AUTOTRANSPLANTATION OF PREMOLARS AND MOLARS WITH A 3D PRINTED REPLICA OF THE DONOR TOOTH FUNCTIONING AS A SURGICAL GUIDE

Author(s):  
Jop Verweij
Keyword(s):  
2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Lukas Postl ◽  
Thomas Mücke ◽  
Stefan Hunger ◽  
Oliver Bissinger ◽  
Michael Malek ◽  
...  

Abstract Background The accuracy of computer-assisted biopsies at the lower jaw was compared to the accuracy of freehand biopsies. Methods Patients with a bony lesion of the lower jaw with an indication for biopsy were prospectively enrolled. Two customized bone models per patient were produced using a 3D printer. The models of the lower jaw were fitted into a phantom head model to simulate operation room conditions. Biopsies for the study group were taken by means of surgical guides and freehand biopsies were performed for the control group. Results The deviation of the biopsy axes from the planning was significantly less when using templates. It turned out to be 1.3 ± 0.6 mm for the biopsies with a surgical guide and 3.9 ± 1.1 mm for the freehand biopsies. Conclusions Surgical guides allow significantly higher accuracy of biopsies. The preliminary results are promising, but clinical evaluation is necessary.


2017 ◽  
Vol 63 (3) ◽  
pp. 2225-2233
Author(s):  
Inass AbuElmagd ◽  
Alshaimaa Shabaan ◽  
Amr Salah eldin

Author(s):  
Emad TOUTANGY ◽  
Bassel BRAD ◽  
Mohammad Alaa ALZEİN ◽  
Mohammed Yamen AL-SHURBAJİ AL-MOZİEK

Author(s):  
Yonghui Zhao ◽  
Haotian Luo ◽  
Yulong Ma ◽  
Jinlong Liang ◽  
Gonghai Han ◽  
...  

2019 ◽  
Vol 9 (18) ◽  
pp. 3905
Author(s):  
Hyeonjong Lee ◽  
Yong Kwon Chae ◽  
Seulki Choi ◽  
Myeong Kwan Jih ◽  
Jung-Woo Lee ◽  
...  

This study aimed to evaluate the feasibility of a 3-dimensional (3D) planned surgical guide technique designed for impacted supernumerary teeth (STs) extraction using 3D printed simulation models. In total, 17 participants from two university hospitals were recruited. Each participant performed surgery with both the conventional and surgical guide techniques. The following parameters were evaluated: (1) The time required for ST extraction, (2) the area of the window opening, and (3) the volume of the material removed. Time required for ST extraction was 213.65 ± 167.45 sec and 114.76 ± 42.87 sec in the conventional and surgical guide techniques, respectively, with significant differences (p = 0.028). The required area of the window opening was 48.10 ± 9.44 mm2 and 45.90 ± 8.17 mm2, respectively, in the conventional and surgical guide techniques, with no significant differences (p > 0.05). The required volume of the material removed was 121.65 ± 43.69 mm3 and 99.12 ± 17.88 mm3 in the conventional and surgical guide techniques, respectively, with significant differences (p = 0.031). The 3D planned surgical guide technique was effective for impacted ST extraction. Within the limits of this study, the surgical guide technique allows us to accomplish minimally invasive surgery within a shorter duration.


Materials ◽  
2020 ◽  
Vol 13 (10) ◽  
pp. 2333
Author(s):  
Seong Ryoung Kim ◽  
Sam Jang ◽  
Kang-Min Ahn ◽  
Jee-Ho Lee

In the present study, the reproducibility and postoperative stability of a 3D printed surgical guide were evaluated in mandibular reconstruction with an osteocutaneous free flap (OCFF), including a fibular free flap (FFF) and deep circumflex iliac artery free flap (DCIA). Fifteen patients were enrolled, and a 3D surgical guide was fabricated by simulation surgery using preoperative (T0) Computed tomography (CT) images. Mandibular reconstruction was performed with OCFF using the 3D surgical guide. Postoperative CTs were taken immediately, 1 week (T1), and 6 months (T2) after surgery, to evaluate the reproducibility of the 3D surgical guide and condyle stability. Error of the 3D surgical guide ranged from 0.85 to 2.56 mm. There were no differences in reproducibility according to flap type. Condylar error and error at mandible midpoint were significantly different in FFF. However, there was no difference in DCIA error between the condyle and mandible midpoint. Regarding condyle stability 6 months after surgery, condyles moved more than 2 mm (up to 2.85 mm) in FFF, whereas there were no significant movement in DCIA. Careful intraoperative flap fixation and closed postoperative observation should be considered for stable clinical outcome, especially in the case of FFF.


2019 ◽  
Vol 3 (3) ◽  
pp. 145-155
Author(s):  
Robert-Angelo Tuce ◽  
Stelian Arjoca ◽  
Monica Neagu ◽  
Adrian Neagu

Aim: To develop 3D printing and dentistry methods for building physical models that enable one to simulate a sinus lift surgery. Materials & methods: The Blue Sky Plan software was used to create a digital model from the cone beam computed tomography scan of the subject’s maxilla and to design a surgical guide for sinus augmentation and implant placement. The anatomical model and surgical guide were 3D printed from dental resin. Results: Sinus augmentation and dental implant insertion were carried out on the model as examples of practical skills training for residents in maxillofacial surgery. Conclusion: The 3D-printed models and surgical guides are useful training materials. They could be helpful also in a dental practice for surgical planning and for illustrating the procedure to the patient.


2020 ◽  
Vol 10 (16) ◽  
pp. 5697
Author(s):  
Abdulkareem Alhumaidan ◽  
Ayed Alqahtani ◽  
Faisal al-Qarni

Excessive gingival display is a common clinical presentation that often requires surgical intervention. This report is for a patient for whom esthetic crown lengthening is indicated due to altered passive eruption. Cone beam computed tomography (CBCT) scan and an intraoral scan were used to design and print a single surgical guide which provided a reference for both gingivectomy and osteoectomy. A satisfactory outcome was obtained 6 months after surgery. The present technique provided a simplified method of generating a surgical guide with predictable results by relying on the existing tooth anatomy rather than diagnostic waxing. This technique is particularly useful when crowns or veneers are not indicated.


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