Mandibular Rami Implant: A New Approach in Mandibular Reconstruction.

The mandible is an essential esthetic and functional component of the lower third of the face and its reconstruction has been always a challenge, especially after severe post-traumatic injuries. The purpose of the present report was to introduce a new approach of mandibular reconstruction in a patient who had lost the entire mandible except for the rami after being severely injured in a blast.A new approach using a titanium mandibular rami implant technique was applied using computer-aided 3-dimensional virtual planning and rapid prototyping technology. A prosthetic component was supported by the mandibular implant, which achieved occlusion and dedicated function for the patient.This method offered precise adaptation of the implant and prosthesis and an easier surgical procedure, providing a shortened operation time, no donor site morbidity, and more predictable outcomes.This new technique allows reconstruction of large-scale mandibular defects that is not possible by conventional surgical methods.