The current gold standard of care for mandibular segmental defeat reconstruction is the use of Ti-6Al-4V immobilization hardware and fibular double barrel graft. This method is often successful immediately at restoring mandible function, however the highly stiff fixation hardware causes stress shielding of the grafted bone and stress concentration in the fixation device over time which can lead...

BACKGROUND The reconstruction of a functional occlusion in the presence of severe residual ridge resorption remains a significant challenge for maxillofacial surgeons and prosthodontists. Removable appliances are unsuccessful in severely resorbed cases and the advanced degree of bone loss precludes conventional implant-retained prostehesis. In recent years, bone graft reconstruction of the maxi...

A gunshot wound to the mandible frequently creates a comminuted fracture that can be debilitating for patient and challenging surgeon. In some instances, immediate open reduction rigid fixation is not possible, closed with intermaxillary employed. This may lead non-union or mal-union of segments. case report describes management bilateral mandibular angle fractures secondary injury. The were re...

OBJECTIVES The objective of this study is to mathematically evaluate the influence of multiple factors on implant stability quotient values in clinical practice. PATIENTS AND METHODS Resonance frequency analysis was performed at T1 (measured immediately at the time of implant placement) and at T2 (measured before dental restoration) in 177 patients (329 implants). Using a multivariate linear ...

The purpose of this study was to compare and evaluate, through histomorphometric and radiological analysis, the effects of UV photofunctionalization on an implant placed over a critical defect area with and without a bone graft. Four female beagle dogs were first divided into control and bone graft groups. Each group was then subdivided into UV-treated and UV-untreated groups. The mandibular pr...

OBJECTIVE To describe the use of radial forearm osteocutaneous free flap in complex mandibular reconstruction. STUDY DESIGN A case series. PLACE AND DURATION OF STUDY Combined Military Hospital, Rawalpindi, from January 1998 to January 2008. METHODOLOGY Patients having a small bony component and a large soft tissue mandibular defect requiring reconstruction were selected. These defects in...

A rare case of aneurysmal bone cyst (ABC) located in the mandibular condyle in a 10-year-old boy is presented. The patient came to our attention for a sudden swelling in the right temporomandibular region, the mouth opening was not reduced. A rapid growing mass, depicting soft tissue invasion, in the right condyle of the mandible was found. Clinically and radiographically it resembled to a mali...

PURPOSE To describe 2 different treatment approaches for a 20-year-old Caucasian man and his 22-year-old sister who were affected by ectodermal dysplasia (ED) and compromised maxillary bone. MATERIALS AND METHODS The sister had a history of an iliac crest transplant with 6 implants placed in the maxillary and mandibular arches, 6 years before complications. It was necessary to debride the rig...

UNLABELLED The use of bone replacement grafts with barrier membranes in class II furcation defects are aimed at improving the outcome of the regenerative technique. In this regard, however, there is a paucity of studies comparing the results obtained with bone grafts alone or in combination with barrier membranes. The aim of this study was to clinically compare an anorganic bovine bone graft pl...

Experimental studies have shown that large corrections of mandibular defects can be done by distraction osteogenesis. Annino et al1 investigated the feasibility of trifocal distraction for the reconstruction of symphyseal defects and they obtained 4.5to 5.5-cm lengthening in canine mandibles by using a rate of 1 mm/day.1 Labbe et al2 used distraction osteogenesis in 5 patients who had gunshot w...