scholarly journals Xeno-Hybrid Composite Scaffold Manufactured with CAD/CAM Technology for Horizontal Bone-Augmentation in Edentulous Atrophic Maxilla: A Short Communication

2020 ◽  
Vol 10 (8) ◽  
pp. 2659 ◽  
Author(s):  
Maria Paola Cristalli ◽  
Gerardo La Monaca ◽  
Nicola Pranno ◽  
Susanna Annibali ◽  
Giovanna Iezzi ◽  
...  
Keyword(s):  
Short Communication ◽  
Bone Structure ◽  
Bovine Bone ◽  
Ridge Augmentation ◽  
Additional Surgery ◽  
Custom Made ◽  
Atrophic Maxilla ◽  
Computer Aided ◽  
Cad Cam ◽  
Deproteinized Bovine Bone

The present short communication described a new procedure for the reconstruction of the horizontal severely resorbed edentulous maxilla with custom-made deproteinized bovine bone block, fabricated using three-dimensional imaging of the patient and computer-aided design/computer-aided manufacturing (CAD/CAM) technology. The protocol consisted of three phases. In the diagnosis and treatment planning, cone-beam computed tomographic scans of the patient were saved in DICOM (digital imaging and communication in medicine) format, anatomic and prosthetic data were imported into a dedicated diagnostic and medical imaging software, the prosthetic-driven position of the implants, and the graft blocks perfectly adapted to the residual bone structure were virtually planned. In the manufacturing of customized graft blocks, the CAD-CAM technology and the bovine-derived xenohybrid composite bone (SmartBone® on Demand - IBI SA - Industrie Biomediche Insubri SA Switzerland) were used to fabricate the grafts in the exact shape of the 3D planning virtual model. In the surgical and prosthetic procedure, the maxillary ridge augmentation with custom-made blocks and implant-supported full-arch screw-retained rehabilitation were performed. The described protocol offered some advantages when compared to conventional augmentation techniques. The use of deproteinized bovine bone did not require additional surgery for bone harvesting, avoided the risk of donor site morbidity, and provided unlimited biomaterial availability. The customization of the graft blocks reduced the surgical invasiveness, shorting operating times because the manual shaping of the blocks and its adaptation at recipient sites are not necessary and less dependent on the clinician’s skill and experience.

scholarly journals Maxillary Ridge Augmentation with Custom-Made CAD/CAM Scaffolds. A 1-Year Prospective Study on 10 Patients

2014 ◽  
Vol 40 (5) ◽  
pp. 561-569 ◽  
Author(s):  
Francesco Mangano ◽  
Aldo Macchi ◽  
Jamil Awad Shibli ◽  
Giuseppe Luongo ◽  
Giovanna Iezzi ◽  
...  
Keyword(s):  
3D Reconstruction ◽  
Computer Aided Design ◽  
Three Dimensional ◽  
Numerical Control ◽  
Porous Hydroxyapatite ◽  
Ridge Augmentation ◽  
Custom Made ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design

Several procedures have been proposed to achieve maxillary ridge augmentation. These require bone replacement materials to be manually cut, shaped, and formed at the time of implantation, resulting in an expensive and time-consuming process. In the present study, we describe a technique for the design and fabrication of custom-made scaffolds for maxillary ridge augmentation, using three-dimensional computerized tomography (3D CT) and computer-aided design/computer-aided manufacturing (CAD/CAM). CT images of the atrophic maxillary ridge of 10 patients were acquired and modified into 3D reconstruction models. These models were transferred as stereolithographic files to a CAD program, where a virtual 3D reconstruction of the alveolar ridge was generated, producing anatomically shaped, custom-made scaffolds. CAM software generated a set of tool-paths for manufacture by a computer-numerical-control milling machine into the exact shape of the reconstruction, starting from porous hydroxyapatite blocks. The custom-made scaffolds were of satisfactory size, shape, and appearance; they matched the defect area, suited the surgeon's requirements, and were easily implanted during surgery. This helped reduce the time for surgery and contributed to the good healing of the defects.

scholarly journals Custom-Made Computer-Aided-Design/Computer-Aided-Manufacturing Biphasic Calcium-Phosphate Scaffold for Augmentation of an Atrophic Mandibular Anterior Ridge

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Francesco Guido Mangano ◽  
Piero Antonio Zecca ◽  
Ric van Noort ◽  
Samvel Apresyan ◽  
Giovanna Iezzi ◽  
...  
Keyword(s):  
Calcium Phosphate ◽  
Computer Aided Design ◽  
Biphasic Calcium Phosphate ◽  
Numerical Control ◽  
Ridge Augmentation ◽  
Custom Made ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design ◽  
Anterior Mandible

This report documents the clinical, radiographic, and histologic outcome of a custom-made computer-aided-design/computer-aided-manufactured (CAD/CAM) scaffold used for the alveolar ridge augmentation of a severely atrophic anterior mandible. Computed tomographic (CT) images of an atrophic anterior mandible were acquired and modified into a 3-dimensional (3D) reconstruction model; this was transferred to a CAD program, where a custom-made scaffold was designed. CAM software generated a set of tool-paths for the manufacture of the scaffold on a computer-numerical-control milling machine into the exact shape of the 3D design. A custom-made scaffold was milled from a synthetic micromacroporous biphasic calcium phosphate (BCP) block. The scaffold closely matched the shape of the defect: this helped to reduce the time for the surgery and contributed to good healing. One year later, newly formed and well-integrated bone was clinically available, and two implants (AnyRidge, MegaGen, Gyeongbuk, South Korea) were placed. The histologic samples retrieved from the implant sites revealed compact mature bone undergoing remodelling, marrow spaces, and newly formed trabecular bone surrounded by residual BCP particles. This study demonstrates that custom-made scaffolds can be fabricated by combining CT scans and CAD/CAM techniques. Further studies on a larger sample of patients are needed to confirm these results.

