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Mandibular Reconstruction Modalities Using Virtual Surgical Planning and 3D Printing Technology: A Tertiary Care Centre Experience

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Abstract

Introduction

Mandibular reconstruction is often challenging. However, the revolution of computer-assisted design and computer-assisted manufacturing (CAD/CAM), virtual surgical planning (VSP) and 3D printing technology have changed this notion.

Patients and Methods

In this article, we have described six case scenarios where various aspects of VSP and 3D printing technology have been utilized for complex mandibular reconstruction procedures, to provide the patients with the best possible outcome in terms of form, function, and aesthetics.

Discussion

Virtual planning for tumour resection and fibula osteotomies and 3D printing of cutting guides and stereolith models have changed the face of mandibular reconstruction techniques. Increased accuracy, rehabilitation of normal anatomical configuration, appropriate dental rehabilitation, decreased intra-operative time and post-operative complications are some of the advantages. In addition, patient-specific implants eliminate the need for a separate donor site. 3D printed titanium cribs or meshes not only provide robustness, but also incorporates additional features that enable bone graft placement and excellent dental rehabilitation.

Conclusion

These modalities show promising results for reconstruction of complex mandibular defects.

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Acknowledgements

We thank Osteo3DTM for helping us with virtual surgical planning and providing stereolith models. We thank CTARS – (Center for Technology Assisted Reconstructive Surgery) and Zimmer Biomet for printing the Patient Specific Implants. 

Funding

The authors did not receive support from any organization for the submitted work.

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India

    Adarsh Kudva, Mehul Saha, G. Srikanth & S. M. Abhijith

  2. Department of Plastic Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India

    Joseph Thomas

  3. KMC Hospitals, Manipal Health Enterprises, Ambedkar Circle, Mangalore, India

    Abhay T. Kamath

Authors
  1. Adarsh Kudva
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  2. Joseph Thomas
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  3. Mehul Saha
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  4. G. Srikanth
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  5. Abhay T. Kamath
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  6. S. M. Abhijith
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Contributions

All authors contributed to the study conception and design. Surgical procedures and material preparation were performed by AK, JT, GS, and ATK. The first draft of the manuscript was written by MS, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Mehul Saha.

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The authors have no competing interests to declare that are relevant to the content of this article.

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Informed consent was obtained from all individual participants included in the article.

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Kudva, A., Thomas, J., Saha, M. et al. Mandibular Reconstruction Modalities Using Virtual Surgical Planning and 3D Printing Technology: A Tertiary Care Centre Experience. J. Maxillofac. Oral Surg. (2024). https://doi.org/10.1007/s12663-024-02112-9

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