Total Mandibular Reconstruction and Rehabilitation: A Case Report

Jambhekar, Shantanu; Kheur, Mohit; Dandagi, Satyajit; Matani, Jay; Sethi, Sumit; Kheur, Supriya

doi:10.1563/aaid-joi-d-13-00141

Cited by 8 publications

(5 citation statements)

References 21 publications

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“…This technique presents ideal form, function, and aesthetics in complete denture prosthesis, since it is based on multidisciplinary effort and methodical approach [9]. Apart from the removable complete denture, the BPS system manufactured by Ivoclar Vivadent (Liechtenstein) is also used for implant-supported overdenture in maxillary and mandibular reconstruction procedures [10][11][12]. Reports regarding the use of BPS in preventive prosthodontics for tooth-supported overdenture have also been published recently [13].…”

Section: Discussionmentioning

confidence: 99%

Biofunctional prosthetic system in prosthodontics – a systematic review

Khazi¹,

Shetty²,

Reddy³

et al. 2019

jos

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A B S T R AC TRecent advances in removable prosthodontics include biofunctional prosthetic system (BPS), which closely replicates aesthetics, comfort, functional, and phonetic aspects of natural dentition. With this background in mind, we conducted a systematic review to critically evaluate application of BPS over conventional dentures in removable prosthodontics. A search for full text articles with keywords "biofunctional prosthetic system (BPS)", using PubMed search engine was carried out. Nine full text articles were eligible for final review and among them, three were of original research studies. All the original research articles were questionnaire-based studies. Six articles were reports of edentulous cases rehabilitated using BPS. The clinical findings and questionnaire responses of the studies revealed that the BPS performed better than the conventional dentures in most aspects of clinical evaluation. Moreover, the results showed that BPS systems outperformed conventional dentures in aesthetics, patient comfort, and function. Based on these findings, we concluded that the volume of literature available regarding the comparison of BPS to the conventional denture is insufficient to prove that it has a significant advantage over the conventional system. There is a definite need for larger number of clinical trials to establish the competitive superiority of BPS technique.

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Section: Discussionmentioning

confidence: 99%

Biofunctional prosthetic system in prosthodontics – a systematic review

Khazi¹,

Shetty²,

Reddy³

et al. 2019

jos

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“…An engineer report of the production of this implant written by L. Nichels in 2002 can be found on the journal Metal Powder Report [23]. All the scientific papers have been considered and compared [12][13][14][15][16][17][18][19][20][21][22]. The most important results have been summarized in Tables 1 and 2 then discussed in the next section.…”

Section: Methods For Literature Reviewmentioning

confidence: 99%

“…The case reported in this paper demonstrates, in our opinion, that satisfactory rehabilitation can be achieved even after a bicondylar mandibulectomy using a free bone flap combined to patient-specific mandibular and articular titanium implants. Reviewing the literature, from 1980 to date, we have found only eleven reported cases of bicondylar mandibular replacement (Tables 1 and 2) [12][13][14][15][16][17][18][19][20][21][22][23].…”

Section: Methods For Literature Reviewmentioning

confidence: 99%

“…In two cases, a whole titanium patient-specific mandibular replica has been implanted. In one case report, a freeze-dried human mandible allograft has been transplanted [11][12][13][14][15][16][17][18][19][20][21][22]. In recent years, we have been working with patient-specific porous titanium implants to give support to a FFF reconstruction in segmental mandibulectomy.…”

Section: Case Presentationmentioning

confidence: 99%

“…Only eleven cases of bicondylar mandibular reconstructions have been reported and just two of them had required also bilateral TMJ prosthetic replacement. The need for a bicondylar mandibular reconstruction combined with simultaneous bilateral joint replacement is a very challenging topic, fortunately rare, mainly secondary to traumatic injuries, osteomyelitis, bone dysplasia, or neoplasms [11][12][13][14][15][16][17][18][19][20][21][22]. This work aims to share our surgical experience reporting a case of mandibular bone reconstruction combined with bilateral prosthetic TMJ replacement.…”

Section: Introductionmentioning

confidence: 99%

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Total mandible and bilateral TMJ reconstruction combining a customized jaw implant with a free fibular flap: a case report and literature review

Govoni

Felici

Ornelli

et al. 2023

Maxillofac Plast Reconstr Surg

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Background The need for whole mandibular bone reconstruction and bilateral joint replacement is fortunately rare, but it is an extremely challenging topic in maxillofacial surgery, due to its functional implications. CAD-CAM techniques development has opened new broad horizons in the surgical planning of complex maxillofacial reconstructions, in terms of accuracy, predictability, and functional cosmetic results. The review of the literature has revealed a small number of scientific reports on total mandibulectomy including the condyles, with only eleven cases from 1980. Most of the works describe reconstructions secondary to dysplastic or inflammatory diseases affecting the lower jaw. The aim of this work, reporting a rare case of massive fibrous dysplasia of the whole mandible, is to share our experience in the management of extended mandibular and bilateral joint reconstruction, using porous titanium patient-specific implants. Case presentation The authors present a 20-year-old male patient suffering from massive bone fibrous dysplasia of the mandible. The mandibular body and both the rami and the condylar processes had been involved, causing severe functional impairment, tooth loss, and facial deformation. The young patient, after repeated ineffective conservative surgical treatments, has required a biarticular mandibular replacement. Using virtual surgical planning (VSP) software, the authors, in collaboration with medical engineers, have created a custom-made original titanium porous mandibular implant, suspended from a bilateral artificial temporomandibular joint. The mandibular titanium implant body has been specifically designed to support soft tissues and to fix, in the alveolar region, a free fibular bone graft, for delayed dental implant prosthetic rehabilitation. Conclusion The surgical and technical details, as well as the new trends in mandibular reconstructions using porous titanium implants, are reported, and discussed, reviewing literature reports on this topic. Satisfactory functional and cosmetic restorative results have been obtained, and no major complications have occurred. The patient, currently in the 18th month clinical and radiological follow-up, has recently completed the functional restoration program by an implant-supported full-arch dental prosthesis.

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