Rehabilitation of Reconstructed Maxilla Using Denture-Guided Epithelial Regeneration in DCIA Flap: 10-Year Follow-Up

J Maxillofac Oral Surg. 2024 Jun;23(3):639-643. doi: 10.1007/s12663-023-01900-z. Epub 2023 Mar 25.

Abstract

This 10-year follow-up report describes the interdisciplinary comprehensive management of a patient with aneurysmal bone cyst of the maxilla in a 24-year-old patient. The treatment included resection and primary reconstruction with vascularized deep circumflex iliac artery-based composite free flap, implant placement, and peri-implant soft tissue management using denture-guided epithelial regeneration with interim dentures. Definitive management was done using implant-supported cast partial dentures, and the patient followed up for 10 years.

Keywords: DCIA flap; Dental rehabilitation; Denture-guided epithelial regeneration; Maxillofacial rehabilitation; Peri-implant soft tissue.