Dental rehabilitation in 101 primarily reconstructed jaws after segmental resections--possibilities and problems. An 18-year study.

Aims: To evaluate the possibility of providing every patient with dental rehabilitation after segmental resections and primary jaw reconstructions.

Materials And Methods: Ninety-five consecutive patients, followed for more than 1 year, were retrospectively evaluated without any exclusions, using the patients' records.

Results: 1) Forty percent received dental substitutes after a mean of 32 months for implant bridges and 20 months for removable dentures.

Angle-to-angle mandibular reconstruction with two free fibular flaps in a patient with two consecutive gingival cancers.

Two consecutive mandibular reconstructions with free vascularised fibular grafts in a patient with gingival cancers are presented. After resection of a gingival cancer on the left side, reconstruction was performed with a free vascularised fibular graft from the left leg. Two-and-a-half years later, a second free vascularised osteoseptocutaneous fibular graft from the right leg was used to reconstruct the right mandible and floor of the mouth after resection of a new gingival cancer.