North Texas Dentistry Volume 7 Issue 3 NTD 2017 ISSUE 3 DE - Page 13

3 2 4 5 7 6 8 9 Figures 2 and 3 show the exposed mandible and the excised specimen. Figures 4 and 5 show the fibula harvest and guided implants placed while the vascularized graft is still attached to the leg. Figures 6 and 7 show the bone graft in place with implant angulation pointing towards the palatal cusp of the upper teeth. Figures 8 and 9 reveal postoperative imaging showing restored mandibular height and ideal implant angulation. After 4 months of implant integration, the final dental restora- tions will be placed. The goal of this surgery is to restore mandibular form as close as possible to a normal jaw. This allows implants to be positioned so that the final restorative phase is no different from traditional implant restorations. Fayette Williams, DDS, MD, FACS Fayette Williams, DDS, MD, FACS is Clinical Faculty in the Department of Oral & Maxillofacial Surgery at John Peter Smith Hospital and director of the Fellowship in Maxillofacial Oncology and Reconstructive Surgery. Dr. Williams is also in private practice at Facial & Oral Surgery Associates. He has lectured on jaw reconstruction on national and inter- national levels and has authored numer- ous textbook chapters on oral cancer and reconstructive surgery. His passion lies in the treatment of patients with oral cancer. For more information, call (817) 927-1325 or visit www.facialoralsurg.com. ARLINGTON | FORT WORTH 817.275.9200 817.927.1325 www.northtexasdentistry.com | | WEATHERFORD 817.599.8500 NORTH TEXAS DENTISTRY 13