{"id":2894,"date":"2026-08-07T05:08:05","date_gmt":"2026-08-07T10:08:05","guid":{"rendered":"https:\/\/amazingsmiles.us\/staging\/7817\/?page_id=2894"},"modified":"2026-09-04T19:57:46","modified_gmt":"2026-09-05T00:57:46","slug":"oncology-head-neck-rehab","status":"publish","type":"page","link":"https:\/\/amazingsmiles.us\/staging\/7817\/oncology-head-neck-rehab\/","title":{"rendered":"Oncology Head Neck Rehab"},"content":{"rendered":"<div id=\"as-oncology-head-neck\">\r\n<style>\r\n#as-oncology-head-neck{\r\n  --navy: #2B3A8A;\r\n  --navy-dark: #1a2560;\r\n  --navy-mid: #3a4e9e;\r\n  --gold: #A89B6B;\r\n  --gold-light: #D4C99A;\r\n  --gold-dim: #7a6f4a;\r\n  --off-white: #FAF9F6;\r\n  --gray-light: #F3F2EF;\r\n  --white: #fff;\r\n  --text-dark: #1a1a1a;\r\n  --text-mid: #555;\r\n  --text-light: #888;\r\n  --radius: 6px;\r\n}#as-oncology-head-neck *{ margin:0; padding:0; box-sizing:border-box; }#as-oncology-head-neck{ scroll-behavior: smooth; }#as-oncology-head-neck section[id]{ scroll-margin-top: 84px; 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left:0; right:0; background:var(--gold); z-index:200; text-align:center; padding:14px; font-size:.77rem; font-weight:600; letter-spacing:.1em; text-transform:uppercase; color:#fff !important; text-decoration:none; display:block; }#as-oncology-head-neck .disclaimer-box{ background:var(--gray-light); border-radius:10px; padding:20px 24px; margin-top:30px; }#as-oncology-head-neck .disclaimer-box p{ font-size:.78rem; color:var(--text-light); line-height:1.7; }@media (max-width:960px){\r\n  .hero-inner { grid-template-columns:1fr; }#as-oncology-head-neck .cred-grid, #as-oncology-head-neck .scope-grid, #as-oncology-head-neck .diff-grid{ grid-template-columns:1fr; }#as-oncology-head-neck .process-grid{ grid-template-columns:1fr 1fr; }#as-oncology-head-neck .case-gallery.three{ grid-template-columns:1fr 1fr; }#as-oncology-head-neck .cand-list{ grid-template-columns:1fr; }#as-oncology-head-neck .footer-inner{ grid-template-columns:1fr 1fr; }\r\n}@media (max-width:600px){\r\n  .process-grid, .case-gallery, .case-gallery.three { grid-template-columns:1fr; }#as-oncology-head-neck .case-gallery img, #as-oncology-head-neck .case-gallery.three img{ height:340px; }#as-oncology-head-neck .nav-links{ display:none; }\r\n}\r\n\r\n<\/style>\r\n\r\n<\/nav>\r\n\r\n<section class=\"hero\">\r\n  <div class=\"hero-inner\">\r\n    <div>\r\n      <div class=\"hero-eyebrow\">Oncology &amp; Head\/Neck Reconstruction<\/div>\r\n      <h1>When Cancer or Trauma Takes the Jaw, <span class=\"line-accent\">Rebuilding It Takes a Team.<\/span><\/h1>\r\n      <div class=\"hero-rule\"><\/div>\r\n      <p class=\"hero-sub\">Reconstructing a jaw after tumor resection is not a solo procedure. Dr. Jandali works alongside head &amp; neck and reconstructive surgeons from the earliest virtual surgical planning session through the final implant-supported prosthesis \u2014 one coordinated plan, not a relay of separate appointments.<\/p>\r\n      <div class=\"hero-cta-row\">\r\n        <a href=\"tel:2489559000\" class=\"btn-gold\">Call (248) 955-9000<\/a>\r\n        <a href=\"#cases\" class=\"btn-outline-white\">See Case Examples \u2192<\/a>\r\n      <\/div>\r\n      <div class=\"hero-credential\">\r\n        <div class=\"dot\"><\/div>\r\n        <p><strong>Dr. Jandali completed a Fellowship in Maxillofacial Prosthetics &amp; Dental Oncology at Roswell Park Cancer Institute<\/strong> \u2014 specialized training focused specifically on rebuilding function and form after cancer treatment of the jaws and face.