Jehad Al-Sukhun, Sana Al Sukhun
This paper presents a novel method of upper and lower jaw reconstruction using 3D-custom-made titanium implants with abutment-like projections. The implants were designed to rehabilitate the oral and facial shape, aesthetic, function, and occlusion. A 20- year-old male was diagnosed as having Gorlin syndrome. The patient suffered from having large bony defects, following ablative multiple keratocysts resection, of the maxilla and mandible. The resulting defects were reconstructed with 3D-custom-made titanium implants. The implants with abutment-like projections were simulated, printed, and fabricated with a selective milling method based on CT-scan data. There was no postoperative infection or foreign body reaction during the one-year follow-up period. To the best of our knowledge, this is the first report on the use of 3D-custom-made titanium implants with abutment-like projections, attempting to rehabilitate the occlusion and overcome the limitations of custom-made implants in treating large bony defects of the maxilla and mandible.