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Journal of Oral Science & Rehabilitation 30 Volume 2 | Issue 4/2016 P e r i i m p l a n t s o f t - t i s s u e m a n a g e m e n t requiregraftinganditappearstoradicallyreduce thethickness oftransplanted softtissue. Howe- ver, long-term prospective clinicaltrials eventu- allysupported byhistologicaldata are neededto confirm these clinical findings. Conclusion Within the limitations of the study, this tech- nique appears to minimize the donor site mor- bidity that results from harvesting tissue (skin or gingiva) from elsewhere. In addition, after implant placement and prosthesis loading, the reconstructed tissue appeared stable, fixed aroundtheabutmentandimplantneck,andclin- ically healthy. Further clinical trials are needed to validate this approach. Competing interests Theauthorsdeclarethattheyhavenocompeting interests. 1. Hidalgo DA. Titanium miniplate fixation in free flap mandible reconstruction. → Ann Plast Surg. 1989 Dec;23(6):498–507. 2. Riaz N, Warraich R. Reconstruction of mandible by free fibular flap. → J Coll Physicians Surg Pak. 2010 Nov;20(11):723–7. 3. Hayter JP, Cawood JI. Oral rehabilitation with endosteal implants and free flaps. → Int J Oral Maxillofac Surg. 1996 Feb;25(1):3–12. 4. Chiapasco M, Biglioli F, Autelitano L, Romeo E, Brusati R. Clinical outcome of dental implants placed in fibula-free flaps used for the reconstruction of maxillo-mandibular defects following ablation for tumors or osteo- radionecrosis. → Clin Oral Implants Res. 2006 Apr;17(2):220–8. 5. Jaquiéry C, Rohner D, Kunz C, Bucher P, Peters F, Schenk RK, Hammer B. Reconstruc- tion of maxillary and mandibular defects using prefabricated microvascular fibular grafts and osseointegrated dental implants—a prospective study. → Clin Oral Implants Res. 2004 Oct;15(5):598–606. 6. Lizio G, Corinaldesi G, Pieri F, Marchetti C. Problems with dental implants that were placed on vertically distracted fibular free flaps after resection: a report of six cases. → Br J Oral Maxillofac Surg. 2009 Sep;47(6):455–60. 7. Meloni SM, De Riu G, Pisano M, Massarelli O, Tullio A. Computer assisted dental rehabilitation in free flaps reconstructed jaws: one year follow-up of a prospective clinical study. → Br J Oral Maxillofac Surg. 2012 Dec;50(8):726–31. 8. De Riu G, Meloni SM, Pisano M, Massarelli O, Tullio A. Computed tomography-guided implant surgery for dental rehabilitation in mandible reconstructed with a fibular free flap: description of the technique. → Br J Oral Maxillofac Surg. 2012 Jan;50(1):30–5. 9. Meloni SM, Tallarico M, De Riu G, Pisano M, Deledda A, Lolli FM, Massarelli O, Tullio A. Guided implant surgery after free-flap reconstruction: four-year results from a prospective clinical trial. → J Craniomaxillofac Surg. 2015 Oct;43(8):1348–55. 10. Van Steenberghe D. Outcomes and their measurement in clinical trials of endosseous oral implants. → Ann Periodontol. 1997 Mar;2(1):291–8. References