<\/p>\r\n      <\/div>\r\n    <\/div>\r\n    <div>\r\n      <div class=\"hero-visual\">\r\n        <img decoding=\"async\" src=\"https:\/\/amazingsmiles.us\/staging\/7817\/wp-content\/uploads\/2026\/09\/oncology-vsp-01.jpg\" alt=\"Illustrative rendering of a reconstructed jaw with dental implants, fibula bone graft, and titanium plate\">\r\n      <\/div>\r\n      <div class=\"hero-visual-cap\">Illustrative rendering \u2014 jaw reconstruction with vascularized bone graft and implant-supported teeth<\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n<section class=\"promise\">\r\n  <div class=\"promise-inner\">\r\n    <div class=\"promise-item\"><span>\u2713<\/span>Fellowship-trained in maxillofacial prosthetics &amp; dental oncology<\/div>\r\n    <div class=\"promise-item\"><span>\u2713<\/span>Planned jointly with head &amp; neck \/ reconstructive surgeons<\/div>\r\n    <div class=\"promise-item\"><span>\u2713<\/span>In-House Digital Lab for implant-supported prosthetics<\/div>\r\n    <div class=\"promise-item\"><span>\u2713<\/span>Virtual surgical planning before every complex case<\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n<section class=\"sec cred-bar\" id=\"scope\">\r\n  <div class=\"sec-inner\">\r\n    <div class=\"sec-head\">\r\n      <div class=\"section-eyebrow\">Where This Fits<\/div>\r\n      <h2 class=\"section-title\">A Different Kind of Rebuild. <em>A Different Kind of Training.<\/em><\/h2>\r\n      <p class=\"sub\">Reconstructing a jaw after tumor removal is a different discipline from an elective full-arch case \u2014 different planning, different timeline, different team. Dr. Jandali's background was built specifically for this.<\/p>\r\n    <\/div>\r\n    <div class=\"scope-grid\">\r\n      <div class=\"scope-card yes\">\r\n        <h4>What This Page Covers<\/h4>\r\n        <ul>\r\n          <li>Implant-supported rehabilitation of the jaw after resection of a tumor of the mandible or maxilla, benign or malignant<\/li>\r\n          <li>Coordination with the head &amp; neck \/ oral-maxillofacial surgical team from virtual surgical planning through final prosthetics<\/li>\r\n          <li>Implant-supported prosthetic rehabilitation of reconstructed bone, including bone reconstructed with a vascularized free flap (such as a fibula flap) or a custom patient-specific implant\/plate<\/li>\r\n          <li>Cases where the goal is restoring the ability to eat, speak, and function with a fixed or implant-retained prosthesis<\/li>\r\n        <\/ul>\r\n      <\/div>\r\n      <div class=\"scope-card no\">\r\n        <h4>What This Page Does Not Cover<\/h4>\r\n        <ul>\r\n          <li>Obturators or facial prosthetics (eye, nose, or ear prostheses) \u2014 a related but separate discipline<\/li>\r\n          <li>The oncologic surgery itself \u2014 tumor resection and microvascular reconstruction are performed by the head &amp; neck \/ reconstructive surgical team, not by Dr. Jandali<\/li>\r\n          <li>Radiation or chemotherapy planning \u2014 coordinated with, but not provided by, our office<\/li>\r\n          <li>Elective full-arch implant cases with no history of tumor, resection, or radiation \u2014 see our Full Arch Implants page instead<\/li>\r\n        <\/ul>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n<section class=\"sec\" style=\"background:var(--off-white)\" id=\"how-it-works\">\r\n  <div class=\"sec-inner\">\r\n    <div class=\"sec-head\">\r\n      <div class=\"section-eyebrow\">How It Works<\/div>\r\n      <h2 class=\"section-title\">Planned on the Computer <em>Before It's Planned in the Operating Room.<\/em><\/h2>\r\n      <p class=\"sub\">Every reconstructive case begins with virtual surgical planning \u2014 a digital rehearsal of the entire operation before the first incision is made.<\/p>\r\n    <\/div>\r\n    <div class=\"process-grid\">\r\n      <div class=\"process-step\">\r\n        <div class=\"process-num\">1<\/div>\r\n        <h4>CT-Based Virtual Planning<\/h4>\r\n        <p>The surgical team and Dr. Jandali review a 3D model built from the patient's CT scan, mapping the exact tumor margins and the bone that will need to be removed.