Mandibular angle implants

Abstract

A new type of implant designed to increase the angle of the mandible in three dimensions is described. Made of silicone and shaped like a saddle, this implant makes the technique of implantation relatively simple, and its versatility makes it a desirable addition to the tools for skeletal framework reconstruction of the face. The satisfaction rate has been high and the complications easy to manage. The surgical technique consists of an intraoral incision and the development of a subperiosteal pocket at the mandibular angle area, often performed under local anesthesia.

Guidelines for patient-specific jawline definition with titanium implants in esthetic, deformity, and malformation surgery

“…Aiache[2] mentioned double closure over silicone implants, and Yaremchuk[4] mentioned “a generous intraoral mucosal incision 1 cm high in the sulcus at its labial side,” to which the author now adheres.…”

“…[1] Aiache described silicone implants available in three sizes that are anatomically carved to the case and placed subperiosteally without screw fixation. [2] In contrast to Whitaker, Aiache lengthened the vertical ramus by having the implant straddle the lower border. [12] Semergidis et al .…”

“…[2] In contrast to Whitaker, Aiache lengthened the vertical ramus by having the implant straddle the lower border. [12] Semergidis et al . described a series of 18 patients in whom a submandibular approach was used to place porous ethylene implants (Medpore ® , Stryker, Kalamazoo, MI, USA) that also increased posterior height and were transbuccally fixed with two to three screws.…”

Mandibular Angle Implants

“…In the front view, its bigonial width should be equal to bitemporal width and just slightly less than bizygomatic width. 2 The soft tissue gonion should be distinctly more lateral than the lateral tissue plane of the neck. And in profile there should be adequate ramus height and a distinct body to ramus transition.…”

“…While jaw angle implants have been commercially available for almost 25 years, [1][2][3][4][5][6][7] they have largely been neglected both in clinical practices and the medical literature. Newer jaw angle implant styles, a better understanding of the anatomy of the jaw angle region, and improvement in surgical techniques allow this type of aesthetic jaw implant to be more successfully used today.…”