title: The Application of Virtual Planning and Navigation Devices for Mandible Reconstruction and Immediate Dental Implantation.
abstract: Routine reconstruction of subtotal defects of the mandible and orthopedic rehabilitation supported by dental implants is achieved by means of detailed planning and lasts over a year. This article shows the outcomes of single-stage surgical treatment and immediate orthopedic rehabilitation performed with the help of preoperative virtual computer simulation. 3D investigation of pathological and donor sites, virtual simulation of tumor resection, positioning of the dental implants into fibula, virtual flap bending and transfer, virtual bending of fixing reconstruction plates, and fabrication of navigation templates and bridge prosthesis supported by dental implants were done preoperatively. The surgery included tumor resection, insertion of dental implants into fibula, elevation of fibula osteocutaneous free flap, rigid fixation within recipient site, and immediate loading by bridge orthopedic device. On 10-month follow-up, functional and esthetic results were asses as reasonable. Radiography showed dental implants to be integrated and positioned appropriately. We found that successful rehabilitation of the patients with extensive defects of the jaws could be achieved by ablative tumor resection, dental implants insertion prior to flap elevation guided by navigation templates, further osteotomy, modeling of the flap based on navigation template, flap transfer, and rigid fixation within recipient site by prebended plates, with application of prefabricated prosthesis.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Azerbaijan Medical University, Baku, Azerbaijan.
authors.forename: Chingiz R
authors.initials: CR
authors.lastname: Rahimov
authors.affiliation: Department of Oral and Maxillofacial Surgery, Azerbaijan Medical University, Baku, Azerbaijan.
authors.forename: Ismayil M
authors.initials: IM
authors.lastname: Farzaliyev
authors.affiliation: Department of Plastic and Reconstructive Surgery, Teheran University of Medical Science, Teheran, Islamic Republic of Iran.
authors.forename: Hamid Reza
authors.initials: HR
authors.lastname: Fathi
authors.affiliation: Department of Oral and Maxillofacial Surgery, Azerbaijan Medical University, Baku, Azerbaijan.
authors.forename: Mahammad M
authors.initials: MM
authors.lastname: Davudov
authors.affiliation: Department of Dentistry, Azerbaijan Medical University, Baku, Azerbaijan.
authors.forename: Anar
authors.initials: A
authors.lastname: Aliyev
authors.affiliation: Department of Stomatology, Hospital of Ministry of Internal Affairs, Baku, Azerbaijan.
authors.forename: Emin
authors.initials: E
authors.lastname: Hasanov
keywords: dental implants; free fibula transfer; navigation guide; virtual planning