Implant-prosthetic rehabilitation after segmental mandibulectomy and bone grafting

A free vascularized fibula (6 cases) and iliac bone (11 cases) graft were u sed to reconstruct a mandibular discontinuity defect resulting from cancer surgery in 17 patients. Fifty-two osseointegrated DenTi implants were secon darily placed into the grafted bone, and all the patients underwent prosthe tic rehabilitation. (DenTi is an enosseous dental implant system invented a nd manufactured by Denti-System Ltd., Szentes, Hungary:) To date, the maxim um follow-up time after prosthetic treatment is 5 years, the minimum is 2 y ears. During this time, only one of the 52 inserted implants was lost, and that occurred a few days after insertion. Clinical signs of periimplantitis were observed in only 2 of the fixed prosthetic restorations. Long-term ma intenance is essential if such patients are to achieve successful prostheti c restorations and, thus, enhanced lives.