CASE REPORT article
Front. Oral Health
Sec. Oral and Maxillofacial Surgery
This article is part of the Research TopicCurrent Trends in Oral Surgery and ImplantologyView all 7 articles
Precise Management of Thick Skin Flaps After Mandibular Fibula Muscle Flap Transplantation and Implant Restoration: A Case Report
Provisionally accepted
- Jilin University, Changchun, China
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Implant-supported restorations are critical for rehabilitating jawbone defects and restoring patients' occlusal function. Achieving proper fit and occlusal relationship with opposing teeth, as well as establishing a healthy peri-implant soft tissue seal, is essential to prevent infection and promote maintainability. This article presents a case involving the precise management of a thick soft tissue flap and the placement of an implant-supported restoration following mandibular reconstruction with a fibula flap. It offers a comprehensive overview of the diagnostic approach, surgical procedures, and prognostic outcomes, with the aim of providing valuable insights for clinical practice. The review spans the entire treatment process—from the planning of Stage I implant surgery, including optimal implant positioning and type selection, to the intraoperative techniques for layered debulking and flap preconditioning. It further discusses Information Classification: General the evaluation of soft tissue thickness and the application of a customized healing abutment during Stage II surgery, as well as strategies for long-term oral hygiene maintenance.
Keywords: dental implant, mandibular fibular graft, Myocutaneous Flap, Mandibular reconstruction, Custom healing abutment, Soft tissue management
Received: 13 Sep 2025; Accepted: 17 Nov 2025.
Copyright: © 2025 Ci, Chen, Luo, Wei, Feng, Wang and Zhou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Yanmin Zhou, zhouym@jlu.edu.cn
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