• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

使用增材制造生产的钛种植体，在自体移植物中进行数字化种植体支持修复计划。

Digital Implant-Supported Restoration Planning Placed in Autologous Graft Using Titanium Implants Produced by Additive Manufacturing.

作者信息

Louro Rafael Seabra, Moraschini Vittorio, Melhem-Elias Fernando, Sturzinger George Patrick Sotero, Amad Renata Augusto, Shibli Jamil A

机构信息

Department of Oral Surgery, School of Dentistry, Fluminense Federal University, Niterói 24020-140, Brazil.

Department of Oral and Maxillofacial Surgery, School of Dentistry of the University of São Paulo, São Paulo 05508-000, Brazil.

出版信息

Dent J (Basel). 2024 Jun 24;12(7):192. doi: 10.3390/dj12070192.

DOI:10.3390/dj12070192
PMID:39056980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11276212/
Abstract

This clinical report presents a technique to reconstruct extensively resected mandibles using a combination of autologous bone grafts and additive manufacturing techniques. Mandibular defects, often arising from trauma, tumors, or congenital anomalies, can severely impact both function and aesthetics. Conventional reconstruction methods have their limitations, often resulting in suboptimal outcomes. In these reports, we detail clinical cases where patients with different mandibular defects underwent reconstructive surgery. In each instance, autologous grafts were harvested to ensure the restoration of native bone tissue, while advanced virtual planning techniques were employed for precise graft design and dental implant placement. The patients experienced substantial improvements in masticatory function, speech, and facial aesthetics. Utilizing autologous grafts minimized the risk of rejection and complications associated with foreign materials. The integration of virtual planning precision allowed customized solutions, reducing surgical duration and optimizing implant positioning. These 2 cases underscores the potential of combining autologous grafts with virtual planning precision and dental implants produced by additive manufacturing for mandible reconstruction.

摘要

本临床报告介绍了一种使用自体骨移植和增材制造技术相结合来重建广泛切除下颌骨的技术。下颌骨缺损通常由创伤、肿瘤或先天性异常引起，会严重影响功能和美观。传统的重建方法有其局限性，往往导致不理想的结果。在这些报告中，我们详细介绍了不同下颌骨缺损患者接受重建手术的临床病例。在每个病例中，均采集自体移植物以确保恢复天然骨组织，同时采用先进的虚拟规划技术进行精确的移植物设计和牙种植体植入。患者在咀嚼功能、言语和面部美观方面有了显著改善。使用自体移植物可将与异物相关的排斥反应和并发症风险降至最低。虚拟规划精度的整合实现了定制化解决方案，缩短了手术时间并优化了种植体定位。这2例病例凸显了将自体移植物与虚拟规划精度以及增材制造生产的牙种植体相结合用于下颌骨重建的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/33220bea4a93/dentistry-12-00192-g021.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/aadbf931ddc9/dentistry-12-00192-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/00bec99cde4d/dentistry-12-00192-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/7b2ce40194b4/dentistry-12-00192-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/5835f268b6db/dentistry-12-00192-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/156bced20834/dentistry-12-00192-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/24f8fa0e5474/dentistry-12-00192-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/73bad36bb59c/dentistry-12-00192-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/e1acac190d01/dentistry-12-00192-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/5c9af9ee17d0/dentistry-12-00192-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/e3c14e31d890/dentistry-12-00192-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/02af3ea7db15/dentistry-12-00192-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/d21be0493f94/dentistry-12-00192-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/6e5e782ef3e1/dentistry-12-00192-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/d78ddcc64875/dentistry-12-00192-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/2ebc5a299140/dentistry-12-00192-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/93f2efc6b902/dentistry-12-00192-g016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/7c0e7a47bcd3/dentistry-12-00192-g017.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/91b04a61648b/dentistry-12-00192-g018.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/a7684d953b4b/dentistry-12-00192-g019.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/7fbfbd369d7b/dentistry-12-00192-g020.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/33220bea4a93/dentistry-12-00192-g021.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/aadbf931ddc9/dentistry-12-00192-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/00bec99cde4d/dentistry-12-00192-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/7b2ce40194b4/dentistry-12-00192-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/5835f268b6db/dentistry-12-00192-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/156bced20834/dentistry-12-00192-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/24f8fa0e5474/dentistry-12-00192-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/73bad36bb59c/dentistry-12-00192-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/e1acac190d01/dentistry-12-00192-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/5c9af9ee17d0/dentistry-12-00192-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/e3c14e31d890/dentistry-12-00192-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/02af3ea7db15/dentistry-12-00192-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/d21be0493f94/dentistry-12-00192-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/6e5e782ef3e1/dentistry-12-00192-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/d78ddcc64875/dentistry-12-00192-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/2ebc5a299140/dentistry-12-00192-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/93f2efc6b902/dentistry-12-00192-g016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/7c0e7a47bcd3/dentistry-12-00192-g017.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/91b04a61648b/dentistry-12-00192-g018.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/a7684d953b4b/dentistry-12-00192-g019.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/7fbfbd369d7b/dentistry-12-00192-g020.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/11276212/33220bea4a93/dentistry-12-00192-g021.jpg

