JAW RECONSTRUCTION

V. H. KAZANJIAN, D.M.D., M.D.

 major types of deformities
of mandible consist of
 Those in which there is ioss of bone with the
continuity of the mandibie definiteiy disturbed

 Those in which there is maideveiopment and

retrusion of the mandibie

 Those in which overdeveiopment of the

mandibie such as occurs in prognathism, open
bite, etc.,
BONE LOSS IN THE MANDIBLE
 Main causes of important Ioss of bone in the
mandibIe are

•OSTEOMYELITIS,
•TRAUMA-ESPECIAIIY GUN SHOT
WOUNDS
•SURGICA1 INTERVENTION FOR THE
REMOVAL OF NEW GROWTHS.
 Case : 1
 Name : S.L
 Age : 12 years
 Chief complaint : unknown hard tissue
regrowth in right jaw region
 Diagnosis : giant cell tumor
 Treatment : exicision following reconstruction
 CASE 2
Name : L.S
Age : 12 years

Chief complaint : unknown hard tissue regrowth in

right jaw region

Diagnosis : Non malignanant tumor growth

Treatment : exicision following reconstruction(

Neck of second condyle to 2nd bicuspid)

 CASE 3
Name : K.C
Age : 14 years

Chief complaint : esthetics , function

Diagnosis : Congenital microtia(r,l)

Treatment :multidisiplinary ortho, surgery , prosthetic

Case 3
 Case 4
 Name : K.R
 Age : 14 years
 Chief complaint : esthetics , function
 Diagnosis : Congenital retruded mandible (birth
injury )
 Treatment :multidisiplinary ortho, surgery ,
prosthetic
 CASE 5
Name : L.S
Age : 13 years

Chief complaint : esthetics , function

Diagnosis : PROGNATHIC MANDIBLE

Treatment :multidisiplinary ortho, surgery , prosthetic

 CASE 6
Name : W.F
Age : 14 years

Chief complaint : contraction of neck following burns

Treatment :multidisiplinary ortho, surgery , prosthetic

Reconstruction of maxilla by obturator
Reconstruction using guiding plane
Tooth supported large prosthesis
Reconstruction of hemimandibulectomy
Jugaad technique for jaw reconstruction