Reconstruction using reconstruction plates with the condylar head and a titanium mesh tray with particulate cancellous bone and marrow for hemimandible defect

Abstract

In patients with extensive jaw defects, jaw functions, such as mouth opening and occlusion, should be considered during jaw reconstruction in anticipation of implant placement and prosthetic treatment. Herein, we report a case of temporomandibular joint and mandibular bony reconstruction using custom-made trays and particulate cancellous bone and marrow, followed by implant placement. We succeeded in restoring both temporomandibular joint function and occlusion using the reconstruction plate with the condylar head, a mesh tray, and particulate cancellous bone and marrow in a patient with left mandibular reconstruction plate fracture and bony adhesion of the left TMJ.