相似文献

1
Digital Implant-Supported Restoration Planning Placed in Autologous Graft Using Titanium Implants Produced by Additive Manufacturing.使用增材制造生产的钛种植体，在自体移植物中进行数字化种植体支持修复计划。
Dent J (Basel). 2024 Jun 24;12(7):192. doi: 10.3390/dj12070192.
2
Mandibular Reconstruction With Fibula Flap and Dental Implants Through Virtual Surgical Planning and Three Different Techniques: Double-Barrel Flap, Implant Dynamic Navigation and CAD/CAM Mesh With Iliac Crest Graft.通过虚拟手术规划和三种不同技术进行腓骨瓣和牙种植体下颌骨重建：双筒瓣、种植体动态导航以及带髂嵴移植的CAD/CAM网片。
Front Oncol. 2021 Oct 5;11:719712. doi: 10.3389/fonc.2021.719712. eCollection 2021.
3
Clinical results of autologous bone augmentation harvested from the mandibular ramus prior to implant placement. An analysis of 104 cases.种植体植入前取自下颌升支的自体骨增量的临床结果。104例分析。
GMS Interdiscip Plast Reconstr Surg DGPW. 2016 Oct 6;5:Doc21. doi: 10.3205/iprs000100. eCollection 2016.
4
Autologous Ilium Grafts: Long-Term Results on Immediate or Staged Functional Rehabilitation of Mandibular Segmental Defects Using Dental Implants after Tumor Resection.自体髂骨移植：肿瘤切除后使用牙种植体对下颌骨节段性缺损进行即刻或分期功能康复的长期结果。
Clin Implant Dent Relat Res. 2015 Aug;17(4):779-89. doi: 10.1111/cid.12169. Epub 2013 Oct 31.
5
Staged reconstruction of the severely atrophic mandible with autogenous bone graft and endosteal implants.采用自体骨移植和骨内种植体对严重萎缩的下颌骨进行分期重建。
J Oral Maxillofac Surg. 2002 Oct;60(10):1135-41. doi: 10.1053/joms.2002.34986.
6
Patient Specific Three-Dimensional Implant for Reconstruction of Complex Mandibular Defect.用于复杂下颌骨缺损重建的个体化三维植入物。
J Craniofac Surg. 2019 Jun;30(4):e308-e311. doi: 10.1097/SCS.0000000000005228.
7
Autogenous bone grafts in oral implantology-is it still a "gold standard"? A consecutive review of 279 patients with 456 clinical procedures.口腔种植学中的自体骨移植——它仍是“金标准”吗？对279例患者进行456项临床手术的连续回顾。
Int J Implant Dent. 2017 Dec;3(1):23. doi: 10.1186/s40729-017-0084-4. Epub 2017 Jun 1.
8
Application of additive manufacturing in customized titanium mandibular implants for patients with oral tumors.增材制造在口腔肿瘤患者定制钛下颌骨植入物中的应用。
Oncol Lett. 2020 Oct;20(4):51. doi: 10.3892/ol.2020.11912. Epub 2020 Jul 27.
9
[Present conception and future of implants in Japanese oral and maxillofacial surgery].[日本口腔颌面外科学中种植体的现状与未来]
Shigaku. 1989 Oct;77(SPEC):1257-66.
10
Imaging, virtual planning, design, and production of patient-specific implants and clinical validation in craniomaxillofacial surgery.颅颌面外科中患者特异性植入物的成像、虚拟规划、设计、生产及临床验证。
Craniomaxillofac Trauma Reconstr. 2012 Sep;5(3):137-44. doi: 10.1055/s-0032-1313357.

