PROSTHODONTIC ASPECTS OF A NEW METHOD FOR FUNCTIONAL RECONSTRUCTION FOLLOWING MAXILLECTOMY

The prosthodontic aspects of a new method of reconstruction after maxi llectomy are described. A custom-made titanium mesh tray filled with c rushed autogenous hip bone is interposed between two layers of a pedic led temporal muscle flap. The titanium mesh tray is fabricated on a ca st carved to represent the anatomy of the reconstructed maxilla. The t ray is designed so that, after healing, osseointegrated implants can b e placed in preplanned positions in the reformed maxilla. The buccal s ulcus is recreated with a free mucosal graft from the contralateral ch eek at the second implant surgical stage. The prosthodontic restoratio n is completed after healing of the free mucosal graft.