Simultaneous dental implant placement in extensive jaw defects: a series of clinical cases

Relevance. Despite advances in the reconstruction of extensive jaw defects using vascularized autografts, the issue of multi-stage treatment for such patients remains clinically significant. Objective. To enhance treatment outcomes in patients with extensive jaw defects and deformities by performing simultaneous dental implant placement during reconstruction with vascularized autografts, thereby shortening the overall treatment and rehabilitation period. Clinical case description. Using the proposed approach, five patients aged 19 to 44 years were treated for extensive jaw defects – one affecting the maxilla and four involving the mandible. All patients underwent multislice computed tomography (MSCT) of the skull before and after surgery to assess treatment outcomes. During the preoperative planning stage, virtual surgical simulation was performed, and patient-specific cutting guides were fabricated for jaw resection, osteotomy of the vascularized fibular autograft, and dental implant placement. Postoperative assessments, conducted in accordance with the research protocol, confirmed the effectiveness of simultaneous dental implant placement during jaw reconstruction with vascularized autografts. Current data indicate that this method improves treatment efficiency and significantly reduces the rehabilitation period in patients with extensive jaw defects. Conclusion. The proposed approach – jaw reconstruction using vascularized autografts in combination with simultaneous dental implant placement – proves to be effective. It supports both functional and aesthetic rehabilitation while considerably shortening the recovery period for patients with extensive jaw defects.