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MAKSİLLOFASİYAL CERRAHİDE CAD/CAM SİSTEMLERİNİN KULLANIMI

Year 2017, Volume: 3 Issue: 1, 43 - 52, 01.04.2017

Onur Ademhan Can Tükel Sercan Küçükkurt

Abstract

“Computer-Aided Manufacturing” (CAD/CAM), bilgisayar-destekli tasarım ve bilgisayar-destekli üretim anlamına gelen terimlerden oluşmaktadır. CAD/CAM teknolojisi tıp ve diş hekimliği alanında kullanılan en güncel yöntemler arasında yer almaktadırlar. Kullanım alanları oldukça geniş olan bu sistemler, diş hekimleri tarafından protetik tedavi alanında yaygın olarak kullanılmakla beraber, son yıllarda oral ve maksillofasiyal cerrahlar tarafından da yaygın olarak kullanılmaya başlanmıştır. Teknolojinin ilerlemesi ile birlikte kullanım alanları da her geçen gün genişlemektedir. Maksillofasiyal cerrahide teşhisten, planlamaya cerrahi rehberden, tedaviye varan birçok alanda hızla bu sistemden yararlanılması giderek artmaktadır. Rapor edilen çalışmalarda CAD/CAM sistemlerinden yararlanılmasının işlem başarısını arttırdığı gibi işlem süresini kısalttığı ve karmaşık operasyonları daha basit işlemlere dönüştürebildiği bildirilmektedir. En büyük dezavantajlarından biri olarak kabul edilen yüksek maliyetleri ise teknolojide yaşanan gelişmeler sayesinde giderek daha ulaşılabilir seviyelere gelmektedir. Bu derlemede CAD/CAM sistemlerinin maksillofasiyal cerrahi alanında güncel kullanım alanlarının incelenmesi amaçlanmaktadır

Keywords

Maksillofasiyal Cerrahi Ortognatik Cerrahi Dental Implant Cerrahisi Cerrahi Rehber CAD/ CAM

