Related Experiment Video
Updated: Sep 20, 2026

Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
Published on: August 24, 2018
Integration of laser surface digitizing with CAD/CAM techniques for developing facial prostheses. Part 1: Design and
Chi-Mun Cheah1, Chee-Kai Chua, Kwang-Hui Tan
1School of Mechanical and Production Engineering, Nanyang Technological University, Singapore.
Purpose:
This article presents a novel manufacturing approach that integrates laser surface digitizing/scanning and computer-aided design (CAD) and manufacturing (CAM) to achieve automated fabrication of spatially and anatomically accurate extraoral facial prostheses.
Materials And Methods:
Topologic data of the patient's face, including the site of deformity and the anatomy of a healthy "donor" organ, were acquired using laser surface digitizing. Two different CAD data manipulation techniques were developed to alleviate problems encountered in laser-digitized data sets. To reduce patient involvement, fitting of the prosthesis was conducted using a computer model of the patient's face. Once finalized, rapid prototyping techniques were employed to fabricate a master pattern to cast the final prosthesis.
Results:
Three case studies involving different facial prostheses were conducted to evaluate the integrated manufacturing system. The results demonstrated the many advantages of the system for facial prosthesis production.
Conclusion:
With the new manufacturing approach, reduced patient discomfort, minimal dependence on the artistic skills of the prosthetist, and short turnaround times for prosthesis production can be expected.

