Joji George Sekine, D.D.S., Ph.D., FIBCSOMS
Joji George Sekine, D.D.S., Ph.D., FIBCSOMS
Professor and
Chairman
Department of Oral
and Maxillofacial Surgery, Shimane University Faculty of Medicine
Maxillofacial Implant
Center, Shimane University Medical Hospital
Oral and Maxillofacial
Cytological Diagnostic Center, Shimane University Medical Hospital
As oral cancer
surgery can result in distinct functional and cosmetic problems, reconstructive
surgery is then recommended to improve patients’ quality of life. The purpose of reconstruction of
maxillofacial defects is to promote normal function as well as facial
esthetics. To achieve these results we
have a large number of reconstructive options including primary repair with
local tissue and the use of local pedicled or free flaps and/or bone
augmentation technique. Our policy to the establish treatment goal in oral
cancer patients is to achieve functional oral rehabilitation with implant-supported
denture following anatomical reconstructive surgery.
On the other hand, combination treatment of bone
augmentation including DOG (distraction osteogenesis) and implant are also
applied to the patients suffering from TMJ ankylosis. In such a situation, we perform oral
rehabilitation using dental implants following gap formation of the TMJ using
buccal fat pad grafting.
The present paper describes our surgical
strategy for functional oral rehabilitation using osseointegrated implants
following many kinds of bone augmentation procedures in various oral cancer
patients including TMJ ankylosis.
In this
paper, our most up-dated technique to distinguish oral epithelial dysplasia is
also presented.
30 Sep., 2015