<\/p>\r\n      <\/div>\r\n      <div class=\"process-step\">\r\n        <div class=\"process-num\">2<\/div>\r\n        <h4>Reconstruction Is Designed Digitally<\/h4>\r\n        <p>Depending on the defect, the plan calls for either a vascularized bone flap (often from the fibula, the non-weight-bearing bone of the lower leg) or a custom patient-specific plate. Cutting guides and hardware are designed to that exact plan.<\/p>\r\n      <\/div>\r\n      <div class=\"process-step\">\r\n        <div class=\"process-num\">3<\/div>\r\n        <h4>Resection &amp; Reconstruction<\/h4>\r\n        <p>The head &amp; neck \/ reconstructive surgical team removes the tumor and reconstructs the jaw the same day, using the custom hardware and, where planned, microvascular surgery to reconnect blood supply.<\/p>\r\n      <\/div>\r\n      <div class=\"process-step\">\r\n        <div class=\"process-num\">4<\/div>\r\n        <h4>Implant-Supported Rehabilitation<\/h4>\r\n        <p>Dr. Jandali restores function with implant-supported prosthetics. In select cases, implants and a provisional prosthesis are placed the same day as reconstruction; in others, implants are placed after the reconstructed bone has healed. The right timeline depends on the individual case.<\/p>\r\n      <\/div>\r\n    <\/div>\r\n    <div class=\"disclaimer-box\">\r\n      <p><strong>A note on timing:<\/strong> Same-day implant and prosthesis placement at the time of jaw reconstruction \u2014 sometimes called a single-stage protocol \u2014 is possible for some patients when the anatomy and case allow it. It is not the plan for every case, and whether it's appropriate is determined jointly by the surgical and restorative team during virtual surgical planning, not decided in advance. This is a distinct process from the \"same-day fixed teeth\" protocol used on elective full-arch cases; oncologic and reconstructive timelines are individualized.<\/p>\r\n    <\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n<section class=\"sec\" style=\"background:var(--white)\" id=\"cases\">\r\n  <div class=\"sec-inner\">\r\n    <div class=\"sec-head\">\r\n      <div class=\"section-eyebrow\">De-Identified Case Examples<\/div>\r\n      <h2 class=\"section-title\">Three Reconstructions. <em>Three Different Paths Back.<\/em><\/h2>\r\n      <p class=\"sub\">Images below are virtual surgical planning renderings \u2014 CT-based digital models used to design each reconstruction before surgery. No patient-identifying information is shown.<\/p>\r\n    <\/div>\r\n\r\n    <!-- CASE 1 -->\r\n    <div class=\"case-card\">\r\n      <div class=\"case-num\">Case One<\/div>\r\n      <span class=\"case-tag\">Benign Tumor<\/span>\r\n      <h3 class=\"case-title\">Ameloblastoma of the Mandible \u2014 Resection with Fibula Reconstruction and Full-Arch Implant Rehabilitation of Both Jaws<\/h3>\r\n      <p class=\"case-body\">Ameloblastoma is a benign tumor \u2014 but a locally destructive one, capable of hollowing out and expanding the jawbone from the inside even though it does not spread elsewhere in the body. Left untreated, it continues to grow and weaken the bone. Management typically requires resection of the involved segment of the mandible.<\/p>\r\n      <p class=\"case-body\">In this case, the affected portion of the mandible was resected and reconstructed with a vascularized fibula free flap \u2014 bone microsurgically transferred from the lower leg to rebuild the jaw with its own blood supply intact. Because the patient's remaining maxilla (upper jaw) was also edentulous, treatment planning addressed <strong>both arches together<\/strong>: implants were placed in the reconstructed mandible and in the maxilla, restoring a full, implant-supported set of teeth rather than treating the reconstructed jaw in isolation.