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surgery mandible facial assymetry plan treatment planning diagnosis orthognathic surgery problems placing implants impalnt failure failures osseointegration implantology dentistry dental implant tmj surgery loose jaw tmj temporomandibular joint dislocation subluxation haemoglobin wound care blood loss flap care care cancer care post operative care oral cancer cancer vestibuloplaty oral cavity management intermaxillary fixation fracture condyle definition classification who benign maxilla jaw tumour clp palate lip nose surgery rhinoplasty cleft palate cleft lip scar assymetry facial deformity residual deformity road traffic accident trauma deformity