Volume 20 No 9 (2022)
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A novel method of 3D PSI mandibular reconstruction- a case report
Dr. G. Muralidharan, Dr. M. Jeevitha, Dr. G. Govindara
Abstract
The surgical repair and reconstruction of defects in the craniomaxillofacial region can be a cumbersome
procedure because of complex anatomy, sensitivity of the involved systems, and uniqueness of each
defect. High level precisions are attempted in reconstructing the defect for enhancing patient outcomes
and well-being. Autogenous grafts that are widely preferred for reconstruction are many times associated
with an unpredictable resorption and donor site morbidity. The introduction of 3-dimensional printing
in the biomedical field has led to the utilization of patient-specific implants (PSI) in the surgical repair of
maxillofacial defects especially in resection cases. PSI not only fit quickly with greater accuracy but also
with added benefit of shorter rehabilitation time.
Materials and Methods:
A 27-year-old male with a history of pain and swelling in right mandibular region for past 1 year He
underwent PSI guided surgical resection and followed by PSI(titanium) reconstruction of the right
hemimandiblar region sparing condyle for articulation
Results: Good esthetic results with no postoperative complications are obtained.
Conclusion: PSI should be considered as one of the novel alternative methods for oral and
craniomaxillofacial defects for higher precision and aesthetic outcomes. The major drawback of PSI is its
high cost, but many advantages of using PSI outweigh this disadvantage.
Keywords
Patient-specific implants, titanium implants, 3D printing.
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