References

  • [1] Steinbacher DM. Three-Dimensional Analysis and Surgical Planning in Craniomaxillofacial Surgery. J Oral Maxillofac Surg. 2015;73:S40-56.
  • [2] Hassfeld S, Muhling J. Computer assisted oral and maxillofacial surgery--a review and an assessment of technology. Int J Oral Maxillofac Surg. 2001;30:2-13.
  • [3] Gotz C, Warnke PH, Kolk A. Current and future options of regeneration methods and reconstructive surgery of the facial skeleton. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120:315-23.
  • [4] Levine JP, Patel A, Saadeh PB, Hirsch DL. Computer-aided design and manufacturing in craniomaxillofacial surgery: the new state of the art. J Craniofac Surg. 2012;23:288-93.
  • [5] Robiony M, Salvo I, Costa F, Zerman N, Bandera C, Filippi S, et al. Accuracy of virtual reality and stereolithographic models in maxillo-facial surgical planning. J Craniofac Surg. 2008;19:482-9.
  • [6] Troulis MJ, Everett P, Seldin EB, Kikinis R, Kaban LB. Development of a three-dimensional treatment planning system based on computed tomographic data. Int J Oral Maxillofac Surg. 2002;31:349-57.
  • [7] Bell RB. Computer planning and intraoperative navigation in craniomaxillofacial surgery. Oral Maxillofac Surg Clin North Am. 2010;22:135-56.
  • [8] D’Urso PS, Barker TM, Earwaker WJ, Bruce LJ, Atkinson RL, Lanigan MW, et al. Stereolithographic biomodelling in cranio-maxillofacial surgery: a prospective trial. J Craniomaxillofac Surg. 1999;27:30-7.
  • [9] Sinn DP, Cillo JE, Jr., Miles BA. Stereolithography for craniofacial surgery. J Craniofac Surg. 2006;17:869-75.
  • [10] Marro A, Bandukwala T, Mak W. ThreeDimensional Printing and Medical Imaging: A Review of the Methods and Applications. Curr Probl Diagn Radiol. 2016;45:2-9.
  • [11] Vale F, Scherzberg J, Cavaleiro J, Sanz D, Caramelo F, Malo L, et al. 3D virtual planning in orthognathic surgery and CAD/CAM surgical splints generation in one patient with craniofacial microsomia: a case report. Dental Press J Orthod. 2016;21:89-100.
  • [12] Noh K, Pae A, Lee JW, Kwon YD. Fabricating a tooth- and implant-supported maxillary obturator for a patient after maxillectomy with computer-guided surgery and CAD/CAM technology: A clinical report. J Prosthet Dent. 2016;115:637-42.
  • [13] Widmann G, Fischer B, Berggren JP, Dennhardt A, Schullian P, Reto B, et al. Cone Beam Computed Tomography vs Multislice Computed Tomography in ComputerAided Design/Computer-Assisted Manufacture Guided Implant Surgery Based on Three-Dimensional Optical Scanning and Stereolithographic Guides: Does Image Modality Matter? Int J Oral Maxillofac Implants. 2016;31:527-33.
  • [14] Cassetta M, Giansanti M, Di Mambro A, Calasso S, Barbato E. Minimally invasive corticotomy in orthodontics using a threedimensional printed CAD/CAM surgical guide. Int J Oral Maxillofac Surg. 2016;45:1059-64.
  • [15] Tarsitano A, Battaglia S, Ciocca L, Scotti R, Cipriani R, Marchetti C. Surgical reconstruction of maxillary defects using a computer-assisted design/computer-assisted manufacturing-produced titanium mesh supporting a free flap. J Craniomaxillofac Surg. 2016;44:1320-6.
  • [16] Pettersson A, Kero T, Soderberg R, Nasstrom K. Accuracy of virtually planned and CAD/ CAM-guided implant surgery on plastic models. J Prosthet Dent. 2014;112:1472-8.
  • [17] Tahmaseb A, De Clerck R, Wismeijer D. Computer-guided implant placement: 3D planning software, fixed intraoral reference points, and CAD/CAM technology. A case report. Int J Oral Maxillofac Implants. 2009;24:541-6.
  • [18] Scolozzi P. Computer-aided design and computer-aided modeling (CAD/CAM) generated surgical splints, cutting guides and custom-made implants: Which indications in orthognathic surgery? Rev Stomatol Chir Maxillofac Chir Orale. 2015;116:343-9.
  • [19] Kattadiyil MT, Parciak E, Puri S, Scherer MD. CAD/CAM guided surgery in implant dentistry: a brief review. Alpha Omegan. 2014;107:26-31.
