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Journal of Maxillofacial and Oral Surgery

, Volume 15, Issue 3, pp 346–348 | Cite as

The Jugaad Technique for Jaw Reconstruction: Denture Based Inverse Planning

  • Vinay V. Kumar
  • P. C. Jacob
  • Vikram Kekatpure
  • Naveen Hedne
  • Felix P. Koch
  • Moni A. Kuriakose
Clinical Paper

Abstract

Aim

The aim of this clinical paper is to introduce a technique to plan for functional maxillofacial reconstructions.

Materials and Methods

Preoperative dental casts were made of the patient and mock surgery performed on the casts. A fibula analogue was then placed in an ideal functional reconstruction position. New dentures were fabricated on the fibula analogue and drill holes for the placement of implants were placed through the denture. This denture formed as a guide to position the fibula transplant during surgery.

Results

This technique was useful in producing functional and rehabilitative outcomes in cases of both maxillary and mandibular reconstructive surgeries.

Conclusion

The Jugaad technique—denture based inverse planning—is a cost effective method for planning and executing maxillofacial reconstructions using mock surgery on casts and interim dentures.

Keywords

Mandibular reconstruction Free fibula flap Oral rehabilitation Oral Implantology Quality of Life 

Notes

Acknowledgments

The authors acknowledge the support of the ITI Foundation for Promotion of Oral Implantology.

Compliance with Ethical Standards

Conflict of interest

All the authors declare that they have no conflict of interests.

References

  1. 1.
    Bodard AG, Salino S, Desoutter A, Deneuve S (2015) Assessment of functional improvement with implant-supported prosthetic rehabilitation after mandibular reconstruction with a microvascular free fibula flap: a study of 25 patients. J Prosthet Dent 113(2):140–145CrossRefPubMedGoogle Scholar
  2. 2.
    Chen YS, Hu KY, Lin TW (2012) The concept of “two arches” in mandibular reconstruction. Ann Plast Surg 69(6):616–621CrossRefPubMedGoogle Scholar
  3. 3.
    Thankappan K, Trivedi NP, Subash P, Pullara SK, Peter S, Kuriakose MA et al (2008) Three-dimensional computed tomography-based contouring of a free fibula bone graft for mandibular reconstruction. J Oral Maxillofac Surg 66(10):2185–2192CrossRefPubMedGoogle Scholar
  4. 4.
    Pramesh CS, Badwe RA, Borthakur BB, Chandra M, Raj EH, Kannan T et al (2014) Delivery of affordable and equitable cancer care in India. Lancet Oncol 15(6):e223–e233CrossRefPubMedGoogle Scholar
  5. 5.
    Chiapasco M, Biglioli F, Autelitano L, Romeo E, Brusati R (2006) Clinical outcome of dental implants placed in fibula-free flaps used for the reconstruction of maxillo-mandibular defects following ablation for tumors or osteoradionecrosis. Clin Oral Implant Res 17(2):220–228CrossRefGoogle Scholar
  6. 6.
    Raoul G, Ruhin B, Briki S, Lauwers L, Haurou Patou G, Capet JP et al (2009) Microsurgical reconstruction of the jaw with fibular grafts and implants. J Craniofac Surg 20(6):2105–2117CrossRefPubMedGoogle Scholar
  7. 7.
    Rohner D, Bucher P, Hammer B (2013) Prefabricated fibular flaps for reconstruction of defects of the maxillofacial skeleton: planning, technique, and long-term experience. Int J Oral Maxillofac Implants 28(5):e221–e229CrossRefPubMedGoogle Scholar
  8. 8.
    Koch FP, Götze E, Kumar VV, Schulz P, Wentaschek S, Wagner W (2015) A bar-retained overdenture as an external fixator device in a three-dimensional CAD/CAM-based surgical reconstruction of the mandible. J Craniomaxillofac Surg 43(8):1447–1451. doi: 10.1016/j.jcms.2015.06.019 CrossRefPubMedGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2015

Authors and Affiliations

  • Vinay V. Kumar
    • 1
    • 2
  • P. C. Jacob
    • 1
  • Vikram Kekatpure
    • 1
  • Naveen Hedne
    • 1
  • Felix P. Koch
    • 3
  • Moni A. Kuriakose
    • 1
  1. 1.Department of Head and Neck Surgical OncologyMazumdar Shaw Center for Translational Research and Narayana HealthBangaloreIndia
  2. 2.Department of Oral Maxillofacial and Plastic SurgeryJohannes Gutenberg UniversityMainzGermany
  3. 3.Department of Oral Maxillofacial and Plastic SurgeryGoethe UniversityFrankfurtGermany

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