Li Jian Liu Jian Li Baoheng Yin Baoheng Yin Yuanyong Feng Yanshan Liu Na Bai Na Bai |
| author_facet | Shuang Li Shuang Li Jian Liu Jian Li Baoheng Yin Baoheng Yin Yuanyong Feng Yanshan Liu Na Bai Na Bai |
| author_sort | Shuang Li |
| collection | DOAJ |
| description | ObjectiveIn this paper, we report a case of missing posterior teeth after mandibular fibular flap grafting and implant restoration by means of a digital restorative process, in the hope that the application of digital technology will help the patient to comfortably establish an adapted occlusal relationship.Case reportA 29-year-old male patient developed a left mandibular ameloblastoma measuring 35 mm × 35 mm × 25 mm, which did not invade the surrounding bone tissue, submandibular gland tissue, or lymph nodes. After resection of an 85 mm mandibular segment, the patient was reconstructed using a gastrocnemius flap transfer. He was then referred to our institution for postoperative dental implant restoration. The restorative process incorporated various digital technologies including a digital facebow, intraoral scanner, extraoral scanner, facial scanner, and CAD/CAM systems. Following 1 year post-implantation, the patient received second-stage implantation alongside autologous dermal allograft (ADM) transplantation; subsequently, a temporary prosthesis was fabricated while employing an electronic articulator to accurately transfer occlusal relationships before finalizing with permanent restorations. The integration of digital technology throughout this restorative process enhanced both precision and comfort.ConclusionsThis case study offers an innovative and efficient clinical approach for addressing dentition defect following mandibular reconstruction via advanced digital methodologies. |
| format | Article |
| id | doaj-art-8d06a12bf36f4678b4bf82cbac8a71a3 |
| institution | OA Journals |
| issn | 2673-4915 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Dental Medicine |
| spelling | doaj-art-8d06a12bf36f4678b4bf82cbac8a71a32025-08-20T02:02:05ZengFrontiers Media S.A.Frontiers in Dental Medicine2673-49152025-03-01610.3389/fdmed.2025.15543151554315Digital technology-enhanced reconstruction and rehabilitation following mandible fibular flap grafting with implants: a case reportShuang Li0Shuang Li1Jian Liu2Jian Li3Baoheng Yin4Baoheng Yin5Yuanyong Feng6Yanshan Liu7Na Bai8Na Bai9The Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Prosthodontics, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, ChinaSuqian Stomatological Hospital, Suqian, ChinaDepartment of Oral Implantology, The Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Prosthodontics, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, ChinaSchool of Stomatology, Qingdao University, Qingdao, Shandong, ChinaDepartment of Oral and Maxillofacial Surgery, Affiliated Hospital of Qingdao University, Qingdao, Shandong, ChinaDepartment of Oral and Maxillofacial Surgery, Affiliated Hospital of Qingdao University, Qingdao, Shandong, ChinaDepartment of Prosthodontics, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, ChinaSchool of Stomatology, Qingdao University, Qingdao, Shandong, ChinaObjectiveIn this paper, we report a case of missing posterior teeth after mandibular fibular flap grafting and implant restoration by means of a digital restorative process, in the hope that the application of digital technology will help the patient to comfortably establish an adapted occlusal relationship.Case reportA 29-year-old male patient developed a left mandibular ameloblastoma measuring 35 mm × 35 mm × 25 mm, which did not invade the surrounding bone tissue, submandibular gland tissue, or lymph nodes. After resection of an 85 mm mandibular segment, the patient was reconstructed using a gastrocnemius flap transfer. He was then referred to our institution for postoperative dental implant restoration. The restorative process incorporated various digital technologies including a digital facebow, intraoral scanner, extraoral scanner, facial scanner, and CAD/CAM systems. Following 1 year post-implantation, the patient received second-stage implantation alongside autologous dermal allograft (ADM) transplantation; subsequently, a temporary prosthesis was fabricated while employing an electronic articulator to accurately transfer occlusal relationships before finalizing with permanent restorations. The integration of digital technology throughout this restorative process enhanced both precision and comfort.ConclusionsThis case study offers an innovative and efficient clinical approach for addressing dentition defect following mandibular reconstruction via advanced digital methodologies.https://www.frontiersin.org/articles/10.3389/fdmed.2025.1554315/fulldigital dentistrydigital facebowdental implantsmandibular reconstructionfree fibular flap |
| spellingShingle | Shuang Li Shuang Li Jian Liu Jian Li Baoheng Yin Baoheng Yin Yuanyong Feng Yanshan Liu Na Bai Na Bai Digital technology-enhanced reconstruction and rehabilitation following mandible fibular flap grafting with implants: a case report Frontiers in Dental Medicine digital dentistry digital facebow dental implants mandibular reconstruction free fibular flap |
| title | Digital technology-enhanced reconstruction and rehabilitation following mandible fibular flap grafting with implants: a case report |
| title_full | Digital technology-enhanced reconstruction and rehabilitation following mandible fibular flap grafting with implants: a case report |
| title_fullStr | Digital technology-enhanced reconstruction and rehabilitation following mandible fibular flap grafting with implants: a case report |
| title_full_unstemmed | Digital technology-enhanced reconstruction and rehabilitation following mandible fibular flap grafting with implants: a case report |
| title_short | Digital technology-enhanced reconstruction and rehabilitation following mandible fibular flap grafting with implants: a case report |
| title_sort | digital technology enhanced reconstruction and rehabilitation following mandible fibular flap grafting with implants a case report |
| topic | digital dentistry digital facebow dental implants mandibular reconstruction free fibular flap |
| url | https://www.frontiersin.org/articles/10.3389/fdmed.2025.1554315/full |
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