引用本文的文献

1
Immediate Loading Full-Arch 3D-Printed Implant-Supported Fixed Rehabilitation: A Case Report with 24-Month Follow-Up.即刻负载全口 3D 打印种植体支持式固定修复：24 个月随访的病例报告。
Medicina (Kaunas). 2024 Oct 2;60(10):1614. doi: 10.3390/medicina60101614.

本文引用的文献

1
Long-term survival and success rate of dental implants placed in reconstructed areas with extraoral autogenous bone grafts: A systematic review and meta-analysis.口腔外源性自体骨移植重建区植入种植体的长期存活率和成功率：系统评价和荟萃分析。
2
Autologous double barrel vascularized fibular bone graft for reconstruction after hemi resection of mandible due to ameloblastoma: Surgical case report.自体双蒂带血管腓骨骨移植用于成釉细胞瘤致下颌骨半切除术后重建：手术病例报告
Int J Surg Case Rep. 2023 Nov;112:108920. doi: 10.1016/j.ijscr.2023.108920. Epub 2023 Oct 5.
3
Bone Grafts in Dental Medicine: An Overview of Autografts, Allografts and Synthetic Materials.
牙科医学中的骨移植：自体移植、异体移植和合成材料概述
Materials (Basel). 2023 May 31;16(11):4117. doi: 10.3390/ma16114117.
4
Sequential osseointegration of a novel implant system based on 3D printing in comparison with conventional titanium implants.新型基于 3D 打印的种植体系统与传统钛种植体的序贯骨整合比较。
Clin Oral Implants Res. 2023 Jun;34(6):627-638. doi: 10.1111/clr.14072. Epub 2023 Apr 21.
5
Approach for Mandibular Reconstruction Using Vascularized Free Fibula Flap: A Review of the Literature.使用带血管游离腓骨瓣进行下颌骨重建的方法：文献综述
Cureus. 2022 Oct 11;14(10):e30161. doi: 10.7759/cureus.30161. eCollection 2022 Oct.
6
Current Trends in the Reconstruction and Rehabilitation of Jaw following Ablative Surgery.颌骨切除术后重建与康复的当前趋势
Cancers (Basel). 2022 Jul 7;14(14):3308. doi: 10.3390/cancers14143308.
7
3D Printing and Virtual Surgical Planning in Oral and Maxillofacial Surgery.口腔颌面外科中的3D打印与虚拟手术规划
J Clin Med. 2022 Apr 24;11(9):2385. doi: 10.3390/jcm11092385.
8
Oral health-related quality of life of patients rehabilitated with fixed and removable implant-supported dental prostheses.固定和可摘种植体支持式义齿修复患者的口腔健康相关生活质量。
Periodontol 2000. 2022 Feb;88(1):201-237. doi: 10.1111/prd.12419.
9
Virtual Surgical Planning for Oncologic Mandibular and Maxillary Reconstruction.肿瘤性下颌骨和上颌骨重建的虚拟手术规划
Plast Reconstr Surg Glob Open. 2021 Sep 17;9(9):e3672. doi: 10.1097/GOX.0000000000003672. eCollection 2021 Sep.
10
Interaction between Different Implant Surfaces and Liquid Fibrinogen: A Pilot In Vitro Experiment.不同种植体表面与液体纤维蛋白原的相互作用：一项初步的体外实验。
Biomed Res Int. 2021 Jul 5;2021:9996071. doi: 10.1155/2021/9996071. eCollection 2021.