Study of Treatment Methods for Surrounding Soft Tissues of Implants Following Mandibular Reconstructions with Fibula-Free Flaps.

• Material Type: 博士論文
• Title: Study of Treatment Methods for Surrounding Soft Tissues of Implants Following Mandibular Reconstructions with Fibula-Free Flaps.
• Author/Editor: Nakaue, Kazuhiko; Horita, Satoshi; Imada, Mitsuhiko; Yamamoto, Kazuhiko; Sugiura, Tsutomu; Ueda, Nobuhiro; Yamakawa, Nobuhiro; Nakayama, Yohei; Kirita, Tadaaki
• Author Heading: Nakaue, Kazuhiko; Horita, Satoshi; Imada, Mitsuhiko; Yamamoto, Kazuhiko; Sugiura, Tsutomu; Ueda, Nobuhiro; Yamakawa, Nobuhiro; Nakayama, Yohei; Kirita, Tadaaki
• Publication, Distribution, etc.: MDPI
• Publication Date: 2020-07
• Publication Date (W3CDTF): 2020-07
• Alternative Title: 腓骨皮弁による下顎骨再建術術後のインプラント周囲軟組織における治療方法の検討
• Periodical title: Dentistry journal
• No. or year of volume/issue: 8 3
• Volume: 8
• Issue: 3
• Pages: Article No.67-
• ISSN (Periodical Title): ISSN : 2304-6767
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2020-12-24
• Dissertation Number: 乙第1491号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: free gingival graft (FGG); maxillofacial reconstruction; keratinized mucosa; soft tissue treatment; fibula-free flap mandible reconstruction
• Target Audience: 一般
• Note (General): type:Thesis; In maxillofacial reconstruction implant treatment, unsatisfactory soft tissue treatment of the area around the implant may lead to inflammation. As a result, appropriate soft tissue treatment is critical. To the best of our knowledge, there are no studies that compare the different tissue treatment methods available. Hence, in this study, we compare three soft tissue treatment methods around implants after mandibular reconstruction is achieved with a fibula-free flap. Out of 33 patients who underwent mandible reconstruction using fibula-free flaps between 2006 and 2015, 5 were selected for this study. A total of 17 implants were used for treatment by the final prosthetics of the five patients. Three soft tissue treatment methods with free gingival graft (FGG) were evaluated, namely, installing a splint in a modified abutment to protect the wounded area during a palatal mucosa transplant (method 1), installing a splint or dentures to a locator abutment (method 2), and the use of screw-in fixed dentures (method 3). The method that could guarantee the widest keratinized mucosa was the screw-in fixed denture method. The results of our study indicated that employing screw-in fixed dentures for FGG may be a useful soft tissue treatment for mandible reconstruction implants.; 博士（医学）・乙第1491号・令和2年12月24日; Copyright © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).; identifier:Dentistry journal Vol.8 No.3 Article No.67 (2020 Jul); identifier:23046767; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3836; identifier:Dentistry journal, 8(3): Article No.67
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.3390/dj8030067
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

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http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3836/1/01%e4%b9%991491%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3836/2/02%e4%b9%991491%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3836/3/03%e4%b9%991491%e6%9c%ac%e6%96%87.pdf fulltext