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Mandible reconstruction

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https://www.readbyqxmd.com/read/29145529/volumetric-bone-measurement-around-dental-implants-using-3d-image-superimposition-a-methodological-and-clinical-pilot-study
#1
Eduardo Aydos Villarinho, André Correia, Alvaro Vigo, Nuno Viriato Ramos, Mário Augusto Pires Vaz, Rosemary Sadami Arai Shinkai
PURPOSE: This study describes the development of a methodology for using three-dimensional (3D) image superimposition to measure volumetric changes in bone level around dental implants in comparison with linear measures. MATERIALS AND METHODS: The sample was comprised of 46 dental implants of 6-mm length and 4.1-mm diameter placed in the posterior maxilla and posterior mandible in 20 patients. All implants received screw-retained single crowns. Radiographic images were taken using cone beam computed tomography (CBCT) and digital periapical radiography after implantation and after 12 and 24 months of functional loading (after crown installation)...
November 16, 2017: International Journal of Prosthodontics
https://www.readbyqxmd.com/read/29141673/a-customized-fixation-plate-with-novel-structure-designed-by-topological-optimization-for-mandibular-angle-fracture-based-on-finite-element-analysis
#2
Yun-Feng Liu, Ying-Ying Fan, Xian-Feng Jiang, Dale A Baur
BACKGROUND: The purpose of this study was to design a customized fixation plate for mandibular angle fracture using topological optimization based on the biomechanical properties of the two conventional fixation systems, and compare the results of stress, strain and displacement distributions calculated by finite element analysis (FEA). METHODS: A three-dimensional (3D) virtual mandible was reconstructed from CT images with a mimic angle fracture and a 1 mm gap between two bone segments, and then a FEA model, including volume mesh with inhomogeneous bone material properties, three loading conditions and constraints (muscles and condyles), was created to design a customized plate using topological optimization method, then the shape of the plate was referenced from the stress concentrated area on an initial part created from thickened bone surface for optimal calculation, and then the plate was formulated as "V" pattern according to dimensions of standard mini-plate finally...
November 15, 2017: Biomedical Engineering Online
https://www.readbyqxmd.com/read/29140389/influence-of-rhbmp-2-on-guided-bone-regeneration-for-placement-and-functional-loading-of-dental-implants-a-radiographic-and-histologic-study-in-dogs
#3
Heithem Ben Amara, Jung-Won Lee, Jung-Ju Kim, Yun-Mi Kang, Eun-Jung Kang, Ki-Tae Koo
PURPOSE: Evidence on the outcomes of functional loading placed in recombinant human bone morphogenetic protein 2 (rhBMP-2)/acellular collagen sponge (ACS)-induced bone is lacking. The aim of this study was to verify whether guided bone regeneration (GBR) with rhBMP-2/ACS enhances regeneration of missing bone and osseointegration of dental implants subject to functional loading. MATERIALS AND METHODS: Two bilateral standardized large saddle-type defects (≈10 × 10 × 6 mm) were surgically created in each mandible of seven beagle dogs 2 months after tooth extraction...
November 2017: International Journal of Oral & Maxillofacial Implants
https://www.readbyqxmd.com/read/29128598/histological-and-radiological-evaluation-of-subcutaneous-implants-in-mouse-of-a-3d-printable-material-fulcure-720-and-experimental-application-in-mandibular-reconstruction
#4
J Megías Barrera, L García-Consuegra, A Novoa, S Costilla, S Junquera, G Ascani
INTRODUCTION: The aim of this study was to evaluate the bioactivity of FullCure compared to porous polyethylene implants (Medpor) in rats prior to custom-made scaffold support manufacturing for mandible segmental defects (MSD) reconstruction in sheep. METHODS: 12 Fullcure and Medpor laminaes were implanted in the left and right dorsum respectively of 6 wistar rats. Toxicity was assessed by skin, kidney and liver histopathology 3 months post-implantation. Computed Tomography (CT) was carried out in order to assess radiological differences between implants...
