HIGHResearchTier 1

Mouth opening after fibula free flap reconstruction

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 maxillofacial prosthodontic teams should anticipate restricted mouth opening in fibula-free-flap patients who receive adjuvant radiation, because trismus directly limits prosthetic rehabilitation options and may require modified treatment sequencing or alternative prostheses.

Key points

  • Study published online 6 October 2026 in The Journal of Prosthetic Dentistry quantifies mouth-opening changes after fibula free-flap reconstruction.
  • Post-operative radiation therapy is identified as a key variable that further reduces maximum inter-incisal opening.
  • Reduced opening complicates conventional denture fabrication, implant placement, and maintenance of oral hygiene in the reconstructed mandible.
  • Findings allow prosthodontic teams to counsel patients pre-operatively and plan for earlier or non-conventional prosthetic interventions.

Who should care

SpecialistAcademia

Read the original on Journal of Prosthetic Dentistry (JPD)

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