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The Bell BriefFrom Dr. Jennifer Bell, DDS
MEDIUMResearchTier 1

Implant-supported overdenture placement after fibula flap–based mandibular reconstruction using guided bone regeneration with titanium mesh and tenting screws: A clinical report

SourceJournal of Prosthetic Dentistry (JPD)Tier 1Peer-Reviewed Research

Originally at sciencedirect.com

Summary & scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol (Drill-Down Score) — not the original publisher.

Why it matters for dental

Prosthodontists and oral surgeons who treat head-and-neck cancer survivors now have a documented, step-by-step protocol for implant-supported overdentures after fibula-flap reconstruction, directly affecting case acceptance, treatment sequencing, and long-term prosthetic maintenance in this growing patient population.

Key points

  • Published 21 Aug 2026 in The Journal of Prosthetic Dentistry; describes single-patient clinical report using titanium-mesh GBR plus tenting screws over a fibula free-flap mandible.
  • Overdenture delivered on four implants with Locator-type attachments; protocol includes 6-month submerged healing, second-stage uncovering, and progressive loading.
  • Key technical detail: mesh removal at 4 months with particulate xenograft augmentation to achieve ≥2 mm buccal bone thickness before implant placement.
  • Case highlights reduced need for additional onlay grafting and shorter overall treatment timeline compared with staged block-graft approaches—relevant for maxillofacial-prosthodontic teams.

Who should care

SpecialistAcademia

Read the original on Journal of Prosthetic Dentistry (JPD)

Full reporting and any paywall content live on sciencedirect.com. We summarize and score; we do not republish.

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