Abstract
There are numerous treatment modalities for mandibular defects after tumor surgery. Autogenous particulate cancellous bone marrow graft combined with titanium mesh (PCBM-MESH) is an alternative procedure. The purpose of this study was to evaluate PCBM-MESH for mandibular reconstruction. There were a total of 10 cases from 2000 to 2011. Mandibles were successfully reconstructed in 9 cases; however, reconstruction failed in 1 case. Overall, the recovery of facial contours was excellent; conversely, the evaluation of prosthetic treatment varied widely. Thus, we suggest 3 steps for mandibular reconstruction: (1) recover the continuity of bone segments; (2) simulate optimum facial contours and dental occlusion; and (3) perform the occlusion with dental prostheses. PCBM-MESH is a valuable method for mandibular defects-particularly for restoring facial contours and a favorable alveolar ridge.
Original language | English |
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Pages (from-to) | 108-115 |
Number of pages | 8 |
Journal | Implant Dentistry |
Volume | 23 |
Issue number | 2 |
DOIs | |
Publication status | Published - 2014 Apr |
Keywords
- mandibular reconstruction
- PCBM combined with titanium mesh
- segmental defect
- top-down approach