Evaluation of the accuracy of surgical reconstruction of mandibular defects when using navigation templates and patient-specific titanium implants

The management of patients with post-traumatic and post-operative mandibular defects is a major challenge even for experienced surgeons. Performing traditional reconstructive interventions with the use of bone autografts is always confronted with the problem of inconsistency between the shape, archi...

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Bibliographic Details
Published in:	Journal of education, health and sport Vol. 11; no. 2; pp. 117 - 132
Main Authors:	Chernohorskyi, D. M., Chepurnyi, Y. V., Vasiliev, O. S., Voller, M. V., Kopchak, A. V.
Format:	Journal Article
Language:	English
Published:	Kazimierz Wielki University 26-02-2021
Subjects:	mandible reconstruction mandible segmentation mandibular defect navigation templates patient-specific implant
Online Access:	Get full text
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Summary:	The management of patients with post-traumatic and post-operative mandibular defects is a major challenge even for experienced surgeons. Performing traditional reconstructive interventions with the use of bone autografts is always confronted with the problem of inconsistency between the shape, architecture, a biological. An alternative to conventional bone grafting is the use of digital protocol and CAD /CAMtechnology, which allows fabricating different types of customised medical devices. All patients underwent reconstructive and restoring interventions with the use of patient-specific titanium implants guided by a full digital protocol.Patients were examined in compliance with the standard scheme. To repair the defects, PSIs were fabricated with the use of selective laser sintering of titanium.The introduction of digital technologies and computer technique of diagnosing, planning and implementation of surgical interventions has been the main direction aimed at the improving the accuracy and predictability of reconstructive restorative surgery. Among the main achievements in this direction are the improvement of software and methods of computer modeling, as well as the introduction of CAD /CAMtechnology.The use of CAD /CAMtechnologies, in particular, navigational surgical templates and patient-specific implants for the repair of mandibular defects ensures a high level of accuracy and predictability.
ISSN:	2391-8306 2391-8306
DOI:	10.12775/JEHS.2021.11.02.013