PMC8407646_01
Clinical appearance during initial examination
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F1
Patient's consent was obtained [Figures 1 and 2].
Intraoral and radiographic appearance during initial examination
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F2
Patient's consent was obtained [Figures 1 and 2].
Intraoperative appearance of the placement of the transport distractor
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F3
Intraoperative appearance of the neoformed bone and the contour of the plate, and after the osteotomies and fixation with reconstruction plates
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F4
For correction, osteotomies were performed on the neoformed bone to obtain a better contour of the mandibular arch, fixed with reconstruction plate systems of 2.4 mm and 1.5 mm, followed immediately by the installation of five osseointegrated implants [Figure 4].
Intraoperative appearance during temporomandibular joint prosthesis placement (mandibular component)
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F5
In surgery, an Ethibond suture (Ethicon, Inc., Somerville, NJ, USA) was placed through the hole, and each end of the suture was passed through the polyethylene flange of the posterior fossa component and was tied to secure the condyle in position [Figures 5 and 6].
Intraoperative appearance during temporomandibular joint prosthesis placement (joint component)
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F6
In surgery, an Ethibond suture (Ethicon, Inc., Somerville, NJ, USA) was placed through the hole, and each end of the suture was passed through the polyethylene flange of the posterior fossa component and was tied to secure the condyle in position [Figures 5 and 6].
Intraoral and radiographic appearance postoperative
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F7
Postoperative follow-up showed good facial balance, stable occlusion, an interincisal opening of 44 mm, and favorable joint functioning [Figures 7 and 8].
Clinical appearance postoperative
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F8
Postoperative follow-up showed good facial balance, stable occlusion, an interincisal opening of 44 mm, and favorable joint functioning [Figures 7 and 8].