<\/p>\r\n      <div class=\"case-gallery\">\r\n        <figure><img decoding=\"async\" src=\"https:\/\/amazingsmiles.us\/staging\/7817\/wp-content\/uploads\/2026\/09\/oncology-vsp-02.jpg\" alt=\"Virtual surgical planning rendering showing the planned mandible resection\"><figcaption>Planned mandible resection<\/figcaption><\/figure>\r\n        <figure><img decoding=\"async\" src=\"https:\/\/amazingsmiles.us\/staging\/7817\/wp-content\/uploads\/2026\/09\/oncology-vsp-03.jpg\" alt=\"Virtual surgical planning rendering showing the fibula harvest site\"><figcaption>Fibula harvest, lower leg<\/figcaption><\/figure>\r\n        <figure><img decoding=\"async\" src=\"https:\/\/amazingsmiles.us\/staging\/7817\/wp-content\/uploads\/2026\/09\/oncology-vsp-04.jpg\" alt=\"Virtual surgical planning rendering showing the planned resection segments\"><figcaption>Planned reconstruction segments<\/figcaption><\/figure>\r\n        <figure><img decoding=\"async\" src=\"https:\/\/amazingsmiles.us\/staging\/7817\/wp-content\/uploads\/2026\/09\/oncology-vsp-05.jpg\" alt=\"Virtual surgical planning rendering showing the completed mandible and maxilla reconstruction with dental implants\"><figcaption>Completed reconstruction \u2014 implants, both arches<\/figcaption><\/figure>\r\n      <\/div>\r\n      <div class=\"result\">\r\n        <p><strong>The goal:<\/strong> full removal of a locally destructive tumor with jaw continuity, facial support, and chewing function restored through implant-supported teeth in both the reconstructed lower jaw and the opposing upper jaw.<\/p>\r\n      <\/div>\r\n    <\/div>\r\n\r\n    <div class=\"case-divider\"><\/div>\r\n\r\n    <!-- CASE 2 -->\r\n    <div class=\"case-card\">\r\n      <div class=\"case-num\">Case Two<\/div>\r\n      <span class=\"case-tag gold\">Malignant Tumor<\/span>\r\n      <h3 class=\"case-title\">Maxillary Malignancy \u2014 Resection with Custom Patient-Specific Implant Reconstruction<\/h3>\r\n      <p class=\"case-body\">Malignant tumors of the maxilla (upper jaw) require resection with an adequate margin of healthy tissue around the tumor, coordinated with the head &amp; neck surgical and oncology team. The maxilla is thinner and more complex in shape than the mandible, and it sits directly beneath the eye socket and nasal cavity \u2014 reconstruction has to restore both the structural support of the midface and a stable foundation for teeth.<\/p>\r\n      <p class=\"case-body\">In this case, reconstruction used a <strong>custom patient-specific implant<\/strong> \u2014 a titanium framework designed in virtual surgical planning to precisely match the resected anatomy \u2014 rather than a vascularized bone flap. The framework was fixed to the remaining facial skeleton and used to support an implant-retained dental prosthesis, restoring the dental arch in the same reconstructive plan.<\/p>\r\n      <div class=\"case-gallery three\">\r\n        <figure><img decoding=\"async\" src=\"https:\/\/amazingsmiles.us\/staging\/7817\/wp-content\/uploads\/2026\/09\/oncology-vsp-06.jpg\" alt=\"Virtual surgical planning rendering, frontal view, of a custom patient-specific maxillary implant\"><figcaption>Custom implant, frontal view<\/figcaption><\/figure>\r\n        <figure><img decoding=\"async\" src=\"https:\/\/amazingsmiles.us\/staging\/7817\/wp-content\/uploads\/2026\/09\/oncology-vsp-07.jpg\" alt=\"Virtual surgical planning rendering, lateral views, of a custom patient-specific maxillary implant\"><figcaption>Lateral views, both sides<\/figcaption><\/figure>\r\n        <figure><img decoding=\"async\" src=\"https:\/\/amazingsmiles.us\/staging\/7817\/wp-content\/uploads\/2026\/09\/oncology-vsp-08.jpg\" alt=\"Virtual surgical planning rendering showing the maxillary reconstruction with an implant-supported dental prosthesis\"><figcaption>Reconstruction with prosthesis attached<\/figcaption><\/figure>\r\n      <\/div>\r\n      <div class=\"result\">\r\n        <p><strong>The goal:<\/strong> complete tumor resection with midface support and dental function restored through a custom-engineered implant framework and prosthesis, planned as a single reconstructive sequence with the surgical team.