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The use of osseointegrated implants in mandibles reconstructed with microvascular free-bone transfer was reported at the annual meeting of the American Academy of Otolaryngology–Head and Neck Surgery in Washington, DC, by Howard Urken and colleagues, New York. In seven of nine cases they inserted the osseointegrated screws through the bone graft during the tumor ablation procedure, making certain that the bone graft and screws were covered by muscle, and either skin or mucosa. In the other two cases, the screws were inserted in a secondary operation. In either event, four months later the screws were uncovered and posts were inserted that protruded through the oral mucosa or skin. Either permanent dentures or removable dentures were applied to the posts, thereby providing excellent dental rehabilitation. At the time of this report, seven of nine patients had been fitted with dentures. Of the five patients who received radiotherapy, four received it preoperatively.
WETMORE SJ. Osseointegrated Implants in Dental Rehabilitation After Microvascular Mandibular Reconstruction. Arch Otolaryngol Head Neck Surg. 1989;115(4):421. doi:10.1001/archotol.1989.01860280015003