3.8 Article

Reconstruction of mandible using a computer-designed 3D-printed patient-specific titanium implant: a case report

Journal

ORAL AND MAXILLOFACIAL SURGERY-HEIDELBERG
Volume 25, Issue 1, Pages 103-111

Publisher

SPRINGER HEIDELBERG
DOI: 10.1007/s10006-020-00889-w

Keywords

Mandibular reconstruction; 3D-printed titanium implant; Ameloblastoma; Patient-specific implant PSI; CAD-CAM; Virtual surgical planning

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The use of customized biomaterials in reconstructive surgery, such as 3D-printed titanium implants, has revolutionized the field and provided excellent postoperative aesthetic and functional results in mandibular reconstruction.
Reconstruction of mandibular defects after trauma or tumor resection is one of the most challenging problems facing maxillofacial surgeons. Historically, various autografts and alloplastic materials have been used in the reconstruction of these types of defects. The use of individualized designed biomaterials has opened new possibilities in reconstructive surgery, and now, it is possible to use the patient's computed tomography (CT) to construct patient-specific implants (PSIs). A case of a large mandibular tumor resection and reconstruction of the defect using a customized 3D-printed titanium implant is described. The treatment had excellent postoperative esthetic and functional results without complications. Conclusion Because titanium implants are customizable, easily workable especially with help of 3D virtual planning techniques, bioinert, and nonporous, they represent an ideal alloplastic material for mandibular reconstruction.

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