scholarly journals The implant‐supported Cad Cam milled bar in the severely atrophic maxilla after horizontal ridge augmentation with autogenous bone blocks

2019 ◽  
Vol 30 (S19) ◽  
pp. 528-528
Author(s):  
Andreas Papandreou ◽  
Maria Sykara ◽  
Panagiotis Ntovas ◽  
Frank Zastrow
Keyword(s):  
Autogenous Bone ◽  
Ridge Augmentation ◽  
Atrophic Maxilla ◽  
Cad Cam

scholarly journals Customized 3D-Printed Titanium Mesh Developed to Regenerate a Complex Bone Defect in the Aesthetic Zone: A Case Report Approached with a Fully Digital Workflow

Materials ◽  
2020 ◽  
Vol 13 (17) ◽  
pp. 3874 ◽  
Author(s):  
Marco Tallarico ◽  
Chang-Joo Park ◽  
Aurea Immacolata Lumbau ◽  
Marco Annucci ◽  
Edoardo Baldoni ◽  
...  
Keyword(s):  
Female Patient ◽  
Computer Aided Design ◽  
Digital Technologies ◽  
Titanium Mesh ◽  
Digital Workflow ◽  
Anterior Maxilla ◽  
Ridge Augmentation ◽  
Implant Placement ◽  
Computer Aided ◽  
Cad Cam

Alveolar-ridge augmentation, anterior aesthetics, and digital technologies are probably the most popular topics in the dental-implant field. The aim of this report is to present a clinical case of severe atrophy of the anterior maxilla in a younger female patient, treated with a titanium membrane customized with computer-aided design/computer-aided manufacturing (CAD/CAM), simultaneous guided implant placement, and a fully digital workflow. A young female patient with a history of maxillary trauma was treated and followed-up for 1 year after implant placement. A narrow implant was inserted in a prosthetically driven position with the aid of computer-guided surgery. In the same surgical section, a customized implantable titanium mesh was applied. The scaffold was designed according to the contralateral maxillary outline in order to recreate a favorable maxillary bone volume. Finally, highly aesthetic, CAD/CAM, metal-free restorations were delivered using novel digital technologies.

scholarly journals Workflow of CAD / CAM Scoliosis Brace Adjustment in Preparation Using 3D Printing

2017 ◽  
Vol 11 (1) ◽  
pp. 44-51 ◽  
Author(s):  
Hans-Rudolf Weiss ◽  
Nicos Tournavitis ◽  
Xiaofeng Nan ◽  
Maksym Borysov ◽  
Lothar Paul
Keyword(s):  
3D Printing ◽  
Computer Aided Design ◽  
Short Communication ◽  
Printing Technology ◽  
3D Printing Technology ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design ◽  
Cam Software ◽  
Made In

Background: High correction bracing is the most effective conservative treatment for patients with scoliosis during growth. Still today braces for the treatment of scoliosis are made by casting patients while computer aided design (CAD) and computer aided manufacturing (CAM) is available with all possibilities to standardize pattern specific brace treatment and improve wearing comfort. Objective: CAD / CAM brace production mainly relies on carving a polyurethane foam model which is the basis for vacuuming a polyethylene (PE) or polypropylene (PP) brace. Purpose of this short communication is to describe the workflow currently used and to outline future requirements with respect to 3D printing technology. Method: Description of the steps of virtual brace adjustment as available today are content of this paper as well as an outline of the great potential there is for the future 3D printing technology. Results: For 3D printing of scoliosis braces it is necessary to establish easy to use software plug-ins in order to allow adding 3D printing technology to the current workflow of virtual CAD / CAM brace adjustment. Textures and structures can be added to the brace models at certain well defined locations offering the potential of more wearing comfort without losing in-brace correction. Conclusions: Advances have to be made in the field of CAD / CAM software tools with respect to design and generation of individually structured brace models based on currently well established and standardized scoliosis brace libraries.

scholarly journals Design Techniques to Optimize the Scaffold Performance: Freeze-dried Bone Custom-made Allografts for Maxillary Alveolar Horizontal Ridge Augmentation

2020 ◽  
Author(s):  
Felice Roberto Grassi ◽  
Roberta Grassi ◽  
Leonardo Vivarelli ◽  
Dante Dallari ◽  
Marco Govoni ◽  
...  
Keyword(s):  
Clinical Success ◽  
Secondary Site ◽  
Autogenous Bone ◽  
Ridge Augmentation ◽  
Implant Placement ◽  
Freeze Dried ◽  
Custom Made ◽  
Atrophic Maxilla ◽  
Bone Level ◽  
Density Analysis

Background: The aim of the present investigation was to evaluate the clinical success of horizontal ridge augmentation in the severely atrophic maxilla (Cawood and Howell class IV) using freeze-dried custom made bone harvested from cadaver donors tibial hemiplateau and to analyze the marginal bone level gain prior dental implants placement at 9 months after bone grafting and before prosthetic rehabilitation. Methods: A 52-year-old woman received custom made bone grafts. Patient underwent CT scans 2 weeks prior and 9 months after surgery for graft volume and density analysis. Results: The clinical and radiographic bone observations showed a very low rate of resorption after bone graft and implant placement. Conclusions: The custom-made allograft material was a highly effective modality for restoring the alveolar horizontal ridge, resulting in this way to reduce the need to obtain autogenous bone from a secondary site with predictable procedure. Further studies are needed to investigate its behavior at longer time points.

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