The Surgical Procedures of Immediate Oral Reconstruction for Maxillo-facial Prosthesis

DOI
  • SARUKAWA Shunji
    Department of Plastic Surgery, Jichi Medical University
  • SUGIURA Yasushi
    Department of Dentistry, Oral and Maxillofacial Surgery, Jichi Medical University
  • SAKUYAMA Aoi
    Department of Dentistry, Oral and Maxillofacial Surgery, Jichi Medical University
  • HAYASAKA Jun-ichi
    Department of Dentistry, Oral and Maxillofacial Surgery, Jichi Medical University
  • NOGUCHI Tadahide
    Department of Dentistry, Oral and Maxillofacial Surgery, Jichi Medical University
  • NISHINO Hiroshi
    Department of Otolaryngology, Head and Neck Surgery, Jichi Medical University
  • MORI Yoshiyuki
    Department of Dentistry, Oral and Maxillofacial Surgery, Jichi Medical University

Bibliographic Information

Other Title
  • 口腔再建における顎補綴のための手術手技

Search this article

Description

Purposes: The maxillofacial prosthodontist should participate in maxillo-mandibular reconstructive surgery to achieve ideal prosthodontics through pre- to post-surgery. Reconstruction of the new jaw and alveolus based on various and simple surgical procedures. This article has reviewed the variation and characteristics for prosthodontics of such procedures. <br>Surgical Procedures: For framework reconstruction, there are four main procedures: no bridging, artifact, non-vascularized bone graft, and vascularized bone containing free flap. For the lining, there are four main procedures: direct closure of the remaining mucosa, secondary intension, skin paddle of the free flap, and skin graft. And a combination of these procedures is possible. <br>Case Presentations: A maxillofacial prosthodontist preoperatively made guide-splints of the ideal alveolus from the dental plaster cast, checked the position of the bone graft and intraoperatively reconstructed the alveolus using the guide-splint, postoperatively adjusted the splint for a better shape of the reconstructed alveolus, and finally set dentures in 2 cases. <br>Conclusions: Prosthodontics is only one of the goals of jaw reconstruction, but if it is planned pre-surgically for a patient, it should certainly be achieved. For better prosthodontics, a guide-splint making the jaw and alveolus in a top-down style is a good solution for prosthodontists and reconstructive surgeons.

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top