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The Jugaad Technique for Jaw Reconstruction: Denture Based Inverse Planning
Vinay V Kumar1, P C Jacob2, Vikram Kekatpure2
1Department of Head and Neck Surgical Oncology, Mazumdar Shaw Center for Translational Research and Narayana Health, Bommasandra, Bangalore, India ; Department of Oral Maxillofacial and Plastic Surgery, Johannes Gutenberg University, Mainz, Germany.
Aim:
The aim of this clinical paper is to introduce a technique to plan for functional maxillofacial reconstructions.
Materials And Methods:
Preoperative dental casts were made of the patient and mock surgery performed on the casts. A fibula analogue was then placed in an ideal functional reconstruction position. New dentures were fabricated on the fibula analogue and drill holes for the placement of implants were placed through the denture. This denture formed as a guide to position the fibula transplant during surgery.
Results:
This technique was useful in producing functional and rehabilitative outcomes in cases of both maxillary and mandibular reconstructive surgeries.
Conclusion:
The Jugaad technique-denture based inverse planning-is a cost effective method for planning and executing maxillofacial reconstructions using mock surgery on casts and interim dentures.
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