Facial Plast Surg 2021; 37(06): 722-727
DOI: 10.1055/s-0041-1732478
Original Article

Jaw in a Day: Immediate Dental Rehabilitation during Fibula Reconstruction of the Mandible

Adrian Ong
1   Otolaryngology and Facial Plastic Surgery Associates, Facial Plastic Surgery, Fort Worth, Texas
,
Fayette Williams
2   Department of Oral and Maxillofacial Surgery, John Peter Smith Health Network, Fort Worth, Texas
,
Ellen Tokarz
3   Department of Otolaryngology Head and Neck Surgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York
,
Tom Shokri
4   Department of Otolaryngology, Baylor All Saints Medical Center at Fort Worth, Fort Worth, Texas
,
Daniel Hammer
5   Department of Oral and Maxillofacial Surgery, Naval Medical Center San Diego, San Diego, California
,
Yadranko Ducic
1   Otolaryngology and Facial Plastic Surgery Associates, Facial Plastic Surgery, Fort Worth, Texas
› Author Affiliations

Abstract

Reconstructing mandibular defects presents challenges to dental rehabilitation related to altered bone and soft tissue anatomy. Dental implants are the most reliable method to restore the lost dentition. Immediate dental implants have been placed for many years but with unacceptably low rates of dental/prosthetic success. Current virtual technology allows placement of both fibulas and guided implants in restoratively driven positions that also allow immediate dental rehabilitation. Inexpensive three-dimensional printing platforms can create provisional dental prostheses placed at the time of surgery. This article reviews our digital and surgical workflow to create an immediate dental prosthesis to predictably restore the dentition during major jaw reconstruction with fibula free flaps.



Publication History

Publication Date:
11 August 2021 (online)

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