Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/326170
Type: Artigo
Title: Evaluation Of Use Of Acrylic Resin-based Surgical Guide In The Function And Quality Of Life Provided By Mandibular Prostheses With Microvascular Free Fibula Flap: A Four-year, Randomized, Controlled Trial
Author: Brandao
Thais Bianca; Vechiato Filho
Aljomar Jose; Prado Ribeiro
Ana Carolina; Mello Santiago Gebrim
Eloisa Maria; Bodard
Anne-Gaelle; da Silva
Dorival Pedroso; Santos-Silva
Alan Roger; Lshida
Luiz Carlos; Dias
Reinaldo Brito
Abstract: The correct positioning of the microvascular-free fibula flap (MFFF) is essential for satisfactory mandibular reconstruction. However, the effect of acrylic resin-based surgical guides on prosthetic rehabilitations has not yet been properly investigated. Purpose. The purpose of this randomized clinical trial was to evaluate whether intraoral and extraoral acrylic resin-based surgical guides improve anatomic, functional, esthetic, and quality of life (QoL) results for dental prosthetic rehabilitation with MFFF. Material and methods. Participants subjected to mandibular reconstruction with MFFF were selected and randomly distributed into 2 groups, control (Co; using conventional surgery) and acrylic resin-based surgical guides (Sg). Functional parameters related to prosthetic rehabilitation and QoL were evaluated by interviews and an oral health impact profile (OHIP)-14 questionnaire. Functional parameters and questionnaire scores were subjected to statistical analysis: the likelihood ratio and the Fisher exact and Mann-Whitney U tests (alpha=.05). Results. Of 40 participants, 18 were rehabilitated, 10 with tooth-tissue-supported partial removable dentures and 8 with implant prostheses. In Sg, the study measured an enhancement in functional parameters and revealed a significant improvement in QoL (P=.020). Conclusions. The guides proposed directly improved mandibular reconstruction. Functional aspects may be improved by allowing good intermaxillary relationships and posterior dental rehabilitation. Functional success is directly dependent on soft tissue status and the quality of its reconstruction. Soft tissue evaluation is important before dental rehabilitation.
Editor: Mosby-Elsevier
New York
Rights: fechado
Address: http://www-sciencedirect-com.ez88.periodicos.capes.gov.br/science/article/pii/S0022391316001530
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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