One Day Jaw Reconstruction

Jaw surgery for cancer patients and others can sometimes take several years to be completed, with the patient undergoing multiple procedures to place a prosthetic, secure and attach dental implants and undergo treatment for their disease.

June 26, 2023

Roswell Park Comprehensive Cancer Center

At a Glance

Category	Detail
Condition	Jaw defects due to cancer requiring tumor removal and reconstruction
Key Mechanisms	Simultaneous tumor removal, fibula bone implant placement, and dental prosthetic implantation using virtual 3D planning and 3D printed prosthetics
Target Population	Patients with jaw tumors requiring surgical resection and reconstruction
Care Setting	Specialized surgical center with multidisciplinary team, e.g., Roswell Park Comprehensive Cancer Center

Key Highlights

Complete jaw reconstruction including tumor removal, bone implant, and dental prosthetics performed in a single 8-12 hour surgery.
Use of virtual scans and 3D planning to map surgery and fabricate sterile, custom 3D printed dental prosthetics preoperatively.
Post-radiation patients receive temporary prosthetics with permanent zirconium prosthetics placed within three months after radiation completion.

Guideline-Based Recommendations

Diagnosis

Perform virtual scans and 3D imaging to plan tumor removal and reconstruction.

Management

Coordinate multidisciplinary surgical team for simultaneous tumor resection, fibula bone grafting, and dental prosthetic placement.
Use 3D printed dental resin prosthetics prepared in sterile lab conditions for implantation.
For patients requiring radiation, delay permanent prosthetic placement until 3 months post-radiation.

Monitoring & Follow-up

Conduct preoperative visits for final surgical planning and patient preparation.
Monitor healing post-surgery and post-radiation before permanent prosthetic placement.

Risks

Potential delayed healing in patients undergoing radiation therapy.

Patient & Prescribing Data

Patients undergoing jaw tumor resection and reconstruction, including those requiring radiation therapy.

One Day Jaw Reconstruction reduces overall treatment time from years to a single day surgery with rapid recovery and early prosthetic function.

Clinical Best Practices

Employ comprehensive virtual surgical planning with 3D modeling to optimize surgical accuracy.
Assemble dental prosthetics in sterile lab environments prior to surgery to minimize contamination risk.
Implement multidisciplinary collaboration between maxillofacial prosthetics and reconstructive surgery teams.
Provide temporary prosthetics for patients undergoing radiation with timely transition to permanent prosthetics post-radiation.