  • [20] Vercruyssen M, Fortin T, Widmann G, Jacobs R, Quirynen M. Different techniques of static/dynamic guided implant surgery: modalities and indications. Periodontol 2000. 2014;66:214-27.
  • [21] D’Souza KM, Aras MA. Types of implant surgical guides in dentistry: a review. J Oral Implantol. 2012;38:643-52.
  • [22] Casap N, Tarazi E, Wexler A, Sonnenfeld U, Lustmann J. Intraoperative computerized navigation for flapless implant surgery and immediate loading in the edentulous mandible. Int J Oral Maxillofac Implants. 2005;20:92-8.
  • [23] Chen Y, Niu F, Yu B, Liu J, Wang M, Gui L. Three-dimensional preoperative design of distraction osteogenesis for hemifacial microsomia. J Craniofac Surg. 2014;25:184-8.
  • [24] Sun H, Li B, Zhao Z, Zhang L, Shen SG, Wang X. Error analysis of a CAD/CAM method for unidirectional mandibular distraction osteogenesis in the treatment of hemifacial microsomia. Br J Oral Maxillofac Surg. 2013;51:892-7.
  • [25] Mattick CR. Osteogenic distraction within the craniofacial complex. Dent Update. 2000;27:426-31.
  • [26] Van Strijen PJ, Perdijk FB, Becking AG, Breuning KH. Distraction osteogenesis for mandibular advancement. Int J Oral Maxillofac Surg. 2000;29:81-5.
  • [27] Herford AS, Stringer DE, Tandon R. Mandibular surgery: technologic and technical improvements. Oral Maxillofac Surg Clin North Am. 2014;26:487-521.
  • [28] Agrawal JM, Agrawal MS, Nanjannawar LG, Parushetti AD. CBCT in orthodontics: the wave of future. J Contemp Dent Pract. 2013;14:153-7.
  • [29] Aboul-Hosn Centenero S, HernandezAlfaro F. 3D planning in orthognathic surgery: CAD/CAM surgical splints and prediction of the soft and hard tissues results - our experience in 16 cases. J Craniomaxillofac Surg. 2012;40:162-8.
  • [30] Mavili ME, Canter HI, Saglam-Aydinatay B, Kamaci S, Kocadereli I. Use of three-dimensional medical modeling methods for precise planning of orthognathic surgery. J Craniofac Surg. 2007;18:740-7.
  • [31] Sumida T, Otawa N, Kamata YU, Kamakura S, Mtsushita T, Kitagaki H, et al. Custom-made titanium devices as membranes for bone augmentation in implant treatment: Clinical application and the comparison with conventional titanium mesh. J Craniomaxillofac Surg. 2015;43:2183-8.
  • [32] Vera C, Barrero C, Shockley W, Rothenberger S, Minsley G, Drago C. Prosthetic reconstruction of a patient with an acquired nasal defect using extraoral implants and a CAD/CAM copymilled bar. J Prosthodont. 2014;23:582-7.
  • [33] Frodel JL, Jr. Computer-designed implants for fronto-orbital defect reconstruction. Facial Plast Surg. 2008;24:22-34.
  • [34] De Stavola L, Fincato A, Albiero AM. A computer-guided bone block harvesting procedure: a proof-of-principle case report and technical notes. Int J Oral Maxillofac Implants. 2015;30:1409-13.
  • [35] Yu Y, Zhang WB, Liu XJ, Guo CB, Yu GY, Peng X. Three-Dimensional Accuracy of Virtual Planning and Surgical Navigation for Mandibular Reconstruction With Free Fibula Flap. J Oral Maxillofac Surg. 2016;74:1503 e1- e10.
  • [36] Nkenke E, Agaimy A, Vairaktaris E, Lell M, von Wilmowsky C, Eitner S. Case History Report: Immediate Rehabilitation with a Prefabricated Fibula Flap Following Removal of a Locally Aggressive Maxillary Tumor. Int J Prosthodont. 2016;29:53-8.
  • [37] Haq J, Patel N, Weimer K, Matthews NS. Single stage treatment of ankylosis of the temporomandibular joint using patient-specific total joint replacement and virtual surgical planning. Br J Oral Maxillofac Surg. 2014;52:350-5.
  • [38] Wang G, Li J, Khadka A, Hsu Y, Li W, Hu J. CAD/CAM and rapid prototyped titanium for reconstruction of ramus defect and condylar fracture caused by mandibular reduction. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;113:356-61.
  • [39] Zhang S, Liu X, Xu Y, Yang C, Undt G, Chen M, et al. Application of rapid prototyping for temporomandibular joint reconstruction. J Oral Maxillofac Surg. 2011;69:432-8.

