Dynamic navigation-assisted implant placement for the jaw-in-a-day mandibular reconstruction
Year: 2026
Type: article
Study design: Case Report
Abstract: Background/purpose: Jaw-in-a-Day (JIAD) integrates oncologic resection, fibula free-flap reconstruction, and immediate implant-supported prosthetic rehabilitation in a single operation. This study aimed to use the dynamic navigation-assisted implant placement for the JIAD mandibular reconstruction. Materials and methods: We reported a JIAD case employing a hybrid workflow that combined conventional static guides with intraoperative dynamic navigation to enhance implant placement accuracy. Comprehensive computer-aided surgical simulation and virtual surgical planning were performed using Mimics and 3Shape software, followed by the navigation-assisted implant placement during fibula preparation. Results: The postoperative course was uneventful, and the patient was discharged three weeks after surgery. The 2-month postoperative cone-beam computed tomography demonstrated that angular deviation, platform depth deviation, and apical depth deviation were all within reported ranges for dynamic navigation-guided implant placement. Conclusion: Incorporation of dynamic navigation into the JIAD workflow provides intraoperative adaptability and improve implant accuracy and reconstructive reliability in a complex mandibular reconstruction.
Source: Journal of Dental Sciences
Institutions: Taipei Tzu Chi Hospital, En Chu Kong Hospital, Tzu Chi University
Language: English
Subfield: Oral Surgery
Field: Dentistry
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,600
OpenAlex ID: W7131277326