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TJAR Surgery (Total Jaw Anatomy Regeneration)

An upgrade to Jaw in a day “Jaw-in-a-Day®” surgical technique in Washington, DC

A Breakthrough in Full Jaw Reconstruction

Total Jaw Anatomy Regeneration (TJAR) represents the next generation and evolution of the “Jaw-in-a-Day®” surgical concept.

This advanced approach moves beyond traditional reconstruction—achieving a complete, harmonious regeneration of the jaw’s form, function, and aesthetics in a single surgical event.

Developed through the collaborative efforts of Dr. Zach Saltman, a pioneering oral and maxillofacial surgeon; Dr. Jonathan Peter Giurintano, a head and neck microvascular surgeon; and Dr. Michael Reilly, a plastic and reconstructive surgeon at Georgetown University Hospital in Washington DC., TJAR represents one of the most advanced solutions available in modern reconstructive medicine.​​

What Is TJAR?

TJAR (Total Jaw Anatomy Regeneration) is a comprehensive surgical protocol designed to fully reconstruct the jaw using advanced:

  • Microvascular surgical techniques

  • Virtual surgical planning (VSP)

  • Immediate implant placement and restoration

Unlike traditional approaches, TJAR focuses on total anatomical regeneration, not just replacement.

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TJAR: Total Jaw Anatomy Regeneration

Total Jaw Anatomy Regeneration (TJAR) represents the pinnacle of modern reconstructive medicine. It is the sophisticated evolution of the Jaw-in-a-Day surgical concept, moving beyond simple restoration to achieve a complete, harmonious regeneration of the jaw’s form and function in a single surgical event.

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TJAR: The Evolution Beyond “Jaw-in-a-Day”

While traditional “Jaw-in-a-Day” protocols focus on the immediate placement of implants during jaw reconstruction, TJAR elevates this concept significantly.

The TJAR Difference:

  • Complete anatomical reconstruction (not just implants)

  • Enhanced precision through digital planning

  • Improved long-term biological success

  • Full facial aesthetic integration

This is not simply a procedure—it is a fully engineered reconstruction of the jaw and face.

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The TJAR Distinction: Beyond "Jaw-in-a-Day"

While traditional "Jaw-in-a-Day" protocols focus on the immediate placement of implants during jaw reconstruction, TJAR elevates this by focusing on Total Anatomy Regeneration.

•           Integrated Microvascular Precision: By utilizing the latest in microvascular techniques, the team ensures the newly regenerated jaw has a robust blood supply, critical for long-term health and implant success.

•           Virtual Surgical Planning (VSP): The entire reconstruction is "pre-built" in a digital environment, allowing the surgeons to transplant bone, place implants, and fit a functional prosthesis with sub-millimeter accuracy in a single day.

•           Aesthetic Rejuvenation: With a Plastic and Reconstructive Surgeon as a core member of the team, the focus extends beyond the mouth to the entire facial structure, ensuring the patient’s profile and symmetry are fully restored or enhanced.

The Power of Multi-Disciplinary Synergy

The TJAR protocol is not merely a surgical procedure; it is a collaborative masterwork. This advanced approach was developed through the shared expertise of a premier "Triple-Threat" surgical team based in Washington, D.C:

  • Dr. Zach Saltman
    A pioneering Oral and Maxillofacial Surgeon, leading the advanced surgical and prosthetic integration.

  • Dr. Jonathan Peter Giurintano
    A renowned Head and Neck Microvascular Surgeon, providing mastery in complex vascularized tissue transfer.

  • Dr. Michael Reilly
    A specialist in Plastic and Reconstructive Surgery at Georgetown University Hospital, ensuring the highest standards of facial symmetry and aesthetic harmony.

This “triple-specialty” approach ensures that every aspect of reconstruction is addressed:

  • Bone

  • Blood supply

  • Function

  • Aesthetics​​​

The Science Behind TJAR

Integrated Microvascular Precision

Using advanced microvascular techniques, the surgical team reconstructs the jaw with living bone that maintains its own blood supply.

This is critical for:

  • Long-term healing

  • Implant success

  • Structural stability

Virtual Surgical Planning (VSP)

Your entire surgery is designed before it happens.

  • Digital “pre-building” of the reconstruction

  • Sub-millimeter accuracy

  • Simultaneous bone reconstruction, implant placement, and prosthetic fitting

This allows everything to be completed in a single surgical event.

Aesthetic Rejuvenation

With a plastic and reconstructive surgeon as part of the core team, TJAR goes beyond function.

