The Jugaad Technique for Jaw Reconstruction: Denture Based Inverse Planning

Abstract

Aim The aim of this clinical paper is to introduce a technique to plan for functional maxillofacial reconstructions. Materials and Methods Preoperative dental casts were made of the patient and mock surgery performed on the casts. A fibula analogue was then placed in an ideal functional reconstruction position. New dentures were fabricated on the fibula analogue and drill holes for the placement of implants were placed through the denture. This denture formed as a guide to position the fibula transplant during surgery. Results This technique was useful in producing functional and rehabilitative outcomes in cases of both maxillary and mandibular reconstructive surgeries. Conclusion The Jugaad technique-denture based inverse planning-is a cost effective method for planning and executing maxillofacial reconstructions using mock surgery on casts and interim dentures.

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“…A well-constructed cost-effective plan, utilising Jugaad principles [8] is thus required in order to create an environment whereby lesser economically developed countries grow under expert supervision. In order to maximise the chances of success as well as ensuring sustainability the aim must be multi-faceted, addressing not only the surgical intervention itself but also the preoperative arrangements and post-operative follow.…”

Sub-Periosteal Dissection with Denture-Guided Epithelial Regeneration: A Novel Method for Peri-Implant Soft Tissue Management in Reconstructed Mandibles

“…In patients who undergo large ablative surgeries of the mandible, the free fibula flap is the reconstructive option of choice [1][2][3][4][5]. Implant-supported dental rehabilitation improves oral health-related quality of life in these patients [6,7].…”