Year 2017, Volume: 3 Issue: 1, 43 - 52, 01.04.2017

Onur Ademhan Can Tükel Sercan Küçükkurt

Abstract

The abbreviation “CAD/CAM” stands for Computer-Aided Design and Computer-Aided Manufacturing. CAD/CAM technology is among the most contemporary methods used in both medicine and dentistry. These systems are already widely used in the prosthetic dentistry for a long time and have been widely used by oral and maxillofacial surgeons in recent years. Along with the progress of technology, its usage are expanding day by day. In maxillofacial surgery, it is becoming increasingly possible to use CAD/CAM systems from diagnosis to preoperative planning, to surgical guidance to defect reconstruction. It has been reported that the use of CAD/CAM systems not only increases the success of operations but also shorten the operation time and make complex operations simpler. Besides higher costs, one of the biggest disadvantages, are increasingly getting cheaper through rapid technological developments and makes these systems more accessible. In this review, it is aimed to investigate current usage areas of CAD/CAM systems in maxillofacial surgery

Keywords

Maxillofacial Surgery Orthognathic Surgery Dental Implant Surgery Surgical Guide CAD / CAM

References

  • [1] Steinbacher DM. Three-Dimensional Analysis and Surgical Planning in Craniomaxillofacial Surgery. J Oral Maxillofac Surg. 2015;73:S40-56.
  • [2] Hassfeld S, Muhling J. Computer assisted oral and maxillofacial surgery--a review and an assessment of technology. Int J Oral Maxillofac Surg. 2001;30:2-13.
  • [3] Gotz C, Warnke PH, Kolk A. Current and future options of regeneration methods and reconstructive surgery of the facial skeleton. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120:315-23.
  • [4] Levine JP, Patel A, Saadeh PB, Hirsch DL. Computer-aided design and manufacturing in craniomaxillofacial surgery: the new state of the art. J Craniofac Surg. 2012;23:288-93.
  • [5] Robiony M, Salvo I, Costa F, Zerman N, Bandera C, Filippi S, et al. Accuracy of virtual reality and stereolithographic models in maxillo-facial surgical planning. J Craniofac Surg. 2008;19:482-9.
  • [6] Troulis MJ, Everett P, Seldin EB, Kikinis R, Kaban LB. Development of a three-dimensional treatment planning system based on computed tomographic data. Int J Oral Maxillofac Surg. 2002;31:349-57.
  • [7] Bell RB. Computer planning and intraoperative navigation in craniomaxillofacial surgery. Oral Maxillofac Surg Clin North Am. 2010;22:135-56.
  • [8] D’Urso PS, Barker TM, Earwaker WJ, Bruce LJ, Atkinson RL, Lanigan MW, et al. Stereolithographic biomodelling in cranio-maxillofacial surgery: a prospective trial. J Craniomaxillofac Surg. 1999;27:30-7.
  • [9] Sinn DP, Cillo JE, Jr., Miles BA. Stereolithography for craniofacial surgery. J Craniofac Surg. 2006;17:869-75.
  • [10] Marro A, Bandukwala T, Mak W. ThreeDimensional Printing and Medical Imaging: A Review of the Methods and Applications. Curr Probl Diagn Radiol. 2016;45:2-9.
  • [11] Vale F, Scherzberg J, Cavaleiro J, Sanz D, Caramelo F, Malo L, et al. 3D virtual planning in orthognathic surgery and CAD/CAM surgical splints generation in one patient with craniofacial microsomia: a case report. Dental Press J Orthod. 2016;21:89-100.
  • [12] Noh K, Pae A, Lee JW, Kwon YD. Fabricating a tooth- and implant-supported maxillary obturator for a patient after maxillectomy with computer-guided surgery and CAD/CAM technology: A clinical report. J Prosthet Dent. 2016;115:637-42.
  • [13] Widmann G, Fischer B, Berggren JP, Dennhardt A, Schullian P, Reto B, et al. Cone Beam Computed Tomography vs Multislice Computed Tomography in ComputerAided Design/Computer-Assisted Manufacture Guided Implant Surgery Based on Three-Dimensional Optical Scanning and Stereolithographic Guides: Does Image Modality Matter? Int J Oral Maxillofac Implants. 2016;31:527-33.
  • [14] Cassetta M, Giansanti M, Di Mambro A, Calasso S, Barbato E. Minimally invasive corticotomy in orthodontics using a threedimensional printed CAD/CAM surgical guide. Int J Oral Maxillofac Surg. 2016;45:1059-64.
  • [15] Tarsitano A, Battaglia S, Ciocca L, Scotti R, Cipriani R, Marchetti C. Surgical reconstruction of maxillary defects using a computer-assisted design/computer-assisted manufacturing-produced titanium mesh supporting a free flap. J Craniomaxillofac Surg. 2016;44:1320-6.
  • [16] Pettersson A, Kero T, Soderberg R, Nasstrom K. Accuracy of virtually planned and CAD/ CAM-guided implant surgery on plastic models. J Prosthet Dent. 2014;112:1472-8.
  • [17] Tahmaseb A, De Clerck R, Wismeijer D. Computer-guided implant placement: 3D planning software, fixed intraoral reference points, and CAD/CAM technology. A case report. Int J Oral Maxillofac Implants. 2009;24:541-6.
