Anatomic Reconstruction and Functional Rehabilitation of Mandibular Defects after Ablative Surgery

Abstract

One of the major problems after extensive ablative surgery, including partial or total mandibulectomy, is apart from reconstruction of the bony continuity, the best possible restoration of masticatory function. This concerns mainly the fixation of dentures in the lower jaw. On the basis of increasing experience, together with a precise and very special technique in the field of bone surgery, in accordance with the ASIF principles, we have been successful in solving the two main problems of bone replacement and denture fixation. Special instruments and implants have been developed for this purpose as can be seen in the preceding article. The details of this technique are explained in the following with a description of a few cases.