Combined approaches for complete oral reconstruction.
A lady patient age 65 presented to our center for complete rehabilitation of the oral cavity .
Clinical examination revealed hopeless teeth in the upper and lower Jaws.
CBCT examination indicated close approximation to the inferior dental nerve in both site of the mandible.
Treatment plan was:
-Grafting of the right site of the mandible by titanium mesh .
-Extraction of all remaining teeth .
-Socket shield approach in suitable upper & lower anterior teeth .
-Preparation of Auto graft from extracted teeth to be used was allograft .
-Treatment plan was conducted , titanium mesh produced a positive result and wide ridge
-Implants were inserted &zirconium bridge was constructed .
Patient follow up after one year indicated good prognosis and happy patient.
Thoughts and comments are welcomed.