The patient was brought to our emergency dent medical center with multiple injuries, in particular, fractures of the facial skull bones. The chief doctor of the Sirius Dent Medical Center Denys Vyacheslavovych Valkevych performed an urgent and rather complex reconstructive maxillofacial surgery.

During the operation, fragments of the patient’s facial skull bones were connected and fixed together with the help of titanium plates and screws (metal osteosynthesis). The surgery was successful: the fractures healed and the bones grew together in the right position.

The patient had a full removable prosthesis installed on her upper jaw and a partial removable prosthesis which required replacement – placed on her lower jaw. Therefore, after the healing of the fractures, we offered to carry out prosthetics on dental implants, which would allow restoring the aesthetics and full functionality of the dentition. It turned out that the patient had already consulted on this issue in other dent medical centers, where they could not help her due to the insufficient jawbone volume.

We solved this problem using a range of complex surgical interventions. First of all, the surgeons worked on improving the lower jaw: installation of implants and placing a permanent prosthesis after their engraftment.

As for the upper jaw, the situation was much more complicated due to the extremely small amount of bone tissue. The thickness of a jawbone in the projection of the maxillary sinuses was less than 1 mm (approximately 0.3-0.5 mm). In the front area of the jaw, in the projection of the front teeth, the thickness of the jawbone was about 2 mm with a minimum implant diameter of 3.5 mm. There was almost no bone tissue on the right and left sides of the chewing teeth.

As a rule, bone-plastic operations to restore the volume of the jawbone are not performed under such difficult conditions. Most often, a relatively small amount of bone tissue (about 3 mm) needs to be built up in some isolated area of ​​the jaw. In this case, we had to carry out total reconstruction of the patient’s upper jaw.

For the directed regeneration of the upper jaw, we used the patient’s own bone tissue and osteosamine material. Such complex surgical interventions as splitting of the alveolar ridge and sinus lifting, along with several corrective operations were performed.

After increasing the volume of jawbone tissue, we installed dental implants, on which a permanent prosthesis will be fixed later. This is a final stage of the patient’s rehabilitation – she will be able to enjoy a beautiful smile without the complications associated with wearing removable prostheses. The entire treatment process took about one and a half years.