Natural Sciences, Stomotology, 2026
ISSN: 1829-006X
A TWELF YEARS EVALUATION OF A TOTAL RECONSTRUCTION OF THE UPPER JAW WITH VASCULARIZED FIBULA GRAFT AND IMPLANTS AFTER TOTAL MAXILLECTOMY with CAD/CAM AND GUIDED SURGERY WITH IMPLANTS IN THE LOWER JAW
This is an open access article distributed under the
Creative Commons Attribution License, which permits unrestricted use, distribution,
and reproduction in any medium, provided the original work is properly cited.
Submitted: 2026-04-08
© 2026 by author(s) and The Gufo Inc.
This work is licensed under Creative Commons Attribution–NonCommercial International License
(CC BY-NC 4.0).
Abstract
Oral and maxillofacial surgery focuses on the treatment of degenerative or traumatic diseases that mainly affect
bone tissue. Therefore, bone reconstruction is an ongoing challenge and widely discussed topic within the scientific
community. Each study group described its technique for regenerating bone loss over the past two decades.
The authors present the results after 12 years of treatment of a patient who underwent a total maxillectomy due to
complications of osteomyelitis. She underwent revascularized fibula surgery and application of supported implant
prostheses. It is agreed that in severe bone loss the best method of reconstruction is with the use of revascularized
bone whenever possible, this involves a large study of both the donor and recipient sites, the long-term success is
confirmed by follow up.