Printed titanium implants in UK craniomaxillofacial surgery. Part I: access to digital planning and perceived scope for use in common procedures

Goodson, Alexander; Parmar, Sat; Ganesh, Siva; Zakai, D; Shafi, Aisyah Ahmad; Wicks, Catherine; O'Connor, Raymond G.; Yeung, Elizabeth; Khalid, Farhan; Tahim, Arpan; Gowrishankar, Siddharth; Hills, Adrian; Williams, Edgar M.

doi:10.1016/j.bjoms.2020.08.087

Cited by 8 publications

(12 citation statements)

References 13 publications

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“…The possibility to perfectly tailor the shape of the implant to the patient's anatomy makes a PSI better suited for these complex reconstructions compared to implants that lack these options. Other advantages of PSIs are improved ease of use and precise, accurate fit, which leads to accurate implant positioning and a decreased surgery time [41,43,45,49,50,[70][71][72]. Iatrogenic soft-tissue damage is prevented as much as possible since the number of try-ins necessary to correctly position the implant is reduced, and no sharp edges are present around the implant's circumference [37,[72][73][74].…”

Section: Discussionmentioning

confidence: 99%

3D Innovations in Personalized Surgery

2023

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Section: Discussionmentioning

confidence: 99%

3D Innovations in Personalized Surgery

2023

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“…Recently, a thought-provoking study fostered by the British Association of Oral and Maxillofacial Surgeons (BAOMS) was published [ 9 , 21 ]. The study examines the barriers to the use of printed titanium and digital planning in maxillofacial surgery in the UK.…”

Section: Discussionmentioning

confidence: 99%

“…As shown by a study published by Goodson [ 9 ], most centers with in-house planning facilities have resin 3D printers (not titanium printers), and they can produce sterilizable resin surgical guides and models that are required for the placement of CAD-CAM implants or for the use of pre-bent plates. In our 3D-LAB laboratory, we will also perform 3D prototyping of several elements considered necessary for case diagnosis and planning, including resin surgical guides and models that could be required for the placement of CAD-CAM implants or for the use of pre-bent plates.…”

Section: Discussionmentioning

confidence: 99%

“…PS also makes it possible to achieve complex reconstructions from a structural and geometrical point of view through the design and manufacture of custom-made prostheses and implants that perfectly fit a variety of anatomical defects. Therefore, PS has been widely used in several surgical disciplines, in particular in maxillofacial surgery, mostly for complex reconstructions and in relation to congenital and acquired craniomaxillofacial deformities [ 8 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Personalized Surgery Service in a Tertiary Hospital: A Method to Increase Effectiveness, Precision, Safety and Quality in Maxillofacial Surgery Using Custom-Made 3D Prostheses and Implants

Romero

Masnou-Pratdesaba

Sáez‐Barba

et al. 2022

JCM

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Personalized surgery (PS) involves virtual planning (VP) and the use of 3D printing technology to design and manufacture custom-made elements to be used during surgery. The widespread use of PS has fostered a paradigm shift in the surgical process. A recent analysis performed in our hospital—along with several studies published in the literature—showed that the extensive use of PS does not preclude the lack of standardization in the process. This means that despite the widely accepted use of this technology, standard individual roles and responsibilities have not been properly defined, and this could hinder the logistics and cost savings in the PS process. The aim of our study was to describe the method followed and the outcomes obtained for the creation of a PS service for the Oral and Maxillofacial Surgery Unit that resolves the current absence of internal structure, allows for the integration of all professionals involved and improves the efficiency and quality of the PS process. We performed a literature search on the implementation of PS techniques in tertiary hospitals and observed a lack of studies on the creation of PS units or services in such hospitals. Therefore, we believe that our work is innovative and has the potential to contribute to the implementation of PS units in other hospitals.

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“…As a result, custom made plate or PSI can be applied without bending, in addition to advantages of providing rigid fixation, facilitating intraoperative surgical procedures, reducing operation time, and improving surgical accuracy, making it safer, more dependable, and predictable (7,8) . Custom made plates are currently used in the field of OMFS for management of facial fractures, total temporomandibular joint (TMJ) replacement, orthognathic surgery, and reconstruction of maxillofacial skeleton (9) . Therefore, the aim of this study was to evaluate the clinical and radiographic outcomes of MAF managed with two different computer designed custom made miniplates based on clinical parameters including assessment of subjective pain using visual analogue scale (VAS), maximal interincisal opening (MIO), occlusion relation, maximal bite-force (MBF), and radiographic linear measurements of the displaced fractured segments using CT.…”

Section: Introductionmentioning

confidence: 99%

Comparison between Two Computer Designed Custom Made Miniplates for The Treatment of Mandibular Angle Fractures

et al. 2022

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Purpose: To evaluate the clinical and radiographic outcomes of mandibular angle fractures (MAF), which were managed with two different computer designed custom made miniplates. Materials and Methods: Eight patients complaining of MAF were included in this study and divided into two equal groups. In group 1, the MAF were fixed with regular design custom made miniplates that were adapted at the superior border of external oblique ridge. Patients in group 2 received custom made miniplates with one straight section adapted to the superior border of external oblique ridge and two lateral extensions adapted to the buccal cortex; proximal and distal to the fracture line.Reduction and fixation were performed through intraoral approach. Preoperative evaluation comprised assessment of subjective pain using a visual analogue scale (VAS), maximal interincisal opening (MIO), occlusal relation, maximal bite-force (MBF), and radiographic measures of fractured segments displacement. Follow up was performed along 6 months to detect changes in the same preoperative parameters. Demographic, clinical, and radiographic data were recorded and analyzed statistically. Results: No statistical significant difference was observed between the two computer designed custom made miniplate designs. Conclusion: Using a traditional and modified design custom-made miniplate, MAF may be appropriately managed. The newly designed miniplate is considered a treatment modality in management of MAF.

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Printed titanium implants in UK craniomaxillofacial surgery. Part I: access to digital planning and perceived scope for use in common procedures

Cited by 8 publications

References 13 publications

3D Innovations in Personalized Surgery

3D Innovations in Personalized Surgery

Personalized Surgery Service in a Tertiary Hospital: A Method to Increase Effectiveness, Precision, Safety and Quality in Maxillofacial Surgery Using Custom-Made 3D Prostheses and Implants

Comparison between Two Computer Designed Custom Made Miniplates for The Treatment of Mandibular Angle Fractures

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