The goal is to:

  • Restore facial symmetry

  • Improve profile and proportions

  • Rebuild natural facial harmony

A Destination for Complex Full Jaw Reconstruction

TJAR is designed for patients requiring the most advanced level of care.

Common Indications:

  • Severe jaw trauma

  • Jaw tumors or oral cancer

  • Advanced bone loss (atrophy)

  • Failed prior reconstructive surgeries

  • Complex cases requiring full jaw reconstruction

Patients travel from across the country—and internationally—for this level of expertise.

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A Destination for Complex Full Jaw Reconstruction

Through the collaborative efforts of three highly celebrated surgeons with subspecialty training (fellowship at Georgetown University Hospital, Drs. Saltman, Giurintano and Reilly provide a level of reconstructive care sought by patients across the country. Total Jaw Anatomy Regeneration (TJAR) represents a comprehensive solution for individuals requiring the most advanced interventions in jaw reconstruction.

This approach is designed for complex cases such as severe jaw trauma, jaw tumors or cancer, and advanced bone loss (atrophy). It reflects a highly specialized level of care that goes beyond conventional treatment and is typically reserved for patients with significant reconstructive needs.

If you have experienced severe jaw trauma, have been diagnosed with jaw pathology, or suffer from advanced jawbone loss and are seeking a “Jaw-in-a-Day” solution or a second opinion from a highly experienced surgical team in Washington, DC, contact Dr. Zach Saltman, oral and maxillofacial surgeon’s office at 202-331-4110. to schedule a consultation. During your visit, you will learn whether the TJAR urgical concept which is the upgrade and the new generation of classic Jaw in a day treatment concept is appropriate for your specific condition and treatment goals.

A One-Day Transformation

One of the most remarkable aspects of TJAR is that it builds upon the “Jaw-in-a-Day” concept:

  • Jaw reconstruction

  • Implant placement

  • Functional teeth

—all completed in a single procedure.

This eliminates the need for multiple surgeries and significantly reduces overall treatment time.

The Pioneering Expertise of Dr. Zach Saltman

Dr. Zach Saltman is widely recognized as a leading authority in oral and maxillofacial surgery in the Washington, D.C. area.

His practice is defined by:

  • Advanced full-mouth implant reconstruction

  • Minimally invasive surgical innovation

  • Integration of surgical and prosthetic expertise

Dr. Saltman’s Clinical Leadership

As a board-certified specialist with dual fellowship training in both:

  • Surgical implant placement

  • Prosthetic reconstruction

Dr. Saltman provides a level of comprehensive care rarely found in a single provider.

His work has established a new standard for reconstructive excellence in:

  • Washington, DC

  • Northern Virginia

  • The broader national and international patient community

Who Is a Candidate for TJAR?

TJAR is typically reserved for patients with complex reconstructive needs, including:

  • Significant jawbone loss

  • Cancer-related jaw defects

  • Severe trauma

  • Advanced structural or functional impairment

This is not a routine procedure—it is a highly specialized solution for advanced cases.

What to Expect from TJAR Treatment

  • Comprehensive consultation and evaluation

  • Advanced 3D imaging and virtual surgical planning

  • Collaboration across surgical specialties

  • Single-stage reconstruction and restoration

  • Post-surgical recovery and follow-up care

Frequently Asked Questions

Is TJAR the same as Jaw-in-a-Day?

No. TJAR is an advanced evolution that focuses on total anatomical regeneration, not just implant placement.

Is TJAR a single surgery?

Yes. Reconstruction, implants, and prosthetic placement are completed in one surgical event.

Is TJAR suitable for everyone?

No. It is reserved for complex cases requiring advanced reconstruction.

How is TJAR different from traditional reconstruction?

Traditional methods often require multiple surgeries over months or years. TJAR consolidates treatment into a single, highly planned procedure.

What Is Your Next Step?

If you have experienced severe jaw trauma, have been diagnosed with jaw pathology, or suffer from advanced jawbone loss—and are seeking a “Jaw-in-a-Day” solution or expert second opinion:

Call: 202-331-4110
Schedule your consultation with Dr. Zach Saltman today

During your visit, you will learn whether the TJAR surgical concept is appropriate for your condition and treatment goals.

The Future of Jaw Reconstruction Starts Here

Total Jaw Anatomy Regeneration represents the most advanced level of full jaw reconstruction available today.

Schedule Your Consultation to Learn More

Office Hours

Monday - Friday:  9:00 am to 5:00 pm

Saturday - Sunday:  closed

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Contact Info

Locations

1426 21st Street NW, Second Floor

Washington, DC 20036

1363 Beverly Road, Suite 250

McLean, VA 22101

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© 2020 by Saltman Oral Surgery. 

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