<\/p>\r\n      <\/div>\r\n    <\/div>\r\n\r\n    <div class=\"case-divider\"><\/div>\r\n\r\n    <!-- CASE 3 -->\r\n    <div class=\"case-card\">\r\n      <div class=\"case-num\">Case Three<\/div>\r\n      <span class=\"case-tag gold\">Malignant Tumor<\/span>\r\n      <h3 class=\"case-title\">Reconstruction of a Prior Mandibular Resection for Malignancy \u2014 Fibula Free Flap with Implant-Supported Prosthetics<\/h3>\r\n      <p class=\"case-body\">This case involved rebuilding a mandible previously resected for a malignant tumor. Reconstruction again used a fibula free flap \u2014 in this case, two shaped segments of the harvested fibula, positioned and fixed to recreate the contour of the missing jaw and re-connected to the blood supply in the neck under the microscope.<\/p>\r\n      <p class=\"case-body\">Dental implants were incorporated into the virtual surgical plan and placed within the transferred bone alongside the reconstruction, positioned to support a full-arch implant prosthesis opposing the natural or restored upper arch.<\/p>\r\n      <div class=\"case-gallery\">\r\n        <figure><img decoding=\"async\" src=\"https:\/\/amazingsmiles.us\/staging\/7817\/wp-content\/uploads\/2026\/09\/oncology-vsp-09.jpg\" alt=\"Preoperative virtual surgical planning CT rendering, anterior view\"><figcaption>Preoperative anatomy<\/figcaption><\/figure>\r\n        <figure><img decoding=\"async\" src=\"https:\/\/amazingsmiles.us\/staging\/7817\/wp-content\/uploads\/2026\/09\/oncology-vsp-10.jpg\" alt=\"Virtual surgical planning rendering of the fibula donor site and its relationship to the remaining jaw\"><figcaption>Fibula donor site relationship<\/figcaption><\/figure>\r\n        <figure><img decoding=\"async\" src=\"https:\/\/amazingsmiles.us\/staging\/7817\/wp-content\/uploads\/2026\/09\/oncology-vsp-11.jpg\" alt=\"Virtual surgical planning rendering of the mandibular reconstruction plan with two fibula segments and implants\"><figcaption>Reconstruction plan, implants placed<\/figcaption><\/figure>\r\n        <figure><img decoding=\"async\" src=\"https:\/\/amazingsmiles.us\/staging\/7817\/wp-content\/uploads\/2026\/09\/oncology-vsp-12.jpg\" alt=\"Virtual surgical planning rendering of the completed upper and lower implant case, frontal view\"><figcaption>Completed case, both arches<\/figcaption><\/figure>\r\n      <\/div>\r\n      <div class=\"result\">\r\n        <p><strong>The goal:<\/strong> re-establishing jaw continuity and a stable, implant-supported bite following prior cancer surgery, coordinated between the reconstructive surgical team and Dr. Jandali's restorative planning.<\/p>\r\n      <\/div>\r\n    <\/div>\r\n\r\n  <\/div>\r\n<\/section>\r\n\r\n<section class=\"sec diff-section\">\r\n  <div class=\"sec-inner\">\r\n    <div class=\"sec-head\">\r\n      <div class=\"section-eyebrow on-dark\">The Amazing Smiles Difference<\/div>\r\n      <h2 class=\"section-title on-dark\">One Plan. <em>Not a Relay of Referrals.<\/em><\/h2>\r\n      <p class=\"sub on-dark\">Oncologic reconstruction goes wrong most often at the handoffs \u2014 when the surgical team and the restorative team aren't planning together from the start. That's the piece Dr. Jandali's training and referral relationships are built to close.<\/p>\r\n    <\/div>\r\n    <div class=\"diff-grid\">\r\n      <div class=\"diff-card\">\r\n        <h4>Fellowship-Trained for This Exact Discipline<\/h4>\r\n        <p>Dr. Jandali completed a Fellowship in Maxillofacial Prosthetics &amp; Dental Oncology at Roswell Park Cancer Institute \u2014 training built specifically around rebuilding function after cancer treatment of the jaws and face, not general restorative dentistry applied to an oncology case.<\/p>\r\n      <\/div>\r\n      <div class=\"diff-card\">\r\n        <h4>Involved From the Virtual Surgical Planning Session<\/h4>\r\n        <p>Restorative planning happens alongside the surgical plan, not after the fact. Implant position, prosthetic space, and the eventual bite are considered while the resection and reconstruction are still being designed.