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Digitally driven surgical guide planning.

Chenchen Zhang1, Chi Song1, Dong Wang1

  • 1Department of Stomatology, The First Affiliated Hospital of Bengbu Medical College, 233004 Bengbu, Anhui, China.

The Journal of Clinical Pediatric Dentistry
|January 19, 2024
PubMed
Summary
This summary is machine-generated.

A fully digital surgical process using CT scans, 3D modeling, and printing precisely treats pediatric mandibular fractures. This minimally invasive approach ensures excellent healing, improved jaw function, and satisfactory clinical outcomes with no complications.

Keywords:
ChildrenDigital surgeryMandibular fractureSurgical treatment

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Digital Surgical Technology
  • Pediatric Orthodontics

Background:

  • Mandibular fractures in children present unique challenges for surgical treatment.
  • Traditional methods may lack precision and lead to complications.

Purpose of the Study:

  • To evaluate the efficacy and safety of a fully digital workflow for treating pediatric mandibular fractures.
  • To assess the impact of digital surgical assistance on fracture healing and functional outcomes.

Main Methods:

  • Utilized thin-layer CT scanning for 3D reconstruction and virtual surgical planning.
  • Employed computer-aided design for determining and shaping internal fixation devices.
  • Incorporated 3D printing for surgical guides and models.
  • Assessed fracture healing, occlusion, jaw opening, and complications post-surgery.
  • Compared preoperative digital designs with postoperative imaging using 3D overlay analysis.

Main Results:

  • Demonstrated good fracture healing and normal occlusion in all pediatric patients.
  • Reported a significant improvement in the degree of jaw opening post-surgery (p < 0.05).
  • Observed no instances of tooth germ injury, nerve damage, or fracture displacement.
  • Confirmed high accuracy between preoperative digital planning and postoperative results via 3D overlay analysis.

Conclusions:

  • A fully digital process offers a precise, minimally invasive, and safe surgical solution for pediatric mandibular fractures.
  • The digital workflow leads to satisfactory clinical results and functional recovery in young patients.