  • [18] Scolozzi P. Computer-aided design and computer-aided modeling (CAD/CAM) generated surgical splints, cutting guides and custom-made implants: Which indications in orthognathic surgery? Rev Stomatol Chir Maxillofac Chir Orale. 2015;116:343-9.
  • [19] Kattadiyil MT, Parciak E, Puri S, Scherer MD. CAD/CAM guided surgery in implant dentistry: a brief review. Alpha Omegan. 2014;107:26-31.
  • [20] Vercruyssen M, Fortin T, Widmann G, Jacobs R, Quirynen M. Different techniques of static/dynamic guided implant surgery: modalities and indications. Periodontol 2000. 2014;66:214-27.
  • [21] D’Souza KM, Aras MA. Types of implant surgical guides in dentistry: a review. J Oral Implantol. 2012;38:643-52.
  • [22] Casap N, Tarazi E, Wexler A, Sonnenfeld U, Lustmann J. Intraoperative computerized navigation for flapless implant surgery and immediate loading in the edentulous mandible. Int J Oral Maxillofac Implants. 2005;20:92-8.
  • [23] Chen Y, Niu F, Yu B, Liu J, Wang M, Gui L. Three-dimensional preoperative design of distraction osteogenesis for hemifacial microsomia. J Craniofac Surg. 2014;25:184-8.
  • [24] Sun H, Li B, Zhao Z, Zhang L, Shen SG, Wang X. Error analysis of a CAD/CAM method for unidirectional mandibular distraction osteogenesis in the treatment of hemifacial microsomia. Br J Oral Maxillofac Surg. 2013;51:892-7.
  • [25] Mattick CR. Osteogenic distraction within the craniofacial complex. Dent Update. 2000;27:426-31.
  • [26] Van Strijen PJ, Perdijk FB, Becking AG, Breuning KH. Distraction osteogenesis for mandibular advancement. Int J Oral Maxillofac Surg. 2000;29:81-5.
  • [27] Herford AS, Stringer DE, Tandon R. Mandibular surgery: technologic and technical improvements. Oral Maxillofac Surg Clin North Am. 2014;26:487-521.
  • [28] Agrawal JM, Agrawal MS, Nanjannawar LG, Parushetti AD. CBCT in orthodontics: the wave of future. J Contemp Dent Pract. 2013;14:153-7.
  • [29] Aboul-Hosn Centenero S, HernandezAlfaro F. 3D planning in orthognathic surgery: CAD/CAM surgical splints and prediction of the soft and hard tissues results - our experience in 16 cases. J Craniomaxillofac Surg. 2012;40:162-8.
  • [30] Mavili ME, Canter HI, Saglam-Aydinatay B, Kamaci S, Kocadereli I. Use of three-dimensional medical modeling methods for precise planning of orthognathic surgery. J Craniofac Surg. 2007;18:740-7.
  • [31] Sumida T, Otawa N, Kamata YU, Kamakura S, Mtsushita T, Kitagaki H, et al. Custom-made titanium devices as membranes for bone augmentation in implant treatment: Clinical application and the comparison with conventional titanium mesh. J Craniomaxillofac Surg. 2015;43:2183-8.
  • [32] Vera C, Barrero C, Shockley W, Rothenberger S, Minsley G, Drago C. Prosthetic reconstruction of a patient with an acquired nasal defect using extraoral implants and a CAD/CAM copymilled bar. J Prosthodont. 2014;23:582-7.
  • [33] Frodel JL, Jr. Computer-designed implants for fronto-orbital defect reconstruction. Facial Plast Surg. 2008;24:22-34.
  • [34] De Stavola L, Fincato A, Albiero AM. A computer-guided bone block harvesting procedure: a proof-of-principle case report and technical notes. Int J Oral Maxillofac Implants. 2015;30:1409-13.
  • [35] Yu Y, Zhang WB, Liu XJ, Guo CB, Yu GY, Peng X. Three-Dimensional Accuracy of Virtual Planning and Surgical Navigation for Mandibular Reconstruction With Free Fibula Flap. J Oral Maxillofac Surg. 2016;74:1503 e1- e10.
  • [36] Nkenke E, Agaimy A, Vairaktaris E, Lell M, von Wilmowsky C, Eitner S. Case History Report: Immediate Rehabilitation with a Prefabricated Fibula Flap Following Removal of a Locally Aggressive Maxillary Tumor. Int J Prosthodont. 2016;29:53-8.
  • [37] Haq J, Patel N, Weimer K, Matthews NS. Single stage treatment of ankylosis of the temporomandibular joint using patient-specific total joint replacement and virtual surgical planning. Br J Oral Maxillofac Surg. 2014;52:350-5.
  • [38] Wang G, Li J, Khadka A, Hsu Y, Li W, Hu J. CAD/CAM and rapid prototyped titanium for reconstruction of ramus defect and condylar fracture caused by mandibular reduction. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;113:356-61.
  • [39] Zhang S, Liu X, Xu Y, Yang C, Undt G, Chen M, et al. Application of rapid prototyping for temporomandibular joint reconstruction. J Oral Maxillofac Surg. 2011;69:432-8.
There are 39 citations in total.

Details

Other ID JA55EJ49VR
Journal Section Review
Authors

Onur Ademhan This is me

Can Tükel This is me

Sercan Küçükkurt This is me

Publication Date April 1, 2017
Submission Date April 1, 2017
Published in Issue Year 2017 Volume: 3 Issue: 1

Cite

Vancouver Ademhan O, Tükel C, Küçükkurt S. MAKSİLLOFASİYAL CERRAHİDE CAD/CAM SİSTEMLERİNİN KULLANIMI. Aydin Dental Journal. 2017;3(1):43-52.

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