There are some potential complications with mandible replacement. Though they are rare, they should be discussed with the surgeon. The patient will experience bleeding after the surgery, although it will be mild and temporary. While a significant amount of bleeding is possible, the pain is mild and is not severe. There are no other risks of mandible replacement, but they should be thoroughly evaluated before undergoing it. It is important to follow the instructions carefully to avoid any complications.
After the operation, the patient will have to wear a denture for a few weeks or months. This is often the only option if the patient cannot tolerate the dental prosthesis. However, it is important to note that the implant will be attached to the bone for at least 6 months. A few weeks after the surgery, the patient may need to have several more surgeries. Depending on the size of the defect, the patient may need more than one.
An iliac crest segment is another option for patients with short gaps in their jawbone, such as due to a benign disease. Nonvascularized iliac crest segment is an alternative for short bone gaps that cannot be bridged with conventional techniques. This method uses creeping substitution to provide stability to the mandible.
A patient suffering from a rapidly progressing infection of her entire mandible and a large wound on her face required a surgical removal of the entire mandible. While the classical approach would have left the patient with a small mandible, the complex microsurgical reconstruction would require extensive surgery and a lengthy hospital stay. Ultimately, a patient with a complex fracture in her mandible would need a custom-made implant to reconstruct the entire mandible.
There are several options for mandible replacement.
For patients with short bone gaps, an iliac crest segment can be used. Compared to a conventional bone-graft, the iliac crest is easy to access and provides a good amount of cortical and cancellous bone. For larger defects, this option is suitable for both the mandible body and ramus. It is also useful in hemimandibular defects.
A person who has a mandibular defect may not be able to speak or chew. In these cases, a bone graft is used. The mandible is divided into small segments. The ends of each segment are dissected to make room for the mini-plate fixation. The recipient vessels are then identified. A patient is also usually given a mini-plate fixation. 역삼역치과 After the surgery, a person should be aware of any blood clots that may form.
The surgical specimen is a useful visual aid. It helps surgeons determine the correct length and width of the flap, and it also helps them to gauge the position and shape of the mandible. The grafted bone is often placed in a well-vascularized bed. Its length and thickness are not compromised by the presence of periosteum. Apart from a bone graft, a rib is a good choice for a mandible replacement.
A metal plate, pedicled flaps, and free flaps are all options.
Some of the complications associated with mandible replacement are rare and can occur after the procedure. Most patients experience some discomfort and may experience some bleeding. Some patients may even lose their ability to chew or speak properly. A mandible replacement can be a permanent solution to the problem. It is not a permanent cure for missing or misshaped mandible. A patient will have to go through a series of procedures to get the perfect result.
During an operation for mandible reconstruction, osseous or soft-tissue flaps are used to reposition the jaw bone. An axial plane CT scan is also helpful in preoperative planning. This will allow a surgeon to create precise templates for the flap. Patients should be aware of possible complications, including infection, before surgery. The surgery is usually performed under general anesthesia. Following the procedure, the patient will receive antibiotics.
The surgical procedure for mandible replacement is a major procedure. It is a complex process that involves several procedures and requires careful planning. Surgical complications should be avoided. During a mandible replacement, the patient should undergo the following procedures: (1) Complete and partial loss of the mandible. The mandible is reconstructed by removing the affected bone. This can lead to pain, inability to chew food and jaw movements.