Jaw Reconstruction
One of the most challenging tasks for Dr. Sultan as an Oral & Maxillofacial Surgeon is to rebuild the severely deficient upper and lower jaw. This condition can occur from a variety of conditions, including:
- Age
- Removal of cyst/tumor
- Facial injury
- Severe infection

Bone loss due to age and denture

Bone resorption of the lower jaw

Bone loss due to trauma

Bone loss due to cyst removal
- Loss of bone ultimately affects the position of the soft tissue (skin) and accentuates the appearance of the deformity.
- Dental implants may not be placed until sufficient bone is available.
- Treatment of these unique conditions may involve multiple procedures over an extended period of time.
Treatment of the Severely Resorbed Jaw
Advanced bone loss of the upper and lower jaws require special techniques for reconstruction. Advanced bone loss leads to facial changes such as a sunken-in appearance of the lower lip, a thinning of the lips, an increase in the number and depth of wrinkles about the mouth and sagging of the chin. They normally involve a combination of extensive bone grafting and implant placement to achieve a stable foundation for tooth replacement.
Special reconstructive techniques, normally using a combination of extensive bone grafting in combination with implant placement is successful. A combination of bone grafting, to rebuild bone volume, and dental implant placement is necessary to not only provide support of the dentition, but also reconstruct the soft tissues that reduce the appearance of facial aging.

Soft tissue ages due to bone loss

Soft tissue profile restored with grafting/implants
Custom Designed Implants for Bone Replacement
Using Computer Guided Surgery implants for bone replacement surgery can be designed to accurately replace lost tissue. Implants can be made from metal (TMJ replacement) or porous plastic (volume/contour replacement).

Custom TMJ Replacement

Removal of jaw tumor with custom cutting guide

Virtual removal of tumor

Computer generated bone replacement implant

Insertion of implant into jaw
Dr. Sultan is at the forefront of this cutting edge technology and is one of the few surgeons in South Florida to offer these techniques to the community.