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Full Digital Workflow for Mandibular Ameloblastoma Management: Showcase for Technical Description.

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Summary

This study details a digital workflow for mandible reconstruction using computer-aided design and manufacturing (CAD-CAM). Two-step implant rehabilitation after fibula flap surgery showed successful outcomes after two years.

Keywords:
CAD-CAMameloblastomadental prosthetic rehabilitationfibula flap

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Biomedical Engineering
  • Dental Implantology

Background:

  • Surgical resection of the mandible presents significant reconstructive challenges.
  • Digital workflows offer potential for improved accuracy and outcomes in complex reconstructions.

Purpose of the Study:

  • To showcase a comprehensive digital workflow for mandibular reconstruction and prosthetic rehabilitation.
  • To evaluate the long-term success of computer-aided design and computer-aided manufacturing (CAD-CAM) guided surgery.

Main Methods:

  • Utilized 3D reconstruction of the mandible and fibula for surgical planning.
  • Employed a computer-aided design and computer-aided manufacturing (CAD-CAM) guided surgical approach.
  • Performed a two-step implant rehabilitation after verifying flap ossification via computed tomography (CT) scan.

Main Results:

  • Successful reconstruction and prosthetic rehabilitation of the mandible were achieved.
  • Osseointegration and functional recovery were confirmed after a two-year follow-up.
  • The digital workflow facilitated precise surgical execution and predictable outcomes.

Conclusions:

  • A full digital workflow, integrating CAD-CAM technology, is effective for complex mandibular reconstruction.
  • Two-step implant rehabilitation is a viable and successful strategy following fibula free flap reconstruction.
  • This approach enhances treatment predictability and patient outcomes in oncologic or trauma cases.