<\/p>\r\n      <\/div>\r\n      <div class=\"diff-card\">\r\n        <h4>In-House Digital Lab<\/h4>\r\n        <p>Implant-supported prosthetics for reconstructed jaws are designed and fabricated using the same in-house digital workflow Dr. Jandali uses for every implant case \u2014 no waiting on an outside lab during a time-sensitive reconstruction.<\/p>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n<section class=\"sec\" style=\"background:var(--white)\" id=\"candidacy\">\r\n  <div class=\"sec-inner\">\r\n    <div class=\"sec-head\">\r\n      <div class=\"section-eyebrow\">Is This You?<\/div>\r\n      <h2 class=\"section-title\">Situations Where This Kind of Care <em>Applies<\/em><\/h2>\r\n    <\/div>\r\n    <div class=\"cand-list\">\r\n      <div class=\"cand-item\"><div class=\"cand-check\">\u2713<\/div><p>You've been diagnosed with a tumor of the jaw \u2014 benign or malignant \u2014 and your surgical team has discussed resection<\/p><\/div>\r\n      <div class=\"cand-item\"><div class=\"cand-check\">\u2713<\/div><p>You're scheduled for or have already had jaw reconstruction with a free flap or custom implant, and need a restorative plan<\/p><\/div>\r\n      <div class=\"cand-item\"><div class=\"cand-check\">\u2713<\/div><p>You've had prior jaw cancer surgery elsewhere and are missing teeth or a stable bite as a result<\/p><\/div>\r\n      <div class=\"cand-item\"><div class=\"cand-check\">\u2713<\/div><p>Your surgical team is looking for a restorative partner to join the virtual surgical planning process<\/p><\/div>\r\n      <div class=\"cand-item\"><div class=\"cand-check\">\u2713<\/div><p>You want a second opinion on a reconstructive or prosthetic plan already proposed elsewhere<\/p><\/div>\r\n      <div class=\"cand-item\"><div class=\"cand-check\">\u2713<\/div><p>You're missing teeth after radiation or other cancer treatment affecting the jaws<\/p><\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n<section class=\"sec\" style=\"background:var(--off-white)\" id=\"faq\">\r\n  <div class=\"sec-inner\" style=\"max-width:820px\">\r\n    <div class=\"sec-head\">\r\n      <div class=\"section-eyebrow\">Questions<\/div>\r\n      <h2 class=\"section-title\">Frequently Asked<\/h2>\r\n    <\/div>\r\n\r\n    <div class=\"faq-item\">\r\n      <div class=\"faq-q\" onclick=\"toggleFaq(this)\"><span>Does Dr. Jandali perform the tumor removal surgery?<\/span><div class=\"faq-icon\">+<\/div><\/div>\r\n      <div class=\"faq-a\">No. Tumor resection and microvascular reconstruction (such as a fibula free flap) are performed by a head &amp; neck or oral-maxillofacial surgeon. Dr. Jandali's role is the restorative side \u2014 planning implant position alongside the surgical team and delivering the implant-supported prosthetics that restore function afterward.<\/div>\r\n    <\/div>\r\n    <div class=\"faq-item\">\r\n      <div class=\"faq-q\" onclick=\"toggleFaq(this)\"><span>Will I get teeth the same day as my jaw reconstruction?<\/span><div class=\"faq-icon\">+<\/div><\/div>\r\n      <div class=\"faq-a\">Sometimes, and sometimes not. When the anatomy and case allow it, implants and a provisional prosthesis can be placed at the time of reconstruction. In other cases, the reconstructed bone needs to heal before implants are placed. This is decided case-by-case during virtual surgical planning with your surgical team, not promised in advance.<\/div>\r\n    <\/div>\r\n    <div class=\"faq-item\">\r\n      <div class=\"faq-q\" onclick=\"toggleFaq(this)\"><span>What is a fibula free flap, in plain language?