Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 361–371
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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

Received: 2026-04-08 · Published: 2025-10-18

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Original title
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
Author
Gianluca Botticelli
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-10-18
Licence
Creative Commons Attribution-NonCommercial 4.0 International

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.
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