Maxillary ridge augmentation with custom-made CAD/CAM scaffolds. A 1-year prospective study on 10 patients.
Identifieur interne : 001900 ( Main/Exploration ); précédent : 001899; suivant : 001901Maxillary ridge augmentation with custom-made CAD/CAM scaffolds. A 1-year prospective study on 10 patients.
Auteurs : Francesco Mangano [Italie] ; Aldo Macchi ; Jamil Awad Shibli ; Giuseppe Luongo ; Giovanna Iezzi ; Adriano Piattelli ; Alberto Caprioglio ; Carlo ManganoSource :
- The Journal of oral implantology [ 0160-6972 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Atrophie, Conception assistée par ordinateur, Conception de prothèse, Couronnes, Durée opératoire, Femelle, Humains, Imagerie tridimensionnelle (), Implants dentaires, Ingénierie tissulaire (instrumentation), Interface utilisateur, Maxillaire (), Maxillaire (anatomopathologie), Mâchoire partiellement édentée (), Mâle, Ostéogenèse (physiologie), Planification des soins du patient, Procédures de chirurgie reconstructive (), Procédures de chirurgie reconstructive (instrumentation), Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire (), Reconstruction de crête alvéolaire (instrumentation), Structures d'échafaudage tissulaires (), Sujet âgé, Tomodensitométrie (), Traitement d'image par ordinateur (), Études de suivi, Études prospectives.
- MESH :
- anatomopathologie : Maxillaire.
- physiologie : Ostéogenèse.
- Adulte d'âge moyen, Atrophie, Conception assistée par ordinateur, Conception de prothèse, Couronnes, Durée opératoire, Femelle, Humains, Imagerie tridimensionnelle, Implants dentaires, Ingénierie tissulaire, Interface utilisateur, Maxillaire, Mâchoire partiellement édentée, Mâle, Planification des soins du patient, Procédures de chirurgie reconstructive, Prothèse dentaire implanto-portée, Reconstruction de crête alvéolaire, Structures d'échafaudage tissulaires, Sujet âgé, Tomodensitométrie, Traitement d'image par ordinateur, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Aged, Alveolar Ridge Augmentation (instrumentation), Alveolar Ridge Augmentation (methods), Atrophy, Computer-Aided Design, Crowns, Dental Implants, Dental Prosthesis, Implant-Supported, Female, Follow-Up Studies, Humans, Image Processing, Computer-Assisted (methods), Imaging, Three-Dimensional (methods), Jaw, Edentulous, Partially (surgery), Male, Maxilla (pathology), Maxilla (surgery), Middle Aged, Operative Time, Osteogenesis (physiology), Patient Care Planning, Prospective Studies, Prosthesis Design, Reconstructive Surgical Procedures (instrumentation), Reconstructive Surgical Procedures (methods), Tissue Engineering (instrumentation), Tissue Scaffolds (classification), Tomography, X-Ray Computed (methods), User-Computer Interface.
- MESH :
- chemical : Dental Implants.
- classification : Tissue Scaffolds.
- instrumentation : Alveolar Ridge Augmentation, Reconstructive Surgical Procedures, Tissue Engineering.
- methods : Alveolar Ridge Augmentation, Image Processing, Computer-Assisted, Imaging, Three-Dimensional, Reconstructive Surgical Procedures, Tomography, X-Ray Computed.
- pathology : Maxilla.
- physiology : Osteogenesis.
- surgery : Jaw, Edentulous, Partially, Maxilla.
- Aged, Atrophy, Computer-Aided Design, Crowns, Dental Prosthesis, Implant-Supported, Female, Follow-Up Studies, Humans, Male, Middle Aged, Operative Time, Patient Care Planning, Prospective Studies, Prosthesis Design, User-Computer Interface.
Abstract
Several procedures have been proposed to achieve maxillary ridge augmentation. These require bone replacement materials to be manually cut, shaped, and formed at the time of implantation, resulting in an expensive and time-consuming process. In the present study, we describe a technique for the design and fabrication of custom-made scaffolds for maxillary ridge augmentation, using three-dimensional computerized tomography (3D CT) and computer-aided design/computer-aided manufacturing (CAD/CAM). CT images of the atrophic maxillary ridge of 10 patients were acquired and modified into 3D reconstruction models. These models were transferred as stereolithographic files to a CAD program, where a virtual 3D reconstruction of the alveolar ridge was generated, producing anatomically shaped, custom-made scaffolds. CAM software generated a set of tool-paths for manufacture by a computer-numerical-control milling machine into the exact shape of the reconstruction, starting from porous hydroxyapatite blocks. The custom-made scaffolds were of satisfactory size, shape, and appearance; they matched the defect area, suited the surgeon's requirements, and were easily implanted during surgery. This helped reduce the time for surgery and contributed to the good healing of the defects.
