# Implants on 3D Mandibular Reconstruction: Clinical Case

URL: https://dloralsurgery.com/blog/implants-on-3d-mandibular-reconstruction/

February 9, 2014

**2014** year

**15** photographs

In

[Clinical Cases](https://dloralsurgery.com/blog/category/clinical-cases/) [Mandible](https://dloralsurgery.com/blog/category/mandible/) [Soft Tissue](https://dloralsurgery.com/blog/category/soft-tissue/)

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![Implants on 3D Mandibular Reconstruction: Clinical Case](https://dloralsurgery.com/fotos/2014/02/01.jpg)

[![Situación a los 4 meses](https://dloralsurgery.com/fotos/2014/02/01-1024x675.jpg) Situation after 4 months](https://dloralsurgery.com/fotos/2014/02/01.jpg)

**Dear Colleagues,**

A couple of months ago, we shared a case involving mandibular reconstruction using tunnel access. You can view the full surgical sequence here:  
🔗 [Gaining height in the posterior mandible](http://www.dlcirugiaoral.com/ganando-altura-en-mandibula-posterior/)

Five months after the bone graft, we proceeded with the next phase: placing **implants on 3D mandibular reconstruction** using a modified Kazanjian Vestibuloplasty approach. This technique allowed us to manage both soft tissue and implant placement in a single session.

### Modified Vestibuloplasty for Mandibular Implants

We started with a vestibular incision to separate an epithelial plate. The muscle was carefully released, preserving the periosteum. This step gave us access to remove osteosynthesis screws and place 10 mm implants in the regenerated bone.

As confirmed in the tomographic images, initial height was just 2.8 mm. Thanks to vertical augmentation, we reached over 10 mm—sufficient for placing standard-length implants with stability.

We closed the vestibuloplasty by suturing the periosteal and epithelial plates to the periosteum, ensuring tissue control and healing.

### Reflections on Placing Implants on 3D Mandibular Reconstruction

Performing **implants on 3D mandibular reconstruction** highlights the importance of pre-planned bone architecture. Proper vestibular access facilitates both surgical and aesthetic outcomes.

📎 See more clinical cases of bone grafting

Below you’ll find photos from the surgical procedure.

![gaining height in posterior mandible](https://dloralsurgery.com/fotos/2013/11/001.jpg)

Defect visible, tongue and floor of the mouth in black and white and

![Defect on CT](https://dloralsurgery.com/fotos/2014/02/a1.jpg)

Defect on CT

![Measuring defect](https://dloralsurgery.com/fotos/2014/02/a2.jpg)

Measuring defect

![gaining height in posterior mandible](https://dloralsurgery.com/fotos/2013/11/031.jpg)

Tunnelisation

![gaining height in posterior mandible](https://dloralsurgery.com/fotos/2013/11/041.jpg)

Crestal graft

![gaining height in posterior mandible](https://dloralsurgery.com/fotos/2013/11/051.jpg)

Autologous filling in

![Situation after 4 months](https://dloralsurgery.com/fotos/2014/02/01.jpg)

Situation after 4 months

![Control x-ray](https://dloralsurgery.com/fotos/2014/02/02.jpg)

Control x-ray

![kazanjian vestibuloplasty](https://dloralsurgery.com/fotos/2014/02/04.jpg)

Vestibuloplasty access

![Appearance of graft](https://dloralsurgery.com/fotos/2014/02/05.jpg)

Appearance of graft

![10mm long implants in place](https://dloralsurgery.com/fotos/2014/02/08.jpg)

10mm long implants in place

![Post-graft x-ray](https://dloralsurgery.com/fotos/2014/02/a3.jpg)

Post-graft x-ray

![Situation 3 months after placement of implants](https://dloralsurgery.com/fotos/2014/02/a4.jpg)

Situation 3 months after placement of implants

[← Previous case **Upcoming Oral Surgery Talks: Join Us at Our Next Events**](https://dloralsurgery.com/blog/upcoming-talks/) [Next case →**Covering Recessions After Orthodontics**](https://dloralsurgery.com/blog/covering-recessions-after-orthodontics/)

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