Figure 26.

(a–d): Two orthopantomograms show the transition from the non-patient-specific 2.4 reconstruction plate with a condylar attachment without a fossa component (DePuy Synthes^®, Raynham, MA, USA) (a) to a right patient-specific total joint replacement (Zimmer Biomet [Warsaw, Indiana, USA]) with a long boom serving as a contralateral mandibular implant extension for rigid fixation (b). Initially, bone grafting for the lateral right mandible was performed to facilitate a conventional dental implant rehabilitation protocol, which was later altered. The intraoral view (c) depicts a compensatory contralateral sagittal split osteotomy, while the hybrid metallic and polyethylene cranial and fossa components were documented intraoperatively prior to insertion (d).