Patient Specific Mandibular Reconstruction using CAD/CAM Procedures – A Case Report

Mandibular reconstruction today is still one of the larger challenges in cranio maxillofacial surgery. Quality of life can be extremely reduced by tissue defects in the mandible region, whether caused by trauma or tumour; it is a central concern of all CMF surgeons to improve mandibular reconstruction. Over the last few years rapid progress in CAD/CAM techniques were made. Patient specific reconstruction has become a standard procedure. In the now presented case a young patient underwent ablative surgery of a keratocystic odontogeneous tumour resulting in loss of mandibular continuity. Reconstruction was performed with a patient specific mandible implant. For the first time the donor site of the iliac bone graft was also supplied with a patient specific implant in order to reduce postoperative morbidity and risk of spontaneous pelvic fractures.