[Stability of dental implants in microvascular scapula and iliac crest transplants].

STUDY: In this study 24 patients with tumours of the mandible, mandibular resection, neck dissection and reconstruction by microvascular iliac crest (13) or scapula transplants (11) were examined following implantological treatment.

RESULTS

In all patients the implantological examination was performed on average two years and five months after implant insertion. This allowed for observation of periotest values, periimplant probing depth and sulcus bleeding (SBI). Furthermore, the loss of periimplant bone was registered radiologically. In both groups periotest values were normal. In the group with scapular transplants the mean periotest value was -3.2 and in the other group -0.8. Pathological probing depth was registered in both groups and sulcus bleeding was similar. The loss of periimplant crestal bone was similar in both groups, too.

DISCUSSION: It can thus be concluded that perimimplant conditions were equal in both groups two years after implant loading. The stability of implants in scapula transplants was higher than in iliac crest transplants.