Rebuilding the mandible (lower jaw) or maxilla (upper jaw) after tumor removal or trauma. We utilize cutting-edge 3D modeling and microvascular bone transfer to restore your facial contour, chewing ability, and smile.
Consult Dr. Manish Tiwari
Bone loss resulting from aggressive oral cancer surgeries (Mandibulectomy).
Osteoradionecrosis, where jaw bone dies due to previous radiation therapy.
Conditions like Ameloblastoma that require segment removal to prevent return.
Complex maxillofacial injuries resulting in significant bone and tissue loss.
Replacing a curved jawbone is a complex engineering task. Dr. Tiwari uses local flaps for smaller defects and advanced microvascular "Free Flaps" (transferring bone from the leg or hip) for major reconstructions, mapped out entirely on a computer before surgery begins.
Using your CT scans, we virtually map the tumor removal and design custom 3D-printed cutting guides. This ensures the donor bone matches the missing jaw segment to the millimeter.
We safely harvest a segment of the fibula bone from your lower leg, along with its blood vessels. The fibula provides thick, strong bone ideal for recreating the jaw curve and supporting future dental implants.
The harvested bone is cut to match the 3D plan, secured to your jaw with titanium plates, and the tiny blood vessels are connected under a microscope to bring the new jawbone to life.
Successful jaw reconstruction requires precise mapping of both the jaw and the donor site.
Yes, that is a primary goal. Reconstructing the jaw bone restores the structural foundation of your mouth. Following healing and appropriate dental rehabilitation, most patients regain their ability to chew and eat a normal diet.
Absolutely. The fibula bone we typically use is dense and strong enough to support osseointegrated dental implants. Once the reconstructed jaw has fully healed (usually after 6-12 months), a prosthodontist can place implants to give you new teeth.
The fibula is a non-weight-bearing bone; the thicker tibia bone supports your body weight. While you will need crutches/a walker during the initial weeks of recovery, you will walk, run, and function normally once fully healed.
