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Updated: Apr 25, 2026

Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach

Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach

Published on: August 24, 2018

Application of computer-aided designed/computer-aided manufactured techniques in reconstructing maxillofacial bony

Jan Rustemeyer¹, Alexander Busch, Aynur Sari-Rieger

¹Department of Oral and Maxillofacial Surgery, Klinikum Bremen-Mitte, School of Medicine of the University of Göttingen, Bremen, Germany, janrustem@gmx.de.

Oral and Maxillofacial Surgery

|August 28, 2014

Summary

Computer-aided design/computer-aided manufacturing (CAD/CAM) offers accurate maxillofacial reconstructions. This technique is beneficial for both complex and simpler bony structure reconstructions, improving anatomical accuracy.

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Last Updated: Apr 25, 2026

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Published on: August 24, 2018

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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

Published on: January 28, 2020

Area of Science:

Maxillofacial Surgery
Biomaterials Engineering
Surgical Planning

Background:

Virtually planned surgery and CAD/CAM tools are increasingly used in maxillofacial reconstruction.
Evidence-based studies on CAD/CAM application criteria are lacking.
The use of CAD/CAM is theoretically recommended for complex reconstructive cases.

Observation:

Three cases of osseous reconstruction using CAD/CAM techniques are presented.
Case 1: Mandibular reconstruction with a vascularised iliac bone graft and condyle repositioning.
Case 2: Wide mandibular reconstruction with a fibula flap and soft tissue chin repositioning.
Case 3: Palatine defect reconstruction using a double-barrelled fibula flap and radial forearm flap.

Findings:

CAD/CAM provides accurate anatomical shaping of bone grafts.
Adjacent structures can be effectively repositioned using CAD/CAM.
The technique is applicable to a range of case complexities.

Implications:

CAD/CAM is a valuable tool for maxillofacial reconstruction beyond complex cases.
This technology enhances precision in achieving desired anatomical outcomes.
Further evidence-based studies are warranted to refine CAD/CAM application guidelines.