(605) Bridging Outcomes and Adoption in Jaw-in-a-Day Reconstruction

Introduction: Jaw-in-a-Day (JIAD) reconstruction enables immediate dental rehabilitation following jaw resection and has demonstrated favorable outcomes in published series. However, reported success has not translated into widespread adoption, suggesting an evidence-to-implementation gap; this study integrates outcome limitations with national practice patterns to identify barriers restricting dissemination.

Methods: Reported clinical outcomes and limitations of both the existing literature and the JIAD procedure were synthesized from published JIAD studies identified through PubMed/MEDLINE through April 2025, focusing on true JIAD cases defined as simultaneous free-flap reconstruction, implant placement, and intraoperative prosthesis delivery. These findings were contextualized using a cross-sectional national REDCap-based survey (July 2025–January 2026) of attending surgeons and dental specialists assessing multidisciplinary resources, prosthodontic integration, training exposure, virtual surgical planning access, and perceived barriers. Descriptive statistics and subgroup comparisons were performed.

Results: Published JIAD series report high implant and flap survival (>90%), but are dominated by small, single-center studies with heterogeneous outcome definitions, limited soft-tissue reporting, and absence of validated patient-reported measures. The national survey included 88 deduplicated institutional responses, of which 58% performed JIAD. Lack of prosthodontic collaboration and limited formal JIAD training independently predicted non-adoption, paralleling procedural dependencies identified in the literature. Most respondents expressed willingness to expand JIAD if institutional barriers were mitigated.

Conclusions: Although published data support the technical reliability of JIAD reconstruction, inconsistent outcome reporting and substantial multidisciplinary and infrastructure requirements limit adoption. Aligning standardized outcome measurement with targeted implementation strategies may enable broader dissemination.