Total virtual workflow in CAD-CAM bony reconstruction with a single step free fibular graft and immediate dental implants

The Surgical reconstruction of defects of the face is challenging. Local and regional flaps have an important part to play, but large defects of bone and soft tissue are a greater problem. Microvascular tissue transfer has become the standard for such patients, and preoperative planning of bony reconstructions is now common. To use these preplanning tools best the implants should be placed in the prosthetically ideal place, and the bone positioned to surround the implants – that is, truly backward planning of the position of the bone.

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