Fereydoun Parnia
1*, Shahram Nazerani
2, Roodabeh Koodaryan
1, Negar Motayagheni
31 Assistant Professor, Department of Prosthodontics, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran
2 Assistant Professor, Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran
3 Post-graduate Student, Department of Anesthesiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
1 Assistant Professor, Department of Prosthodontics, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran
2 Assistant Professor, Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran
3 Post-graduate Student, Department of Anesthesiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract
The present article describes a case of prosthetic rehabilitation with the new technique of prefabricated osteo-cutaneous free
fibula flap for reconstructing a maxillary defect which had resulted from ameloblastoma. The fibula and a cuff of 6-8 mm were
prepared with its pedicle intact. The bone flap was left in place with its pedicle intact for 2 to 3 months; the skin graft and the
flap were free of inflammation. The fibula flap was then transferred to the maxilla. Implant placement was performed 4 to 6
months after transfer of the flap to the oral cavity. Three titanium implants, with a width of 4 mm and a length of 13 mm, were
placed using a conventional two-stage protocol. A cement-retained 5-unit metal-ceramic fixed partial denture was fabricated.