肩甲骨皮弁による下顎再建後にインプラントにて咀嚼の回復を図った1症例

抄録

Microvascular surgery has become the preferred method for mandibular reconstruction. Dental rehabilitation through the use of prostheses and dental implants are important parts of the reconstructive process to optimize function. This report presents a case of dental implant placed in vascularized scapular bone graft for mandibular reconstruction to restore masticatory function. The patient was a 38-year-old man with ameloblastoma of the mandible. Immediately after mandibular resection, the defect of the mandible was reconstructed with a vascularized scapular bone graft. Three years after the operation, four implants were placed in the reconstructed mandible. The patient's mastication was improved after wearing a prosthesis supported by these four implants. The patient's postoperative course has been good with no evidence of recurrence as of 4 years after the operation.