November 8, 2017: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29123190/feeding-capability-in-the-extinct-giant-siamogale-melilutra-and-comparative-mandibular-biomechanics-of-living-lutrinae
#5
Z Jack Tseng, Denise F Su, Xiaoming Wang, Stuart C White, Xueping Ji
At 50 kg in estimated weight, the extinct Siamogale melilutra is larger than all living otters, and ranks among the largest fossil otters. The biomechanical capability of S. melilutra jaws as related to their large size is unknown but crucial to reconstructing the species' potentially unique ecological niche. Here we compare the mandibular biomechanics of S. melilutra using engineering-based performance measures against ten extant otter biomechanical models. Despite a wide range of feeding preferences from durophagy to piscivory, living otter species exhibit a linear relationship between mandible stiffness and volume, as expected in isometric model scaling...
November 9, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29116495/mandibular-kinematics-and-maximum-voluntary-bite-force-following-segmental-resection-of-the-mandible-without-or-with-reconstruction
#6
Sabine S Linsen, Annina Oikonomou, Markus Martini, Marcus Teschke
OBJECTIVES: The purpose was to analyze mandibular kinematics and maximum voluntary bite force in patients following segmental resection of the mandible without and with reconstruction (autologous bone, alloplastic total temporomandibular joint replacement (TMJ TJR)). MATERIALS AND METHODS: Subjects operated from April 2002 to August 2014 were enrolled in the study. Condylar (CRoM) and incisal (InRoM) range of motion and deflection during opening, condylar retrusion, incisal lateral excursion, mandibular rotation angle during opening, and maximum voluntary bite force were determined on the non-affected site and compared between groups...
November 7, 2017: Clinical Oral Investigations
https://www.readbyqxmd.com/read/29114352/bone-allograft-an-option-for-total-mandibular-reconstruction
#7
Masoud Fallahi Motlagh, Mohamad Bayat, Siamak Naji
Total mandibular reconstruction is one of the most challenging modalities in maxillofacial surgery. In this article, we try to introduce a method of total mandible reconstruction. We report a 25-year-old male patient with complete involvement of the mandible by Langerhans cell tumor. The patient underwent total mandibulectomy and reconstruction with bone allograft harvested from a donor who had died the day before. The patient has good functional and aesthetic results in a long time. It seems that bone allograft can be a good alternative to other methods in total mandibular reconstruction...
December 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/29113176/stereolithographic-model-assisted-reconstruction-of-the-mandibular-condyle-with-a-vascularized-fibular-flap-following-hemimandibulectomy-evaluation-of-morphological-and-functional-outcomes
#8
Hitoshi Yoshimura, Shinpei Matsuda, Seigo Ohba, Yoshiki Minegishi, Kunihiro Nakai, Shigeharu Fujieda, Kazuo Sano
The vascularized fibular flap is one of the standard treatment choices for the reconstruction of the mandible; however, the consequences of condylar restoration have not previously been reported. The use of three-dimensional models allows for a more predictable reconstruction. The purpose of the present study was to assess the outcome of stereolithographic model-assisted reconstruction of the mandibular condyle with a vascularized fibular flap. A total of 5 patients underwent mandibular resection including the condyle and immediate reconstruction with a vascularized fibular flap...
November 2017: Oncology Letters
https://www.readbyqxmd.com/read/29109943/evaluation-of-mandibular-lingula-and-foramen-location-using-3-dimensional-mandible-models-reconstructed-by-cone-beam-computed-tomography
#9
Cong Zhou, Tae-Hyun Jeon, Sang-Ho Jun, Jong-Jin Kwon
Background: The positions of the mandibular lingula and foramen have been set as indexes for inferior alveolar nerve (IAN) block and ramus osteotomies in orthognathic surgery. This study aimed to evaluate the anatomical structures of mandibular ramus, especially the mandibular lingula and foramen, by analyzing the cone-beam computed tomography (CBCT) data of young adults. Methods: We evaluated 121 sides of hemi-mandibular CBCT model of 106 patients (51 male and 55 female patients; 18 to 36 years old)...
