Mandibular reconstruction using stereolithographic 3-dimensional printing modeling technology.

Mandibular reconstruction can be challenging for the surgeon wishing to restore its unique geometry. Reconstruction can be achieved with titanium bone plates followed by autogenous bone grafting. Incorporation of the bone graft into the mandible provides continuity and strength required for proper e...

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Bibliographic Details
Published in:Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology & Endodontology Vol. 108; no. 5; pp. 661 - 667
Main Authors: Cohen A, Laviv A, Berman P, Nashef R, Abu-Tair J
Format: case study Journal Article
Published: Elsevier B.V. Nov2009
Online Access:View this record in EBSCOhost
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      dt: Nov2009
      vid: 108
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      pub: Elsevier B.V.
      place: New York, New York
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        2010445144
        10.1016/j.tripleo.2009.05.023
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        atl: Mandibular reconstruction using stereolithographic 3-dimensional printing modeling technology.
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        au:
          Cohen A
          Laviv A
          Berman P
          Nashef R
          Abu-Tair J
        affil: Department of Oral and Maxillofacial Surgery, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.
      sug:
        subj:
          Diagnostic Imaging Methods
          Mandible Surgery
          Models, Anatomic
          Surgery, Oral Methods
          Surgery, Reconstructive Methods
          Therapy, Computer Assisted
          Adult
          Ameloblastoma Surgery
          Orthopedic Fixation Devices
          Bone Transplantation Methods
          Computer-Aided Design
          Female
          Male
          Mandible Radiography
          Mandibular Neoplasms Surgery
          Middle Age
          Photography Methods
          Graphics Methods
          Radiology Information Systems
          Tomography, X-Ray Computed
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Mandibular reconstruction can be challenging for the surgeon wishing to restore its unique geometry. Reconstruction can be achieved with titanium bone plates followed by autogenous bone grafting. Incorporation of the bone graft into the mandible provides continuity and strength required for proper esthetics and function and permitting dental implant rehabilitation at a later stage. Precious time in the operating room is invested in plate contouring to reconstruct the mandible. Rapid prototyping technologies can construct physical models from computer-aided design via 3-dimensional (3D) printers. A prefabricated 3D model is achieved, which assists in accurate contouring of plates and/or planning of bone graft harvest geometry before surgery. The 2 most commonly used rapid prototyping technologies are stereolithography and 3D printing (3DP). Three-dimensional printing is advantageous to stereolithography for better accuracy, quicker printing time, and lower cost. We present 3 clinical cases based on 3DP modeling technology. Models were fabricated before the resection of mandibular ameloblastoma and were used to prepare bridging plates before the first stage of reconstruction. In 1 case, another model was fabricated and used as a template for iliac crest bone graft in the second stage of reconstruction. The 3DP technology provided a precise, fast, and cheap mandibular reconstruction, which aids in shortened operation time (and therefore decreased exposure time to general anesthesia, decreased blood loss, and shorter wound exposure time) and easier surgical procedure.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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