PMC7201834_01
The initial panoramic radiograph of the patient.
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With the radiological examination, the panoramic radiograph showed a large lobulated radiodense mass in the left mandibular ramus area and it also appeared to have a retromandibular partition (Figure 1).
The initial CBCT of the patient.
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Tomography (CBCT) was performed. The CBCT scan showed a diffuse enlargement measuring 4.5 x 3.5 x 3 cm in the entire left mandibular ramus extending anteriorly to the mastoid process of the parietal bone (Figure 2).
Extraoral approach to the lesion.
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Using a fissure bur and a chisel, the lobular part of the lateral and medial side of the ascending ramus were resected and the mandible was reshaped (Figures 3 and 4).
The removed lesions.
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Using a fissure bur and a chisel, the lobular part of the lateral and medial side of the ascending ramus were resected and the mandible was reshaped (Figures 3 and 4).
Panoramic radiograph of the patient before the orthognathic surgery.
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Maxilla Le Fort I osteotomy was performed with 3 mm anterior and 4 mm right, and mandibular bilateral sagittal split osteotomy was performed and 1 mm back and 2 mm left was taken (Figures 5-7).
3D view of the patient before the orthognathic surgery.
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Maxilla Le Fort I osteotomy was performed with 3 mm anterior and 4 mm right, and mandibular bilateral sagittal split osteotomy was performed and 1 mm back and 2 mm left was taken (Figures 5-7).
3D view of the patient after the orthognathic surgery.
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Maxilla Le Fort I osteotomy was performed with 3 mm anterior and 4 mm right, and mandibular bilateral sagittal split osteotomy was performed and 1 mm back and 2 mm left was taken (Figures 5-7).
The panoramic radiograph of the patient after the implant surgery.
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At the end of the first year following the operation, the patient's existing tooth deficiencies were rehabilitated by applying a dental implant (Figure 8).