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使用3D打印模型辅助手术切除下颌前部罕见的与阻生牙相关的复合牙瘤。

Use of 3D printed model as an aid in surgical removal of a rare occurrence of a compound odontome in the anterior mandible associated with impacted teeth.

作者信息

De Souza Neil, Kamat Saurabh, Chalakkal Paul, Khandeparker Rakshit V

机构信息

MDS, Lecturer, Department of Pedodontics and Preventive Dentistry, Government Dental College and Hospital, Bambolim, Goa.

MDS, Lecturer, Department of Oral surgery, Government dental college, Bambo-lim Goa.

出版信息

J Clin Exp Dent. 2018 Jul 1;10(7):e721-e725. doi: 10.4317/jced.54654. eCollection 2018 Jul.

Abstract

The use of 3D printing in the medical field has been well documented, with significant developments in fabrication of tissues, organs, customized prosthetics, implants, and anatomical models as well as pharmaceutical research. Its use in dentistry, however has been limited mainly to maxillofacial surgery and reconstruction, orthognathic surgery and trauma. Compound odontomes are usually prevalent in the anterior maxilla, however, their occurrence in the anterior mandibular region is rare. This case report highlights the effective usage of 3D printing as an aid in the surgical removal of a compound odontome and impacted incisors in the mandibular anterior region. The surgery was carried out under general anesthesia. A full thickness muco-periosteal flap was reflected and the compound odontome along with the impacted incisors were removed. The defect was restored using a mixture of autogenous scrapes harvested from the chin, xenograft and platelet-rich fibrin. Wound closure was done using 4-0 vicryl. A CBCT scan taken 1 year later confirmed uneventful healing and complete bone regeneration of the surgical defect. 3D printing, model, compound odontome, impacted, incisors.

摘要

3D打印在医学领域的应用已有充分记载,在组织、器官制造、定制假肢、植入物、解剖模型以及药物研究方面都取得了重大进展。然而,其在牙科的应用主要局限于颌面外科手术与重建、正颌外科手术及创伤治疗。复合牙瘤通常在前上颌骨较为常见,不过,它们在下颌前部区域的出现较为罕见。本病例报告强调了3D打印在辅助手术切除下颌前部区域的复合牙瘤及阻生切牙方面的有效应用。手术在全身麻醉下进行。掀起全厚粘骨膜瓣,切除复合牙瘤及阻生切牙。使用从下巴采集的自体碎骨、异种移植物和富血小板纤维蛋白的混合物修复缺损。用4-0可吸收缝线进行伤口缝合。1年后进行的CBCT扫描证实手术缺损愈合良好且骨完全再生。3D打印、模型、复合牙瘤、阻生、切牙

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b326/6057080/cbead4369f31/jced-10-e721-g001.jpg

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