Successful jaw reconstruction & dental implants

A young man from Middle East Asia suffering from Ectodermal Dysplasia was referred to our Hospital for expert care. He had complete missing teeth (anodontia) from childhood. Due to this there was progressive loss of alveolar process. He had consulted many dental surgeon for the same but due to reduced width and height of the alveolar process they refused to give dental  implant replacement for his missing teeth.  

Maxillofacial Surgeon and Dental Implantologist Prof. S.M Balaji performed the complete jaw bone reconstruction using rib graft & rhBMP-2. Implants were placed to replace his missing teeth in mandible. Following osseointegration of the implants, ceramic prosthesis will be given. Due to very thin alveolar process in maxilla, costochondral rib graft and BMP placed to enhance new bone formation. Later dental implants with good retention and stability will be placed after one month.

Intraoral view showing completely edentulous maxilla and mandible

3DCT scan view showing complete anodontia of both maxilla and mandible with thin alveolar process

Costochondral rib graft harvested to reconstruct the receded portion of alveolar process

Dental implants fixed in the lower jaw and stabilized with rib graft for good retention

Harvested rib graft along with miracle protein rhBMP2 used to reconstruct the alveolar process

Immediately after suturing following complete reconstruction of maxilla and mandible

Postoperative digital orthopantomogram showing graft stabilization and good dental implant retention in mandible