title: Total mandibular reconstruction with cancellous cellular bone graft, allogeneic bone crib, and endosseous implants.
abstract: It is not often that the oral and maxillofacial surgeon is faced with the challenge of restoring a defect that involves the entire mandible. The case presented in this article illustrates the management of such a case. Trauma, infection, neoplasm, and congenital malformations can lead to a discontinuous, deficient, or even absent mandible. In planning the reconstruction of a discontinuity of the mandible, the surgeon may need to manage one or more problems, including loss of adequate denture-bearing bone, loss of speech articulation, loss of control of the tongue and masticatory function, xerostomia as a result of the loss of sublingual and submandibular glands, loss of an intact deglutition mechanism, and a loss of facial form.
authors.affiliation: Woodhull Hospital, Brooklyn, New York, USA.
authors.forename: J E
authors.initials: JE
authors.lastname: Mullins
authors.forename: O E
authors.initials: OE
authors.lastname: Ogle
mesh_terms: D016025:Bone Transplantation / Q000379:methods*; D003758:Dental Implantation, Endosseous; D005612:Freeze Drying; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery* / Q000637:transplantation*; D008875:Middle Aged; D019647:Oral Surgical Procedures; D019651:Plastic Surgery Procedures; D015626:Tissue Expansion