Occlusal Reconstruction by Maxillary Bone Grafting, Dental Implants and Orthognathic Surgery After Facial Trauma

When loss of teeth and alveolar deficiencies result from reasons such as trauma, infection, cyst, tumor, or medication-related osteonecrosis of the jaw, occlusal reconstruction with prosthetic treatment is commonly performed. However, due to poor stability and esthetics, more than conventional dentures are needed to provide satisfactory outcomes in patients with extensive alveolar ridge loss, including multiple teeth. In such cases, the combination of reconstruction of the alveolar deficiencies and prosthesis with dental implants can restore impaired occlusion.¹  However, the ideal treatment of occlusal reconstruction is complex and long-term because many factors need to be considered, including the patient’s general and local condition, methods, materials for reconstruction, number and site of placement of dental implants, and prosthetic method. In addition to dental and alveolar problems, treatment becomes even more challenging when disharmony exists between the maxilla and mandible, as typified by jaw deformity. In cases requiring such challenging and complex...