Custom-Made Computer-Aided-Design/Computer-Aided-Manufacturing Biphasic Calcium-Phosphate Scaffold for Augmentation of an Atrophic Mandibular Anterior Ridge
Identifieur interne : 001273 ( Main/Exploration ); précédent : 001272; suivant : 001274Custom-Made Computer-Aided-Design/Computer-Aided-Manufacturing Biphasic Calcium-Phosphate Scaffold for Augmentation of an Atrophic Mandibular Anterior Ridge
Auteurs : Francesco Guido Mangano [Italie] ; Piero Antonio Zecca [Italie] ; Ric Van Noort [Royaume-Uni] ; Samvel Apresyan [Russie] ; Giovanna Iezzi [Italie] ; Adriano Piattelli [Italie] ; Aldo Macchi [Italie] ; Carlo Mangano [Italie]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2015.
Abstract
This report documents the clinical, radiographic, and histologic outcome of a custom-made computer-aided-design/computer-aided-manufactured (CAD/CAM) scaffold used for the alveolar ridge augmentation of a severely atrophic anterior mandible. Computed tomographic (CT) images of an atrophic anterior mandible were acquired and modified into a 3-dimensional (3D) reconstruction model; this was transferred to a CAD program, where a custom-made scaffold was designed. CAM software generated a set of tool-paths for the manufacture of the scaffold on a computer-numerical-control milling machine into the exact shape of the 3D design. A custom-made scaffold was milled from a synthetic micromacroporous biphasic calcium phosphate (BCP) block. The scaffold closely matched the shape of the defect: this helped to reduce the time for the surgery and contributed to good healing. One year later, newly formed and well-integrated bone was clinically available, and two implants (AnyRidge, MegaGen, Gyeongbuk, South Korea) were placed. The histologic samples retrieved from the implant sites revealed compact mature bone undergoing remodelling, marrow spaces, and newly formed trabecular bone surrounded by residual BCP particles. This study demonstrates that custom-made scaffolds can be fabricated by combining CT scans and CAD/CAM techniques. Further studies on a larger sample of patients are needed to confirm these results.
Url:
DOI: 10.1155/2015/941265
PubMed: 26064701
PubMed Central: 4442008
Affiliations:
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Ridge</title><author><name sortKey="Mangano, Francesco Guido" sort="Mangano, Francesco Guido" uniqKey="Mangano F" first="Francesco Guido" last="Mangano">Francesco Guido Mangano</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical and Morphological Science, Dental School, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical and Morphological Science, Dental School, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese</wicri:regionArea><wicri:noRegion>21100 Varese</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">ITEB Research Centre, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>ITEB Research Centre, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese</wicri:regionArea><wicri:noRegion>21100 Varese</wicri:noRegion></affiliation></author><author><name sortKey="Zecca, Piero Antonio" sort="Zecca, Piero Antonio" uniqKey="Zecca P" first="Piero Antonio" last="Zecca">Piero Antonio Zecca</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical and Morphological Science, Dental School, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical and Morphological Science, Dental School, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese</wicri:regionArea><wicri:noRegion>21100 Varese</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">ITEB Research Centre, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>ITEB Research Centre, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese</wicri:regionArea><wicri:noRegion>21100 Varese</wicri:noRegion></affiliation></author><author><name sortKey="Van Noort, Ric" sort="Van Noort, Ric" uniqKey="Van Noort R" first="Ric" last="Van Noort">Ric Van Noort</name><affiliation wicri:level="1"><nlm:aff id="I3">Academic Unit of Restorative Dentistry, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Academic Unit of Restorative Dentistry, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA</wicri:regionArea><wicri:noRegion>Sheffield S10 2TA</wicri:noRegion></affiliation></author><author><name sortKey="Apresyan, Samvel" sort="Apresyan, Samvel" uniqKey="Apresyan S" first="Samvel" last="Apresyan">Samvel Apresyan</name><affiliation wicri:level="1"><nlm:aff id="I4">Academic Unit of Prosthodontics, Moscow State University of Medicine and Dentistry, 20 Delegatskaya Street, Moscow 127473, Russia</nlm:aff><country xml:lang="fr">Russie</country><wicri:regionArea>Academic Unit of Prosthodontics, Moscow State University of Medicine and Dentistry, 20 Delegatskaya Street, Moscow 127473</wicri:regionArea><placeName><settlement type="city">Moscou</settlement><region>District fédéral central</region></placeName></affiliation></author><author><name sortKey="Iezzi, Giovanna" sort="Iezzi, Giovanna" uniqKey="Iezzi G" first="Giovanna" last="Iezzi">Giovanna Iezzi</name><affiliation wicri:level="1"><nlm:aff id="I5">Department of Medical, Oral and Biotechnological Sciences, Dental School, G. d'Annunzio University, Via dei Vestini 31, 66100 Chieti, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical, Oral and Biotechnological Sciences, Dental School, G. d'Annunzio University, Via dei Vestini 31, 66100 Chieti</wicri:regionArea><wicri:noRegion>66100 Chieti</wicri:noRegion></affiliation></author><author><name sortKey="Piattelli, Adriano" sort="Piattelli, Adriano" uniqKey="Piattelli A" first="Adriano" last="Piattelli">Adriano Piattelli</name><affiliation wicri:level="1"><nlm:aff id="I5">Department of Medical, Oral and Biotechnological Sciences, Dental School, G. d'Annunzio University, Via dei Vestini 31, 66100 Chieti, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical, Oral and Biotechnological Sciences, Dental