Volumetric Reconstruction of the Alveolar Ridge after Marginal Resection of the Anterior Part of the Lower Jaw: Clinical Case

Segmental resection of the mandible leads to a violation of its continuity and, as a consequence, to pronounced cosmetic: changes in the contours of the lower zone of the face and functional problems: speech disorders, chewing, swallowing, which significantly reduces the quality.1,2 The loss of a small fragment of the lower jaw leads to a violation of the integrity of the dental arch, therefore, an untenable bite and aesthetic disorders of various levels.3,4,5 Reconstructive treatment of patients undergoing resection of the mandible of the alveolar part of the mandible is an urgent problem for dentists. 6,7 Evaluation of the effectiveness of the use of customized titanium frame membranes during guided bone regeneration (GBR) in the area of previously performed marginal resection of the anterior part of the lower jaw. After GBR the height of the alveolar ridge in the area of greatest atrophy was restored by 7.39 mm, the width in the area of the alveolar ridge at the top was 11.5 mm. The reconstruction of the alveolar part of the mandible after marginal resection of the mandible, including primary soft tissue plastic surgery with the formation of keratinized gums and subsequent GBR using an individualized titanium skeleton membrane, demonstrated high efficiency, expressed in the formation of a sufficient volume of bone regenerate for the installation of dental implants, as well as successful and time-stable osseointegration of placed implants. © (2024), (University of Dicle). All Rights Reserved.