Abstract

CESENA MEDINA, José Francisco; LOPEZ NORIEGA, Juan Carlos; RUIZ RODRIGUEZ, Rafael  and  JIMENEZ CASTILLO, René. Fibula transplant caudal vertical distraction for reconstruction of lower jaw defect caused by firearm projectile and rehabilitated with bone-integrated implants. Rev. Odont. Mex [online]. 2012, vol.16, n.3, pp.193-202. ISSN 1870-199X.

The present study presents satisfactory aesthetic and functional results achieved after correction of facial asymmetry in a patient subject to reconstruction with fibula graft of a wound caused by firearm projectile. Equally presented in this study is the rehabilitation of the stomatognathic complex through placement of bone-integrated implants. Procedure was accomplished in four surgical phases. Previous clinical and imaging evaluation was performed with support of stereolithographic studies. The first phase encompasses osteogenic distraction in caudal direction in the chin region. In the second phase, osteogenic distraction is performed bilaterally in caudal direction in the body of the lower jaw. The third surgical phase encompasses reconstruction of the lower lip. The fourth and final surgical phase comprehends the placement of bone-integrated implants. Through careful case analysis and available diagnostics tools surgical treatment sequence could be planned. Shape and anatomical dimension of lower jaw region could be attained. Another achievement was correction of soft tissue scars caused by lower jaw reconstruction sequels. Treatment was completed with masticatory function rehabilitation with the help of an implant-supported prosthesis.

Keywords : Osteogenic distraction; caudal; bone graft; implant-supported; bone-integrated implants; bone integration.