December 2017: Maxillofacial Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29100719/contribution-of-3d-printing-to-mandibular-reconstruction-after-cancer
#10
A Dupret-Bories, S Vergez, T Meresse, F Brouillet, G Bertrand
Three-dimensional (3D) printing is booming in the medical field. This technology increases the possibilities of personalized treatment for patients, while lowering manufacturing costs. To facilitate mandibular reconstruction with fibula free flap, some companies propose cutting guides obtained by CT-guided moulding. However, these guides are prohibitively expensive (€2,000 to €6,000). Based on a partnership with the CNRS, engineering students and a biomedical company, the authors have developed cutting guides and 3D-printed mandible templates, deliverable in 7days and at a lower cost...
October 31, 2017: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/29091905/the-effect-of-range-and-ammunition-type-on-fracture-patterns-in-porcine-postcranial-flat-bones
#11
Kleio Fragkouli, Eyad Al Hakeem, Ozgur Bulut, Tal Simmons
Pig half-carcasses were shot in scapulae, ribs and mandibles with either 0.243 hunting rifle using high velocity expanding ammunition (N = 30) or AK47 using full metal jacketed (FMJ) ammunition (N = 12) from a range of either 5 or 20 m. Fracture patterns related to distance of fire and ammunition type were compared on de-fleshed, macerated, and reconstructed bones. For expanding ammunition, location of fracture on ribs affected the resulting pattern. Scapulae shot from 5 m presented a comminuted pattern different from those shot from 20 m...
October 5, 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29090206/reconstruction-of-the-three-dimensional-mandibulofacial-defects-using-a-single-cutaneous-perforator-based-fibula-osteocutaneous-flap
#12
In Sook Kang, Jun Gul Ko, Ji Seon Choi, Jin Soo Lim, Min Cheol Kim
The reconstruction of the mandibulofacial defects is a difficult task when there are full-thickness cheek defects involving mandible, inner mucosa and outer skin. There are several reconstructive options for the coverage of large defects, but most of the methods are complicated, and time- and effort-consuming. We hereby present a case of fibula osteocutaneous flap based on a single peroneal artery perforator in the reconstruction of a three-dimensional mandibulofacial defects.
September 2017: Arch Craniofac Surg
https://www.readbyqxmd.com/read/29090194/the-pros-and-cons-of-computer-aided-surgery-for-segmental-mandibular-reconstruction-after-oncological-surgery
#13
REVIEW
Hyun Ho Han, Hak Young Kim, Jun Yong Lee
Computer-aided surgery (CAS) started being used for head and neck reconstruction in the late 2000s. Its use represented a paradigm shift, changing the concept of head and neck reconstruction as well as mandible reconstruction. Reconstruction using CAS proceeds through 4 phases: planning, modeling, surgery, and evaluation. Thus, it can overcome a number of trial-and-error issues which may occur in the operative field and reduce surgical time. However, if it is used for oncologic surgery, it is difficult to evaluate tumor margins during tumor surgery, thereby restricting pre-surgical planning...
September 2017: Arch Craniofac Surg
https://www.readbyqxmd.com/read/29075412/low-cost-method-for-obtaining-medical-rapid-prototyping-using-desktop-3d-printing-a-novel-technique-for-mandibular-reconstruction-planning
#14
Ignacio Velasco, Soheil Vahdani, Hector Ramos
BACKGROUND: Three-dimensional (3D) printing is relatively a new technology with clinical applications, which enable us to create rapid accurate prototype of the selected anatomic region, making it possible to plan complex surgery and pre-bend hardware for individual surgical cases. This study aimed to express our experience with the use of medical rapid prototype (MRP) of the maxillofacial region created by desktop 3D printer and its application in maxillofacial reconstructive surgeries...
September 2017: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/29068896/updates-in-head-and-neck-reconstruction
#15
Rene D Largo, Patrick B Garvey
LEARNING OBJECTIVES: After reading this article, the participant should: 1. have a basic understanding of virtual planning, rapid prototype modeling, 3D printing, and computer-assisted design and manufacture, 2. understand the principles of combining virtual planning and vascular mapping, 3. understand principles of flap choice and design in preoperative planning of free osteocutaneous flaps in mandible and midface reconstruction, and 4. discuss advantages and disadvantages of computer-assisted design and manufacture in reconstruction of advanced oncologic mandible and midface defects...
