ABSTRACT
Reconstruction of segmental mandibular defects with vascularized bone and placement of osteointegrated implants have allowed total dental restoration in properly selected patients. Osteointegrated dental implantation can be performed during the primary operation in patients with mandibular defects resulting from the excision of benign lesions and some nonbenign lesions with excellent prognoses; otherwise they can be performed secondarily. Radiation therapy may affect the ability to place osteointegrated implants into the reconstructed mandible and may compromise the final outcome. Selection of the proper bone flap, optimal timing of dental implant placement (primary versus secondary), meticulous bone stabilization, and accurate implant positioning and alignment are critical for successful total mandibular rehabilitation.
KEYWORDS
Mandible reconstruction - osteointegrated implants - microsurgical reconstruction
