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Updated: Apr 30, 2026

Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants
Published on: May 23, 2020
Correction of facial and mandibular asymmetry using a computer aided design/computer aided manufacturing
Jason Watson1, Muhanad Hatamleh, Ahed Alwahadni
1From the *Maxillofacial Department, Queens Medical Centre, Nottingham University Hospital Trust; †Cranio-Maxillofacial Prosthetics Unit, Maxillofacial Department, King's College University Hospital; ‡Department of Prosthodontics, Faculty of Dentistry; and §Maxillofacial Department, Queens Medical Centre Campus, Nottingham University Hospital Trust, Nottingham, UK.
Abstract:
Patients with significant craniofacial asymmetry may have functional problems associated with their occlusion and aesthetic concerns related to the imbalance in soft and hard tissue profiles. This report details a case of facial asymmetry secondary to left mandible angle deficiency due to undergoing previous radiotherapy. We describe the correction of the bony deformity using computer aided design/computer aided manufacturing custom-made titanium onlay using novel direct metal laser sintering. The direct metal laser sintering onlay proved a very accurate operative fit and showed a good aesthetic correction of the bony defect with no reported complications postoperatively. It is a useful low-morbidity technique, and there is no resorption or associated donor-site complications.

