Dennis Rohner, MD, DDS
The use of vascularized free flaps for the reconstruction of extended defects is nowadays the standard procedure for the reconstruction of acquired maxillary and mandibular defects. Correct occlusion, adequate reconstruction of soft tissue, correct positioning of the flap within the defect and immediate functional rehabilitation are important factors that decide the level of success. Meticulous preoperative planning is therefore a must. A combination of 3-D and virtual planning allows us to determine the new occlusion, the extension of the suprastructure, the position of the dental implants, the desired shape of the osseous flap and the amount of necessary soft tissue. In a series of cases. the development, the technical planning, the surgical steps and our results over the last 19 years will be presented.
Upon completion of this presentation, participants should be able to: 1) explain the importance of occlusion-driven preoperative planning; 2) evaluate the combination of 3-D planning and virtual planning; and 3) illustrate the improvement of quality of life due to functional reconstruction.