Predictability of single versus double-barrel vascularized fibula flaps and dental implants in mandibular reconstructions: A systematic review and meta-analysis of prospective studies

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Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorSacred Heart University-
Autor(es): dc.contributorUniversity of Illinois at Chicago-
Autor(es): dc.creatorFaverani, Leonardo P.-
Autor(es): dc.creatorRios, Barbara R.-
Autor(es): dc.creatorSantos, Anderson Maikon de Souza-
Autor(es): dc.creatorMendes, Bruno C.-
Autor(es): dc.creatorSantiago-Júnior, Joel F.-
Autor(es): dc.creatorSukotjo, Cortino-
Autor(es): dc.creatorCallahan, Nicholas-
Autor(es): dc.creatorMiloro, Michael-
Data de aceite: dc.date.accessioned2025-08-21T21:02:04Z-
Data de disponibilização: dc.date.available2025-08-21T21:02:04Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2022-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/j.prosdent.2023.10.007-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/309364-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/309364-
Descrição: dc.descriptionStatement of problem: Patients with vascularized bone flaps from the fibula have reduced bone height, in which case a higher prosthetic abutment is needed for their implant-supported prosthesis. Although the double-flap technique seems promising, systematic reviews and meta-analyses of prospective studies are lacking. Purpose: The purpose of this systematic review and meta-analysis was to evaluate the grafted areas of single barrel fibular flaps (SBFF) and double-barrel fibular flaps (DBFF) by considering failure rates, dental implant complications, and bone union at the osteotomy sites. Material and methods: A systematic review and meta-analysis was performed in accordance with the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement, population, intervention, control, and outcomes (PICO) question, and the National Health and Medical Research Council scales. The event rate of complications and failures was calculated with a confidence interval (CI) of 95%. Results: A total of 13 prospective studies with 441 participants and 330 graft sites were identified. A total of 235 participants had SBFF with 445 implants, and 95 had DBFF with 164 implants. The overall combined graft failure rates were 4.2% for SBFF and 3.2% for DBFF. The complication rate was 10% for SBFF and 1.9% for DBFF. Implant failure was at 4.7% in the SBFF group and 3.4% in the DBFF group. Conclusions: Complication rates and implant failures were similar for SBFF and DBFF. Therefore, for long-term oral rehabilitation, both SBFF and DBFF are suitable procedures for mandibular reconstruction.-
Descrição: dc.descriptionAssociate Professor Department of Diagnosis and Surgery Division of Oral and Maxillofacial Surgery and Implantology São Paulo State University (UNESP), SP-
Descrição: dc.descriptionPhD student Department of Diagnosis and Surgery Division of Oral and Maxillofacial Surgery School of Dentistry São Paulo State University (UNESP), SP-
Descrição: dc.descriptionAssistant Professor Department of Health Sciences Sacred Heart University, SP-
Descrição: dc.descriptionAssociate Professor Department of Restorative Dentistry College of Dentistry University of Illinois at Chicago-
Descrição: dc.descriptionAssistant Professor Department of Oral and Maxillofacial Surgery College of Dentistry University of Illinois at Chicago-
Descrição: dc.descriptionProfessor and Head of Department Department of Oral and Maxillofacial Surgery College of Dentistry University of Illinois at Chicago-
Descrição: dc.descriptionAssociate Professor Department of Diagnosis and Surgery Division of Oral and Maxillofacial Surgery and Implantology São Paulo State University (UNESP), SP-
Descrição: dc.descriptionPhD student Department of Diagnosis and Surgery Division of Oral and Maxillofacial Surgery School of Dentistry São Paulo State University (UNESP), SP-
Idioma: dc.languageen-
Relação: dc.relationJournal of Prosthetic Dentistry-
???dc.source???: dc.sourceScopus-
Título: dc.titlePredictability of single versus double-barrel vascularized fibula flaps and dental implants in mandibular reconstructions: A systematic review and meta-analysis of prospective studies-
Tipo de arquivo: dc.typevídeo-
Aparece nas coleções:Repositório Institucional - Unesp

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