October 13, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29068576/assessment-of-the-primary-stability-of-root-analog-zirconia-implants-designed-using-cone-beam-computed-tomography-software-by-means-of-the-periotest%C3%A2-device-an-ex-vivo-study-a-preliminary-report
#16
Jacek Matys, Katarzyna Świder, Rafał Flieger, Marzena Dominiak
BACKGROUND: The implant primary stability is a fundamental prerequisite for a success of osseointegration process which determines the prosthetic reconstruction time. OBJECTIVES: The aim of the present study was to assess the quality and precision of modern conical bone computer tomography (CBCT) software in preparing root analog zirconia implants (RAZIs) by measuring its primary stability by means of the Periotest device. MATERIAL AND METHODS: Thirteen pig jaws with proper erupted first premolar (P1) teeth were used in the study...
August 2017: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/29065621/comparison-of-morphologic-parameters-of-temporomandibular-joint-for-asymptomatic-subjects-using-the-two-dimensional-and-three-dimensional-measuring-methods
#17
Yuanli Zhang, Xianchao Xu, Zhan Liu
The differences of temporomandibular joint (TMJ) morphologic parameters by using two-dimensional (2D) and three-dimensional (3D) measuring methods were compared. Ten asymptomatic subjects (26.75 ± 4.89 years) were randomly recruited. The 3D models of the maxilla, mandible, and teeth were reconstructed according to cone-beam computed tomography (CBCT) image data. The morphologic parameters of TMJs were measured by the 2D CBCT measuring method (group A) and the 3D reconstruction model measuring method (group B), respectively...
2017: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29049202/mandibular-gorham-stout-disease-a-case-report-and-literature-review
#18
REVIEW
Min Liu, Weiwei Liu, Chunyan Qiao, Bing Han
RATIONALE: Gorham-Stout disease (GSD) is characterized by aggressive bone resorption, proliferation of vascular or lymphatic vessels, and soft-tissue swelling. Bones that initially appear normal start to resorb, partially or completely. However, the etiology of GSD is unknown. PATIENT CONCERNS: A 29-year-old man with a chief complaint of toothache and mobility in the lower right mandible for the previous 1 year. DIAGNOSES: Gorham-Stout disease (GSD)...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29033209/a-worldwide-comparison-of-the-management-of-t1-and-t2-anterior-floor-of-the-mouth-and-tongue-squamous-cell-carcinoma-extent-of-surgical-resection-and-reconstructive-measures
#19
Katinka Kansy, Andreas Albert Mueller, Thomas Mücke, Friederike Koersgen, Klaus Dietrich Wolff, Hans-Florian Zeilhofer, Frank Hölzle, Winnie Pradel, Matthias Schneider, Andreas Kolk, Ralf Smeets, Julio Acero, Piet Haers, G E Ghali, Jürgen Hoffmann
INTRODUCTION: Microvascular surgery following tumor resection has become an important field of oral maxillofacial surgery (OMFS). Following the results on general aspects of current reconstructive practice in German-speaking countries, Europe and worldwide, this paper presents specific concepts for the management of resection and reconstruction of T1/T2 squamous cell carcinoma (SCC) of the anterior floor of the mouth and tongue. METHODS: The DOESAK questionnaire was distributed in three different phases to a growing number of maxillofacial units worldwide...
September 21, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29023618/reconstruction-of-atrophied-posterior-mandible-with-an-inlay-technique-and-allograft-block-technical-description-and-histologic-case-reports
#20
Vittorio Checchi, Annalisa Mazzoni, Giovanni Zucchelli, Lorenzo Breschi, Pietro Felice
This paper presents a technical description of the inlay technique performed with an allograft block in the reconstruction of a severely atrophic posterior mandible. It includes a histologic case series of five patients treated with the same grafting procedure and rehabilitated with dental implants 2 months after placement of the graft. The histologic analysis showed large amounts of newly formed bone in tight connection with the allograft and large marrow spaces with intense cellular activity and the presence of osteocytes...
November 2017: International Journal of Periodontics & Restorative Dentistry
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