School, G. d'Annunzio University, Via dei Vestini 31, 66100 Chieti</wicri:regionArea><wicri:noRegion>66100 Chieti</wicri:noRegion></affiliation></author><author><name sortKey="Macchi, Aldo" sort="Macchi, Aldo" uniqKey="Macchi A" first="Aldo" last="Macchi">Aldo Macchi</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical and Morphological Science, Dental School, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical and Morphological Science, Dental School, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese</wicri:regionArea><wicri:noRegion>21100 Varese</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">ITEB Research Centre, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>ITEB Research Centre, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese</wicri:regionArea><wicri:noRegion>21100 Varese</wicri:noRegion></affiliation></author><author><name sortKey="Mangano, Carlo" sort="Mangano, Carlo" uniqKey="Mangano C" first="Carlo" last="Mangano">Carlo Mangano</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical and Morphological Science, Dental School, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical and Morphological Science, Dental School, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese</wicri:regionArea><wicri:noRegion>21100 Varese</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">ITEB Research Centre, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>ITEB Research Centre, University of Insubria, Via Giuseppe Piatti 10, 21100 Varese</wicri:regionArea><wicri:noRegion>21100 Varese</wicri:noRegion></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>This report documents the clinical, radiographic, and histologic outcome of a custom-made computer-aided-design/computer-aided-manufactured (CAD/CAM) scaffold used for the alveolar ridge augmentation of a severely atrophic anterior mandible. Computed tomographic (CT) images of an atrophic anterior mandible were acquired and modified into a 3-dimensional (3D) reconstruction model; this was transferred to a CAD program, where a custom-made scaffold was designed. CAM software generated a set of tool-paths for the manufacture of the scaffold on a computer-numerical-control milling machine into the exact shape of the 3D design. A custom-made scaffold was milled from a synthetic micromacroporous biphasic calcium phosphate (BCP) block. The scaffold closely matched the shape of the defect: this helped to reduce the time for the surgery and contributed to good healing. One year later, newly formed and well-integrated bone was clinically available, and two implants (AnyRidge, MegaGen, Gyeongbuk, South Korea) were placed. The histologic samples retrieved from the implant sites revealed compact mature bone undergoing remodelling, marrow spaces, and newly formed trabecular bone surrounded by residual BCP particles. This study demonstrates that custom-made scaffolds can be fabricated by combining CT scans and CAD/CAM techniques. Further studies on a larger sample of patients are needed to confirm these results.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Mangano, F" uniqKey="Mangano F">F. Mangano</name></author><author><name sortKey="Macchi, A" uniqKey="Macchi A">A. Macchi</name></author><author><name sortKey="Caprioglio, A" uniqKey="Caprioglio A">A. Caprioglio</name></author><author><name sortKey="Sammons, R L" uniqKey="Sammons R">R. L. Sammons</name></author><author><name sortKey="Piattelli, A" uniqKey="Piattelli A">A. Piattelli</name></author><author><name sortKey="Mangano, C" uniqKey="Mangano C">C. Mangano</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mangano, F" uniqKey="Mangano F">F. Mangano</name></author><author><name sortKey="Shibli, J A" uniqKey="Shibli J">J. A. 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Andía</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Italie</li><li>Royaume-Uni</li><li>Russie</li></country><region><li>District fédéral central</li></region><settlement><li>Moscou</li></settlement></list><tree><country name="Italie"><noRegion><name sortKey="Mangano, Francesco Guido" sort="Mangano, Francesco Guido" uniqKey="Mangano F" first="Francesco Guido" last="Mangano">Francesco Guido Mangano</name></noRegion><name sortKey="Iezzi, Giovanna" sort="Iezzi, Giovanna" uniqKey="Iezzi G" first="Giovanna" last="Iezzi">Giovanna Iezzi</name><name sortKey="Macchi, Aldo" sort="Macchi, Aldo" uniqKey="Macchi A" first="Aldo" last="Macchi">Aldo Macchi</name><name sortKey="Macchi, Aldo" sort="Macchi, Aldo" uniqKey="Macchi A" first="Aldo" last="Macchi">Aldo Macchi</name><name sortKey="Mangano, Carlo" sort="Mangano, Carlo" uniqKey="Mangano C" first="Carlo" last="Mangano">Carlo Mangano</name><name sortKey="Mangano, Carlo" sort="Mangano, Carlo" uniqKey="Mangano C" first="Carlo" last="Mangano">Carlo Mangano</name><name sortKey="Mangano, Francesco Guido" sort="Mangano, Francesco Guido" uniqKey="Mangano F" first="Francesco Guido" last="Mangano">Francesco Guido Mangano</name><name sortKey="Piattelli, Adriano" sort="Piattelli, Adriano" uniqKey="Piattelli A" first="Adriano" last="Piattelli">Adriano Piattelli</name><name sortKey="Zecca, Piero Antonio" sort="Zecca, Piero Antonio" uniqKey="Zecca P" first="Piero Antonio" last="Zecca">Piero Antonio Zecca</name><name sortKey="Zecca, Piero Antonio" sort="Zecca, Piero Antonio" uniqKey="Zecca P" first="Piero Antonio" last="Zecca">Piero Antonio Zecca</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Van Noort, Ric" sort="Van Noort, Ric" uniqKey="Van Noort R" first="Ric" last="Van Noort">Ric Van Noort</name></noRegion></country><country name="Russie"><region name="District fédéral central"><name sortKey="Apresyan, Samvel" sort="Apresyan, Samvel" uniqKey="Apresyan S" first="Samvel" last="Apresyan">Samvel Apresyan</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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