The Use of 3D Technology in the Management of Residual Asymmetry following Orthognathic Surgery: A Case Report
The purpose of this case report was to present the aesthetic result of the reconstruction of facial residual asymmetry after orthognathic surgery using a patient-specific three-dimensional (3D) mold and a custom-made polymethyl methacrylate implant. Through computer-aided design (CAD), the healthy c...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/15/2172 |
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| author | Neculai Onică Cezara Andreea Onică Dana Gabriela Budală Gabriela Luminița Gelețu Mihail Balan Elena-Raluca Baciu Alice Murariu Mihaela Pertea |
| author_facet | Neculai Onică Cezara Andreea Onică Dana Gabriela Budală Gabriela Luminița Gelețu Mihail Balan Elena-Raluca Baciu Alice Murariu Mihaela Pertea |
| author_sort | Neculai Onică |
| collection | DOAJ |
| description | The purpose of this case report was to present the aesthetic result of the reconstruction of facial residual asymmetry after orthognathic surgery using a patient-specific three-dimensional (3D) mold and a custom-made polymethyl methacrylate implant. Through computer-aided design (CAD), the healthy contralateral side of the mandible was superimposed onto the side with the defect. Exocad Gallway (exocad GmbH, Darmstadt, Germany) was used to design the patient-specific implants (PSIs) of the right mandibular angle. Next, the implant mold was created using the Meshmixer software (Version 3.5, Autodesk Inc., San Rafael, CA, USA) and fabricated using additive manufacturing. During the surgical procedure, the patient-specific implant (PSI) was cast inside the resin mold using Simplex P bone cement (Stryker, Mahwah, NJ, USA). The implant was fixed using three screws. Combining both indirect (involving the dental laboratory) and direct (with surgical intervention) approaches, this innovative hybrid method, which incorporates both computer-aided design and additive manufacturing (AM), not only enhanced facial aesthetics, functional rehabilitation, and patient quality of life but also mitigated the potential risks linked to conventional grafting methods. |
| first_indexed | 2024-03-11T00:27:53Z |
| format | Article |
| id | doaj.art-ee531b6e33964486812124b0c0612fef |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T00:27:53Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-ee531b6e33964486812124b0c0612fef2023-11-18T22:56:34ZengMDPI AGHealthcare2227-90322023-07-011115217210.3390/healthcare11152172The Use of 3D Technology in the Management of Residual Asymmetry following Orthognathic Surgery: A Case ReportNeculai Onică0Cezara Andreea Onică1Dana Gabriela Budală2Gabriela Luminița Gelețu3Mihail Balan4Elena-Raluca Baciu5Alice Murariu6Mihaela Pertea7Independent Researcher, 700612 Iasi, RomaniaIndependent Researcher, 700612 Iasi, RomaniaDepartment of Implantology, Removable Dentures, Dental Technology, Faculty of Dental Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaDepartment of Surgery, Faculty of Dental Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaDepartment of Surgery, Faculty of Dental Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaDepartment of Implantology, Removable Dentures, Dental Technology, Faculty of Dental Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaDepartment of Surgery, Faculty of Dental Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaDepartment of Plastic Surgery, Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaThe purpose of this case report was to present the aesthetic result of the reconstruction of facial residual asymmetry after orthognathic surgery using a patient-specific three-dimensional (3D) mold and a custom-made polymethyl methacrylate implant. Through computer-aided design (CAD), the healthy contralateral side of the mandible was superimposed onto the side with the defect. Exocad Gallway (exocad GmbH, Darmstadt, Germany) was used to design the patient-specific implants (PSIs) of the right mandibular angle. Next, the implant mold was created using the Meshmixer software (Version 3.5, Autodesk Inc., San Rafael, CA, USA) and fabricated using additive manufacturing. During the surgical procedure, the patient-specific implant (PSI) was cast inside the resin mold using Simplex P bone cement (Stryker, Mahwah, NJ, USA). The implant was fixed using three screws. Combining both indirect (involving the dental laboratory) and direct (with surgical intervention) approaches, this innovative hybrid method, which incorporates both computer-aided design and additive manufacturing (AM), not only enhanced facial aesthetics, functional rehabilitation, and patient quality of life but also mitigated the potential risks linked to conventional grafting methods.https://www.mdpi.com/2227-9032/11/15/2172orthognathic surgerycomputer-assisted designcomputer-aided manufacturingpolymethyl methacrylatefacial asymmetry |
| spellingShingle | Neculai Onică Cezara Andreea Onică Dana Gabriela Budală Gabriela Luminița Gelețu Mihail Balan Elena-Raluca Baciu Alice Murariu Mihaela Pertea The Use of 3D Technology in the Management of Residual Asymmetry following Orthognathic Surgery: A Case Report Healthcare orthognathic surgery computer-assisted design computer-aided manufacturing polymethyl methacrylate facial asymmetry |
| title | The Use of 3D Technology in the Management of Residual Asymmetry following Orthognathic Surgery: A Case Report |
| title_full | The Use of 3D Technology in the Management of Residual Asymmetry following Orthognathic Surgery: A Case Report |
| title_fullStr | The Use of 3D Technology in the Management of Residual Asymmetry following Orthognathic Surgery: A Case Report |
| title_full_unstemmed | The Use of 3D Technology in the Management of Residual Asymmetry following Orthognathic Surgery: A Case Report |
| title_short | The Use of 3D Technology in the Management of Residual Asymmetry following Orthognathic Surgery: A Case Report |
| title_sort | use of 3d technology in the management of residual asymmetry following orthognathic surgery a case report |
| topic | orthognathic surgery computer-assisted design computer-aided manufacturing polymethyl methacrylate facial asymmetry |
| url | https://www.mdpi.com/2227-9032/11/15/2172 |
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