fig2

Figure 2. Patient 2. (A) Complete anterior mandibular defect; (B) preoperative orthopantomogram showing anterior segmental mandibulectomy bridged with a mandibular reconstruction plate; (C) intraoperative view. The osteotomy has been performed in the left mandibular body and the distraction device has been applied in a posterior to anterior vector to distract the remaining left mandibular body; (D) identical osteotomy design and placement of the distraction osteogenesis (DO) device in the right mandibular body; (E) panoramic radiography showing distraction phase as a trifocal DO procedure. As the molar were inserted in both transport discs, they reached the anterior part of the mandible. Obviously, preservation of molars in the newly generated symphyseal region was unacceptable; (F) preoperative profile view of the patient; (G) postoperative profile view of the patient; (H) panoramic radiography showing placement of 6 dental implants over distracted bone and the placement of a bridging plate for stabilization purposes; (I) clinical view of the patient with final dental prosthetic restoration