<\/span><div class=\"faq-icon\">+<\/div><\/div>\r\n      <div class=\"faq-a\">It's bone taken from the fibula \u2014 a bone in the lower leg that doesn't bear body weight, so removing a segment doesn't affect walking. The surgical team removes a segment of that bone along with its blood vessels, shapes it to recreate the missing portion of the jaw, and reconnects the blood vessels to vessels in the neck under a microscope so the transplanted bone stays alive.<\/div>\r\n    <\/div>\r\n    <div class=\"faq-item\">\r\n      <div class=\"faq-q\" onclick=\"toggleFaq(this)\"><span>What's the difference between a fibula free flap and a custom patient-specific implant?<\/span><div class=\"faq-icon\">+<\/div><\/div>\r\n      <div class=\"faq-a\">A fibula free flap uses the patient's own living bone, transferred with its blood supply, to reconstruct the jaw. A custom patient-specific implant is an engineered titanium framework, designed from the patient's CT scan to fit the exact defect, used instead of a bone graft in cases where that approach is a better fit. Which one is used depends on the size and location of the defect and the surgical team's plan.<\/div>\r\n    <\/div>\r\n    <div class=\"faq-item\">\r\n      <div class=\"faq-q\" onclick=\"toggleFaq(this)\"><span>Can Dr. Jandali see me if my surgery was performed at a different hospital or by a different surgical team?<\/span><div class=\"faq-icon\">+<\/div><\/div>\r\n      <div class=\"faq-a\">Yes. Many patients seeking implant-supported rehabilitation after jaw reconstruction had their surgery performed elsewhere. Dr. Jandali can evaluate the reconstructed jaw and discuss restorative options regardless of where the original surgery took place.<\/div>\r\n    <\/div>\r\n    <div class=\"faq-item\">\r\n      <div class=\"faq-q\" onclick=\"toggleFaq(this)\"><span>Does this page cover facial prosthetics, like a prosthetic eye or nose?<\/span><div class=\"faq-icon\">+<\/div><\/div>\r\n      <div class=\"faq-a\">No. Obturators and facial prosthetics are a related but separate discipline from the dental\/implant reconstruction covered here. If you're looking for that type of care, please call our office and we can help point you toward the right resource.<\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n<section class=\"final-cta\" id=\"qualify\">\r\n  <div style=\"text-align:center; max-width:680px; margin:0 auto; padding:96px 5%\">\r\n    <div class=\"section-eyebrow\" style=\"justify-content:center; display:flex\">Coordinated Care, From the First Scan<\/div>\r\n    <h2 class=\"section-title\">Your Surgical Team Has a Plan. <br><em>Let's Build the Restorative Side of It Together.<\/em><\/h2>\r\n    <p style=\"font-size:.97rem; color:var(--text-mid); margin:18px 0 34px; line-height:1.75\">\r\n      Whether you're newly diagnosed, already scheduled for reconstruction, or looking for a second opinion after treatment elsewhere, Dr. Jandali is glad to review your case and coordinate with your surgical team.\r\n    <\/p>\r\n    <div style=\"display:flex; justify-content:center; gap:14px; flex-wrap:wrap\">\r\n      <a href=\"tel:2489559000\" class=\"btn-primary\">Call (248) 955-9000<\/a>\r\n      <a href=\"\/\" class=\"btn-outline-navy\">Request a Consultation \u2192<\/a>\r\n    <\/div>\r\n    <p style=\"margin-top:28px; font-size:.78rem; color:var(--text-light)\">\r\n      <span style=\"color:var(--gold)\">\u2605\u2605\u2605\u2605\u2605<\/span>\r\n      &nbsp;4.9 Google Rating &nbsp;\u00b7&nbsp; 400+ verified reviews\r\n      &nbsp;\u00b7&nbsp; Board-Certified Prosthodontist &nbsp;\u00b7&nbsp; Metro Detroit\r\n    <\/p>\r\n  <\/div>\r\n<\/section>\r\n\r\n<footer>\r\n\r\n<a href=\"#qualify\" class=\"sticky-cta\">\r\n  Schedule Free Consultation &nbsp;|&nbsp; Discuss Your Case \u2192\r\n<\/a>\r\n<\/div>\r\n\r\n<script>\r\nfunction toggleFaq(el) {\r\n  const item = el.parentElement;\r\n  const wasOpen = item.classList.contains('open');\r\n  document.querySelectorAll('#as-oncology-head-neck .faq-item').forEach(i => i.classList.remove('open'));\r\n  if (!wasOpen) 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