Biopsies of osseous jaw lesions using 3D-printed surgical guides: a clinical study

Postl, Lukas; Mücke, Thomas; Hunger, Stefan; Wuersching, Sabina Noreen; Holberg, Svenia; Bissinger, Oliver; Burgkart, Rainer; Malek, Michael; Krennmair, Stefan

doi:10.1186/s40001-022-00726-8

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…Similarly, the mean biopsy angle deviation was significantly lower in guided biopsies compared to freehand biopsies (6.8 ± 4.0 degrees vs. 15.4 ± 3.6 degrees; p = 0.0005). However, there was no significant difference in biopsy depth between guided and freehand biopsies [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Management of a solitary bone cyst using a custom-made surgical guide for a minimally invasive approach: technical note and case report

Delarue,

Perez,

Lucidarme

et al. 2024

BMC Oral Health

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Background Solitary Bone Cyst (SBC), also known as a simple bone cyst, hemorrhagic cyst, or traumatic cyst is classified by the WHO among non-odontogenic benign lesions of the jaw. The article explores the use of a static 3D-printed surgical guide to treat mandibular SBC, emphasizing a minimally surgical approach for this lesion. Case Presentation A 20-year-old woman was referred for a persistent mandibular SBC lacuna, without specific complaints. Her medical history included a previous bone trepanation for a SBC in the same area, radiologically and surgically confirmed. X-ray assessment showed a well-defined unilocular radiolucency surrounding the root of the first left lower molar (tooth #36), measuring 10 × 10 mm. Pulp sensitivity was normal. CBCT data and STL files of dental cast were obtained preoperatively and registered. A 3D-printed surgical guide was used for minimally invasive trepanation of the buccal cortical. The simulation used a targeted endodontic microsurgery approach in order to determine axis and diameter of the trephine. Surgery was performed under local anesthesia. The guide was tooth supported integrating tubes and a fork for guiding precise trepanation. A 3.5 mm round bone window was created, leaving an empty cavity confirming SBC diagnosis and permitting bone curettage. A blood clot was obtained to promote bone healing. Complete reossification was observed after 6 months. The follow-up at 2 years confirmed a complete bone healing with normal pulp sensitivity. Discussion The 3D-printed windowed surgical guide with dental support offers big advantages, including improved visibility and reduced errors. Compared to traditional guides, it eliminates visual hindrance and allows easier and quick access to confined areas as well as an improved irrigation during drilling process. The article also highlights the importance of preoperative planning while acknowledging potential limitations and errors and surgical complications. Conclusion The use of the 3D-printed surgical guide could be used in routine for minimally invasive intervention of SBC. This case also demonstrates the potential utility of this approach in various procedures in oral and maxillofacial surgery. The technique provides precise localization, reducing complications and enhances operative efficiency.

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Section: Discussionmentioning

confidence: 99%

Management of a solitary bone cyst using a custom-made surgical guide for a minimally invasive approach: technical note and case report

Delarue,

Perez,

Lucidarme

et al. 2024

BMC Oral Health

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Contribution of 3D printing for the surgical management of jaws cysts and benign tumors: A systematic review of the literature

Gernandt¹,

Tomasella²,

Scolozzi³

et al. 2023

Journal of Stomatology, Oral and Maxillofacial Surgery

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3D printing materials and 3D printed surgical devices in oral and maxillofacial surgery: design, workflow and effectiveness

Wang,

Mu,

Yan

et al. 2024

Regenerative Biomaterials

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Oral and maxillofacial surgery is a specialized surgical field devoted to diagnosing and managing conditions affecting the oral cavity, jaws, face, and related structures. In recent years, the integration of 3D printing technology has revolutionized this field, offering a range of innovative surgical devices such as patient-specific implants (PSIs), surgical guides, splints, bone models, and regenerative scaffolds. In this comprehensive review, we primarily focus on examining the utility of 3D printed surgical devices in the context of oral and maxillofacial surgery and evaluating their efficiency. Initially, we provide an insightful overview of commonly utilized 3D printed surgical devices, discussing their innovations and clinical applications. Recognizing the pivotal role of materials, we give consideration to suitable biomaterials and printing technology of each device, while also introducing the emerging fields of regenerative scaffolds and bioprinting. Furthermore, we delve into the transformative impact of 3D printed surgical devices within specific subdivisions of oral and maxillofacial surgery, placing particular emphasis on their rejuvenating effects in bone reconstruction, orthognathic surgery, temporomandibular joint (TMJ) treatment, and other applications. Additionally, we elucidate how the integration of 3D printing technology has reshaped clinical workflows and influenced treatment outcomes in oral and maxillofacial surgery, providing updates on advancements in ensuring accuracy and cost-effectiveness in 3D printing-based procedures.

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Biopsies of osseous jaw lesions using 3D-printed surgical guides: a clinical study

Cited by 3 publications

References 25 publications

Management of a solitary bone cyst using a custom-made surgical guide for a minimally invasive approach: technical note and case report

Management of a solitary bone cyst using a custom-made surgical guide for a minimally invasive approach: technical note and case report

Contribution of 3D printing for the surgical management of jaws cysts and benign tumors: A systematic review of the literature

3D printing materials and 3D printed surgical devices in oral and maxillofacial surgery: design, workflow and effectiveness

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