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Most jaw implants and placed in a pocket just a little bit larger than the implant itself. The small amount of tension from your own tissue is typically enough to keep the implant fixed in place. Once you've healed the position of the implant is stable. I try to avoid fixating implants as that is not necessary and screws and other hardware just create additional risk.
We recommended jaw implants be screwed in with a single screw in the mandible bone on each side.
As soon as a problem arose after placement of the implant it probably should have been removed. You cannot adequately treat a surgical infection with the implant in place acting as a foreign body. Even if it is a foreign body reaction and not an infection the implant needs to be removed. At this...
A chin implant can be inserted through sub-mental approach directly over the bone of the mandible to give added projection to the chin and help with facial balance.
This procedure is inexpensive, can be performed under local anesthesia, and is a short outpatient procedure.Kenneth Hughes, MDLos Angeles, CA