Open Reduction and Internal Fixation of Bilateral Atrophic Mandible Fractures Utilizing Virtual Surgical Planning, Custom Cutting Guides and Reconstruction Plate. a Case Report

2016 ◽  
Vol 74 (9) ◽  
pp. e89 ◽  
Author(s):  
P. Kupfer ◽  
N. Saadat ◽  
P.J. Hughes
2019 ◽  
Vol 12 (2) ◽  
pp. 156-162 ◽  
Author(s):  
KarlDaniel Maloney ◽  
Torin Rutner

Mandibular fractures are a common injury encountered by facial trauma surgeons. A majority of these cases are in dentate patients and can predictably be treated with several different open or closed techniques. Edentulous mandible fractures can be challenging as maxillomandibular fixation, either as the sole treatment or used for fracture reduction and stabilization prior to internal fixation, is not possible. The atrophic edentulous mandible fracture poses an even greater challenge, as there is more sclerotic bone present and less bone volume for bony contact, both of which can impair healing. In addition, with less bone mass, available plate adaptation and fixation are difficult. In recent years, virtual surgical planning (VSP) has been increasingly used in craniofacial and maxillofacial surgeries as well as in dentistry. Utilizing VSP to fabricate the necessary hardware prior to open reduction and internal fixation of atrophic edentulous mandible fractures can be helpful in treating these cases. Two cases where this method was used are presented.


2020 ◽  
Vol 4 (4) ◽  
pp. 185-192
Author(s):  
Douglas Rangel Goulart ◽  
Lucas Raineri Capeletti ◽  
Gabriel Henrique Campos Pinheiro ◽  
Mateus Veppo dos Santos ◽  
Alessandro Lourenço Januario

Purpose: To report the use of virtual surgical planning and a 3D printed drill guide for the biopsy of mandibular lesions. Case report: A 38-year-old woman presented with two bilateral lesions in the mandibular body, in close proximity to the inferior alveolar nerve and the molar roots. An incisional biopsy was planned with coDiagnostiX software using the cone beam computed tomography DICOM files and a cast model that had been digitalized using a bench scanner (7series, Dental Wings, Quebec, Canada). A tooth-supported drill guide was produced by 3D printing with digital light processing technology (Moonray S, Sprintray, CA, USA). The surgical procedure was performed under local anesthesia. No complications were observed intraoperatively or during postoperative recovery. Conclusion: The use of an intraoperative surgical 3D-printed drill guide enables a smaller surgical procedure and more precise bone biopsies.


2009 ◽  
Vol 20 (3) ◽  
pp. 329-330 ◽  
Author(s):  
Ghias Bhattee ◽  
Mohammad Sayed Rahman ◽  
Jessica Rahman

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