ABSTRACT
Reconstruction of segmental mandibular defects with vascularized bone and placement
of osteointegrated implants have allowed total dental restoration in properly selected
patients. Osteointegrated dental implantation can be performed during the primary
operation in patients with mandibular defects resulting from the excision of benign
lesions and some nonbenign lesions with excellent prognoses; otherwise they can be
performed secondarily. Radiation therapy may affect the ability to place osteointegrated
implants into the reconstructed mandible and may compromise the final outcome. Selection
of the proper bone flap, optimal timing of dental implant placement (primary versus
secondary), meticulous bone stabilization, and accurate implant positioning and alignment
are critical for successful total mandibular rehabilitation.
KEYWORDS
Mandible reconstruction - osteointegrated implants - microsurgical reconstruction
