Treatment journeys & surgical results

Case of trauma Diagnosis -fracture left body of mandible, Fracture left maxillary pyriform rim and buttress, Fracture left infraorbital rim.

Treatment done-open reduction and internal fixation under general anesthesia Incision taken-infraorbital incision givem to expose left infraorbital rim, Vestibular incision given to expose left maxillary pyriform rim, Modified Ward's incision given to expose left body region.

IMF done and occlusion achieved. Fixation done using miniplates and miniscrews. Case done

The patient presented with facial trauma and was diagnosed with a left-sided Le Fort II fracture along with a left parasymphysis fracture.

Open reduction and intermaxillary fixation were performed. Lateral brow and circumvestibular incisions were used to access the fracture sites, followed by fixation using miniplates and miniscrews.

The fractures were stabilized with 2 mm miniplates and miniscrews, restoring proper alignment and providing stable fixation for healing.

Patient had missing teeth following reconstruction with a free fibular graft after carcinoma surgery 7 years ago. CBCT was used to assess the grafted bone and plan implant placement.

Three implants were placed in the reconstructed fibular graft: two 4.5 × 8.5 mm implants in regions 34 and 45, and one 4 × 10 mm implant in the indicated region.

The implants were allowed to integrate with the grafted bone before final restoration, providing a stable foundation for replacement teeth with improved chewing function and appearance.