关键词: 3d-printed prosthesis bite splint dental malocclusion free vascularised fibular graft hemimandibulectomy mandibular deviation mandibular reconstruction masticatory ability radiotherapy (rt) squamous cell carcinoma (scc)

来  源:   DOI:10.7759/cureus.64120   PDF(Pubmed)

Abstract:
Mandibular continuity defects can result in varying degrees of cosmetic disfigurement. Restoration of form and function may require surgical reconstruction of the affected area. While surgical reconstruction may improve the overall prognostic outcomes for the patient, the definitive prosthetic phase can commence only after a substantial time lag for adequate hard/soft tissue healing. This interim phase often challenges the patient\'s masticatory ability. The traditional reconstruction of hemimandibulectomy defects has its own limitations. This case report describes the fabrication of a 3D-printed bite splint for a patient with limited mouth opening and significant malocclusion due to surgical over-correction. The prosthesis given served as an appliance to improve the masticatory ability of the patient.
摘要:
下颌连续性缺陷可导致不同程度的外观毁容。恢复形式和功能可能需要对受影响区域进行手术重建。虽然手术重建可以改善患者的整体预后结果,确定的假体阶段只能在足够的硬/软组织愈合的相当大的时间滞后后开始。这个过渡阶段经常挑战患者的咀嚼能力。传统的半骨切除缺损重建有其自身的局限性。该病例报告描述了3D打印咬合夹板的制造方法,该夹板适用于由于手术过度矫正而导致张口受限和严重错牙合的患者。给定的假体用作改善患者咀嚼能力的器具。
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