3D Reconstruction of the lower jaw, future medicine

Among the most exciting developments in modern surgery, There is one that not only helps the patient’s health, but improves the quality of life in an exponential way, we are talking about jaw reconstruction surgery.

Reconstructing an area involves recreating not only the look and feel of injured or lost tissue, but also its function. ideally, The reconstructed area must be seen, moved and felt And they feel exactly the same way the original tissues did when they were healthy.

The most common causes that should be performed are segmental deformation of the jaw after lumpectomy or destruction of the tumor without removal, chronic osteomyelitis of the jaw or A jaw fracture that does not heal or a congenital or acquired deformity of the jaw.

“There are many different types of operations, most of which have a full scope, from tooth removal and placement, to very complex reconstructions,” explained Dr. David Alvi, an oral and maxillofacial surgeon at Houston Methodist Hospital.

He added, “My passion is jaw reconstruction is that many people have bite imbalance, where the lower and upper jaws don’t connect and there is asymmetry. For example, there are many people with very small chins, but the upper jaw is large or you can see People who have a very large lower jaw, but may have a very small upper jaw, so the latest technology and advances in correcting these abnormalities are helping patients tremendously.”

La cirugía tradicional suponía alrededor de 4 a 6 horas, en las cuales se rompía la mandíbula del paciente y luego usaban modelos de piedra y técnicas tridimensionales para producir la mandíbula nueva, así como alciento mucho muche de para seporjan cable the mouth. But now this is history and Dr. Alvi tells us about the surgical innovation in this field.

“What I use is 3D technology to take a picture of the scan; on a computer, I can predict where the jaw should be in exactly 3 dimensions, to see if there is symmetry, if the teeth are aligned correctly and if the face is well balanced, and on top of that we use Titanium 3D printers print the plates intended for that patient, this way the plates will be printed to fit him perfectly.”

With this technology, “We get custom titanium plates and screws, in addition to allowing us to eliminate any weakness in the plate, we also eliminate any errors, such as the most common of placing the jaws in a position that was not exactly what we planned. For this reason, using this technology , the results are very accurate, in addition to allowing us to improve in time and what we used to do in more than 4 hours, we are now doing in less than 2. “

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Regarding recovery from surgery of this type and its risks, Dr. Al-Alfi commented: “They are minors and the patient generally only stays one night in the hospital, ready to go home the next day, and not having to deliver, they can open their mouths, talk and eat right after the operation “.

To be a candidate for this type of surgery, the patient must present “some asymmetry or the bite is forward or backward, or a weak or strong jaw”.

In addition to solving the sting problem and for patients to regain this movement 100 percent in a natural way, Dr. Alvi added that it also helps people with sleep apnea caused by poor jaw formation that causes the tongue to not have enough space.


Located in the Texas Medical Center, Houston Methodist Hospital has been ranked #1 in the state of Texas and in the city of Houston for 9 consecutive years by the prestigious US News & World Report (2012-2020). In 2021, Newsweek included Houston Methodist Hospital in its list of the world’s 100 best hospitals.

Houston Methodist Hospital is recognized in the world for its cutting-edge medical research, for its patient care and for its areas of higher specialization in: oncology, cardiology, and cardiac surgery. diabetes and endocrinology; gastroenterology and gastrointestinal surgery; geriatrics. Kidney disease. Neurology and Neurosurgery; Orthopedics and Sports Medicine; lung disease and organ transplantation; Ear, Nose, Throat and Gynecological Diseases.

In addition, Houston Methodist Hospital has been recognized worldwide for its leadership in COVID-19 research. Houston Methodist Hospital has a renowned wellness area where first-class studies and examinations are performed. In this way, a complete and comprehensive picture of the physical and health status of each individual is obtained, and through a multidisciplinary group of experts, an accurate and personalized future health program can be built.

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