mandibular defects may result from many conditions such as trauma, inflammatory diseases and tumors. there are rare cases reported in the literature that have demonstrated spontaneous bone regeneration after resection of the mandible. several factors such as age, preservation of the periosteum and genetics seem to influence spontaneous bone regeneration capacity in individuals. evaluation of th...

Introduction The fibula osteocutaneous flap is now commonly used to reconstruct composite mandibular defects. Difficulties in flap execution are invariably related to the dynamic relationship of the bone orientation and the skin paddle inset. Traditional design has been limited to a single-strut bony design in order to restore mandibular continuity, without restoration of mandibular height and ...

Alveolar distraction is being used increasingly for alveolar bone reconstruction in patients with severe mandibular defects. When there has been total loss of alveolar bone, distraction of the mandibular basal bone is necessary. Distraction osteogenesis is considerably more challenging in mandibular basal bone than in alveolar bone. The low level of the cut increases the technical difficulty an...

The fibula free tissue transplant has been used in mandibular reconstruction for several decades. Various techniques exist to shape and contour the fibula to restore continuity to the segmental mandible defect. Recently, virtual surgical planning has introduced the ability to use cutting guides to contour and create osteotomies for fibula free tissue reconstruction of the mandible. In this arti...

Many bone grafting techniques have been used to reconstruct the partially dentate and edentulous mandible. This article discusses the various bone grafting techniques to reconstruct mandibular defects. Also included are issues such as whether autogenous bone is necessary for reconstruction of the mandibular ridge and the importance of membranes.

CONCLUSION: We could achieve complete bone healing and premorbid occlusion using microplates. The microplates are strong enough to keep comminuted mandibular fractures reduced. Their small size and malleability allow multiple fixation of comminuted bony segments in accurate-anatomical position, less periosteal stripping and self-occlusal adjustment. Therefore, microplate fixation may be one of ...