National survey on implantation practices for free bone flaps: Key findings and insights

Nineteen centers responded, highlighting diverse practices. While most centers perform over 20 free bone flap reconstructions annually, the number of patients receiving implants post-reconstruction was relatively low, with most centers reporting between one and five implant procedures in the past year. Key obstacles to implant rehabilitation included patient irradiation (61 %), lack of financial support (61 %), absence of a practitioner network (50 %), insufficiently trained team members (33 %), risk of oncological recurrence (28 %), extended operating times for primary implantations (22 %), and difficulties with radiological follow-up due to artifacts (17 %) CONCLUSION: Despite its potential to enhance patient quality of life, dental implant rehabilitation in oncological patients remains marginal in France. This study highlights the need for standardized protocols and improved collaboration between reconstructive surgeons and dental specialists to increase the rate of rehabilitation following free bone flap reconstructions.

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Publication Details

Journal
Journal of Stomatology Oral and Maxillofacial Surgery
Published
2025-02-04
DOI
https://doi.org/10.1016/j.jormas.2025.102271
Primary Topic
Reconstructive Surgery and Microvascular Techniques
Type
article
Field-Weighted Citation Impact
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article

National survey on implantation practices for free bone flaps: Key findings and insights

Sophie Dugast, Julie Longis, Hélios Bertin, Guilmault Leonor et al.
Journal of Stomatology Oral and Maxillofacial Surgery
Reconstructive Surgery and Microvascular Techniques
article

National survey on implantation practices for free bone flaps: Key findings and insights

Sophie Dugast, Julie Longis, Hélios Bertin, Guilmault Leonor, Bouhier Isabelle, Olivier Airaudo
article en

Abstract

Nineteen centers responded, highlighting diverse practices. While most centers perform over 20 free bone flap reconstructions annually, the number of patients receiving implants post-reconstruction was relatively low, with most centers reporting between one and five implant procedures in the past year. Key obstacles to implant rehabilitation included patient irradiation (61 %), lack of financial support (61 %), absence of a practitioner network (50 %), insufficiently trained team members (33 %), risk of oncological recurrence (28 %), extended operating times for primary implantations (22 %), and difficulties with radiological follow-up due to artifacts (17 %) CONCLUSION: Despite its potential to enhance patient quality of life, dental implant rehabilitation in oncological patients remains marginal in France. This study highlights the need for standardized protocols and improved collaboration between reconstructive surgeons and dental specialists to increase the rate of rehabilitation following free bone flap reconstructions.

Journal of Stomatology Oral and Maxillofacial SurgeryVol. 126(6)
Centre National de la Recherche Scientifique (FR), Inserm (FR), Institut Gustave Roussy (FR), Centre Hospitalier Universitaire de Nantes (FR), Centre de Recherche en Cancérologie et Immunologie Intégrée Nantes Angers (FR), Centre d'Investigation Clinique de Nantes (FR), Nantes Université (FR)
Gender equality
Openalex Percentile: Top 97%
Reconstructive Surgery and Microvascular Techniques
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