Mandibular Reconstruction with Osseous Free Flap and Immediate Prosthetic Rehabilitation (Jaw-in-a-Day): In-House Manufactured Innovative Modular Stackable Guide System
2024

Innovative Guide System for Jaw Reconstruction and Dental Rehabilitation

Sample size: 1 publication 10 minutes Evidence: moderate

Author Information

Author(s): Ureel Matthias, Boderé Pieter-Jan, Denoiseux Benjamin, Corthouts Pasquier, Coopman Renaat

Primary Institution: Ghent University Hospital

Hypothesis

Can a modular, stackable guide system improve the accuracy and efficiency of mandibular reconstruction and immediate dental rehabilitation?

Conclusion

The developed stackable guide system resulted in a predictive workflow and accurate results for mandibular reconstruction.

Supporting Evidence

  • The surgery lasted 9 hours and 35 minutes.
  • Good implant stability was achieved with an average stability of over 35 Ncm.
  • The patient maintained a mouth opening of 25 mm after 9 months.
  • There were no signs of peri-implant bone loss observed.
  • The average difference between preoperative planning and postoperative position was 0.70 mm.

Takeaway

Doctors created a special guide to help fix a patient's jaw and put in dental implants all in one go, making it easier for the patient to eat and talk again.

Methodology

The study involved virtual surgical planning, 3D printing of surgical guides, and immediate dental implant placement during surgery.

Limitations

The study's findings are based on a single case, and further research with larger sample sizes and longer follow-ups is needed.

Participant Demographics

A 69-year-old female patient with squamous cell carcinoma of the left floor of the mouth.

Digital Object Identifier (DOI)

10.3390/bioengineering11121254

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