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Successful jaw reconstruction & dental implants Complete smile makeover

7/5/2016

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A 26 year old boy visited our hospital seeking for correction of his facial profile to enhance the appearance. He was under orthodontic treatment for past 2 years elsewhere. But he was not satisfied with the results and thus he wants to have surgical correction of his jaw without any scars on the face.
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After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S.M.Balaji planned to correct his face by following corrective jaw surgery. He has short upper lip due to vertical maxillary excess which was corrected by Lefort I osteotomy. His profile shows short chin giving round face appearance. This was corrected by augmenting the genium using costochondral rib graft. Thus entire surgery was done inside the mouth and his facial appearance improved dramatically. Patient feels very happy to have the entire facial correction in a single surgery and without any visible surgical marks on the face.
Preoperative digital OPG showing congenitally missing teeth with complete alveolar ridge recession
3DCT scan showing severe boneloss in the missing teeth region
3DCT profile view showing alveolar ridge recession in the posterior missing teeth region
Costochondral rib graft harvested to reconstruct the alveolar ridge
Skin incision was closed in layers
Intraoperative view where receded alveolar ridge surgically exposed
Intraoperative view
Bone graft fixed in the receded alveolar ridge region
Bone graft fixed
Bone graft fixed with screws
Implant fixed in few areas where good stability achieved
Bone graft fixed to enhance the retention
Bone graft fixed
Postoperative OPG showing good bone formation
Intraoperative view showing enhanced bone formation
Implants fixed in the newly formed bone region
Mini bone screws were removed
Implants fixed with good stability and retention
Enhanced bone formation
Implants fixed with good retention
Postoperative OPG showing dental rehabilitation with implants in newly formed bone
Upper arch with fixed ceramic prosthesis
Naturally well blended fixed ceramic prosthesis placed
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