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Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
Published on: August 24, 2018
Patient-Specific Implants in Maxillofacial Reconstruction - A Case Report
Samir Joshi1, Hamza Javed Salema1, Sudhir Pawar1
1Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth (Deemed To Be) Dental College and Hospital, Pune, Maharashtra, India.
Rationale:
The successful utilisation of three dimensional (3D) techniques in engineering a titanium patient specific implant (PSI) for a patient who underwent hemimaxillectomy following post COVID mucormycosis infection.
Patient Concerns:
Issues related to problems associated with resection following mucormycosis, such as occlusal function, aesthetics and facial asymmetry.
Diagnosis:
The patient affected by mucormycosis was left with Aramany class 1 and Cordeiro type II sub total maxillectomy defect.
Treatment:
The patient was operated for mucormycosis followed by reconstruction with patient specific implant.
Outcome:
Positive clinical outcomes, including improved facial symmetry, function and psychological well being with immediate replacement of the teeth, the benefits of which far outweigh the traditional approach.
Take Away Lessons:
The advances in the use of PSI by integration of 3D printing and computer aided design computer aided manufacturing (CAD-CAM) technology for extensive and challenging defects in the maxillofacial region have been highlighted in this case report.
