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Publication Type : Journal Article
Publisher : Springer
Source : Journal of Maxillofacial and Oral Surgery
Url : https://link.springer.com/article/10.1007/s12663-023-01881-z
Campus : Kochi
School : School of Dentistry
Year : 2023
Abstract : Mandibular continuity defects are commonly seen after tumor resection, osteomyelitis or maxillofacial trauma. Three-dimensional reconstruction of these mandibular segmental defects is critical for proper mandibular functioning and esthetics. Various methods used to reconstruct such defects include bridging reconstruction plates, modular endoprosthesis, non-vascularized and vascularized bone grafting with stock reconstruction plate or patient specific implants (PSI) and tissue engineering bone transfer. But in the recent years, literature documents use of PSI only alloplastic reconstruction as an alternate to microvascular bone flap reconstruction. Representative cases enumerate current practice of ‘patient specific implant only’ mandibular reconstruction and its pitfalls. This article discusses current status of literature on PSI’s, choice of indications for ‘PSI only’ mandibular reconstruction and also proposes guidelines for safe practice of patient specific implant reconstruction of mandible.
Cite this Research Publication : Pramod Subash, Shibani A. Nerurkar, Arjun Krishnadas, Vinanthi Vinay, Subramania Iyer & V. Manju, Patient-specific alloplastic implant reconstruction of mandibular defects- safe practice and recommendations and guidelines. Journal of Maxillofacial and Oral Surgery, 2023.