Mandibular Rami Implant: A New Approach in Mandibular Reconstruction Publisher Pubmed



Abbasi AJ¹ ; Azari A² ; Mohebbi SZ³ ; Javani A⁴ Show Affiliations
Source: Journal of Oral and Maxillofacial Surgery Published:2017

Abstract

Purpose The mandible is an essential esthetic and functional component of the lower third of the face and its reconstruction has always been a challenge, especially after severe post-traumatic injuries. The purpose of the present report was to introduce a new approach of mandibular reconstruction in a patient who had lost the entire mandible except for the rami after being severely injured in a blast. Materials and Methods A new approach using a titanium mandibular rami implant technique was applied using computer-aided 3-dimensional virtual planning and rapid prototyping technology. A prosthetic component was supported by the mandibular implant, which achieved occlusion and dedicated function for the patient. Results This method offered precise adaptation of the implant and prosthesis and an easier surgical procedure, providing a shortened operation time, no donor site morbidity, and more predictable outcomes. Conclusion This new technique allows reconstruction of large-scale mandibular defects that is not possible by conventional surgical methods. © 2017 American Association of Oral and Maxillofacial Surgeons