Aesthetic and functional Rehabilitation of the face using dental and facial implants

A 12-year old female orphan from Romania was transferred into our hospital. The lower jaw showed an enormous tumor in the symphysis mandibulae; diagnosed as an intraosseous venous malformation of the mandible. After resection of the tumor the defect was primarily reconstructed using a microvascularized fibula-graft. For total makeover of the mouth a computerized tomography was used for positioning the implants. The prosthesis was designed by using a Procera®-Implant Bridge. Because of vertical and horizontal loss of the anterior arch, a customized chin implant was prefabricated to improve the esthetical facial symmetry.Using dental and facial implants together in one operation is an option for full-face makeover. It reduces operating time and cost, avoids a second bone grafting procedure, improves the esthetic outcome and thus is beneficial for the patient and the dentist. Keywords: facial implants, computer assisted implantology, Simplant, facial reconstruction, immedate function, implant-bridge