CAD/CAM制作个性化钛网联合髂骨移植重建单侧下颌骨大型轮廓缺损

doi:10.13591/j.cnki.kqyx.2022.02.005

Abstract

Abstract: Objective To explore the feasibility and effectiveness of using CAD/CAM combined with individualized titanium mesh and iliac bone graft to repair unilateral large-sized mandibular contour defects. Methods From November 2015 to December 2019, fifteen patients with unilateral large-sized mandibular contour defects were enrolled in this study. Personalized preformed titanium mesh and mandible models were fabricated by computer-aided design/computer-aided manufacture (CAD/CAM) based on reverse engineering to reconstruct mandibular contour defect. Two patients accepted genioplasty to adjust the deflective region. Length of the bilateral mandibular ramus and mandibular body and its three-dimensionality were measured and compared to analyze symmetries of mandibular contour after surgery. Results All patients have satisfactory results and no adverse complications. Measurements showed satisfactory symmetries of mandibular contour in the 3D position after surgery (P>0.05). Conclusion The study suggests that this technique was feasible and efficient for the reconstruction of unilateral large-sized mandibular contour defects.

Key words: CAD/CAM, individualized titanium mesh, iliac bone graft, mandibular contour reconstruction

CLC Number:

R782.13

BI Dandan, HE Yingyou, Mohammed Qasem AlWatary, WANG Peng, SONG Libin, LI Jihua. Reconstruction of unilateral large-sized mandibular contour defects using CAD/CAM and individualized titanium mesh combined with iliac bone graft[J]. Stomatology, 2022, 42(2): 125-129.

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Reconstruction of unilateral large-sized mandibular contour defects using CAD/CAM and individualized titanium mesh combined with iliac bone graft

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