DOI: 10.1563/AAID-JOI-D-12-00122
PubMed: 23343341
Affiliations:
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Le document en format XML
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A 1-year prospective study on 10 patients.</title><author><name sortKey="Mangano, Francesco" sort="Mangano, Francesco" uniqKey="Mangano F" first="Francesco" last="Mangano">Francesco Mangano</name><affiliation wicri:level="1"><nlm:affiliation>1 Dental School, University of Varese, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>1 Dental School, University of Varese</wicri:regionArea><wicri:noRegion>University of Varese</wicri:noRegion></affiliation></author><author><name sortKey="Macchi, Aldo" sort="Macchi, Aldo" uniqKey="Macchi A" first="Aldo" last="Macchi">Aldo Macchi</name></author><author><name sortKey="Shibli, Jamil Awad" sort="Shibli, Jamil Awad" uniqKey="Shibli J" first="Jamil Awad" last="Shibli">Jamil Awad Shibli</name></author><author><name sortKey="Luongo, Giuseppe" sort="Luongo, Giuseppe" uniqKey="Luongo G" first="Giuseppe" last="Luongo">Giuseppe Luongo</name></author><author><name sortKey="Iezzi, Giovanna" sort="Iezzi, Giovanna" uniqKey="Iezzi G" first="Giovanna" last="Iezzi">Giovanna Iezzi</name></author><author><name sortKey="Piattelli, Adriano" sort="Piattelli, Adriano" uniqKey="Piattelli A" first="Adriano" last="Piattelli">Adriano Piattelli</name></author><author><name sortKey="Caprioglio, Alberto" sort="Caprioglio, Alberto" uniqKey="Caprioglio A" first="Alberto" last="Caprioglio">Alberto Caprioglio</name></author><author><name sortKey="Mangano, Carlo" sort="Mangano, Carlo" uniqKey="Mangano C" first="Carlo" last="Mangano">Carlo Mangano</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:23343341</idno><idno type="pmid">23343341</idno><idno type="doi">10.1563/AAID-JOI-D-12-00122</idno><idno type="wicri:Area/PubMed/Corpus">000686</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000686</idno><idno type="wicri:Area/PubMed/Curation">000686</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000686</idno><idno type="wicri:Area/PubMed/Checkpoint">000686</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000686</idno><idno type="wicri:Area/Ncbi/Merge">004446</idno><idno type="wicri:Area/Ncbi/Curation">004446</idno><idno type="wicri:Area/Ncbi/Checkpoint">004446</idno><idno type="wicri:doubleKey">0160-6972:2014:Mangano F:maxillary:ridge:augmentation</idno><idno type="wicri:Area/Main/Merge">001906</idno><idno type="wicri:Area/Main/Curation">001900</idno><idno type="wicri:Area/Main/Exploration">001900</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Maxillary ridge augmentation with custom-made CAD/CAM scaffolds. A 1-year prospective study on 10 patients.</title><author><name sortKey="Mangano, Francesco" sort="Mangano, Francesco" uniqKey="Mangano F" first="Francesco" last="Mangano">Francesco Mangano</name><affiliation wicri:level="1"><nlm:affiliation>1 Dental School, University of Varese, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>1 Dental School, University of Varese</wicri:regionArea><wicri:noRegion>University of Varese</wicri:noRegion></affiliation></author><author><name sortKey="Macchi, Aldo" sort="Macchi, Aldo" uniqKey="Macchi A" first="Aldo" last="Macchi">Aldo Macchi</name></author><author><name sortKey="Shibli, Jamil Awad" sort="Shibli, Jamil Awad" uniqKey="Shibli J" first="Jamil Awad" last="Shibli">Jamil Awad Shibli</name></author><author><name sortKey="Luongo, Giuseppe" sort="Luongo, Giuseppe" uniqKey="Luongo G" first="Giuseppe" last="Luongo">Giuseppe Luongo</name></author><author><name sortKey="Iezzi, Giovanna" sort="Iezzi, Giovanna" uniqKey="Iezzi G" first="Giovanna" last="Iezzi">Giovanna Iezzi</name></author><author><name sortKey="Piattelli, Adriano" sort="Piattelli, Adriano" uniqKey="Piattelli A" first="Adriano" last="Piattelli">Adriano Piattelli</name></author><author><name sortKey="Caprioglio, Alberto" sort="Caprioglio, Alberto" uniqKey="Caprioglio A" first="Alberto" last="Caprioglio">Alberto Caprioglio</name></author><author><name sortKey="Mangano, Carlo" sort="Mangano, Carlo" uniqKey="Mangano C" first="Carlo" last="Mangano">Carlo Mangano</name></author></analytic><series><title level="j">The Journal of oral implantology</title><idno type="ISSN">0160-6972</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Alveolar Ridge Augmentation (instrumentation)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Atrophy</term><term>Computer-Aided Design</term><term>Crowns</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Image Processing, Computer-Assisted (methods)</term><term>Imaging, Three-Dimensional (methods)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Male</term><term>Maxilla (pathology)</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Operative Time</term><term>Osteogenesis (physiology)</term><term>Patient Care Planning</term><term>Prospective Studies</term><term>Prosthesis Design</term><term>Reconstructive Surgical Procedures (instrumentation)</term><term>Reconstructive Surgical Procedures (methods)</term><term>Tissue Engineering (instrumentation)</term><term>Tissue Scaffolds (classification)</term><term>Tomography, X-Ray Computed (methods)</term><term>User-Computer Interface</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Atrophie</term><term>Conception assistée par ordinateur</term><term>Conception de prothèse</term><term>Couronnes</term><term>Durée opératoire</term><term>Femelle</term><term>Humains</term><term>Imagerie tridimensionnelle ()</term><term>Implants dentaires</term><term>Ingénierie tissulaire (instrumentation)</term><term>Interface utilisateur</term><term>Maxillaire ()</term><term>Maxillaire (anatomopathologie)</term><term>Mâchoire partiellement édentée ()</term><term>Mâle</term><term>Ostéogenèse (physiologie)</term><term>Planification des soins du patient</term><term>Procédures de chirurgie reconstructive ()</term><term>Procédures de chirurgie reconstructive (instrumentation)</term><term>Prothèse dentaire implanto-portée</term><term>Reconstruction de crête alvéolaire ()</term><term>Reconstruction de crête alvéolaire (instrumentation)</term><term>Structures d'échafaudage tissulaires ()</term><term>Sujet âgé</term><term>Tomodensitométrie ()</term><term>Traitement d'image par ordinateur ()</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Maxillaire</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Tissue Scaffolds</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Reconstructive Surgical Procedures</term><term>Tissue Engineering</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Image Processing, Computer-Assisted</term><term>Imaging, Three-Dimensional</term><term>Reconstructive Surgical Procedures</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Ostéogenèse</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Osteogenesis</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Maxilla</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Atrophy</term><term>Computer-Aided Design</term><term>Crowns</term><term>Dental Prosthesis, Implant-Supported</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Operative Time</term><term>Patient Care Planning</term><term>Prospective Studies</term><term>Prosthesis Design</term><term>User-Computer Interface</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Atrophie</term><term>Conception assistée par ordinateur</term><term>Conception de prothèse</term><term>Couronnes</term><term>Durée opératoire</term><term>Femelle</term><term>Humains</term><term>Imagerie tridimensionnelle</term><term>Implants dentaires</term><term>Ingénierie tissulaire</term><term>Interface utilisateur</term><term>Maxillaire</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Planification des soins du patient</term><term>Procédures de chirurgie reconstructive</term><term>Prothèse dentaire implanto-portée</term><term>Reconstruction de crête alvéolaire</term><term>Structures d'échafaudage tissulaires</term><term>Sujet âgé</term><term>Tomodensitométrie</term><term>Traitement d'image par ordinateur</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Several procedures have been proposed to achieve maxillary ridge augmentation. These require bone replacement materials to be manually cut, shaped, and formed at the time of implantation, resulting in an expensive and time-consuming process. In the present study, we describe a technique for the design and fabrication of custom-made scaffolds for maxillary ridge augmentation, using three-dimensional computerized tomography (3D CT) and computer-aided design/computer-aided manufacturing (CAD/CAM). CT images of the atrophic maxillary ridge of 10 patients were acquired and modified into 3D reconstruction models. These models were transferred as stereolithographic files to a CAD program, where a virtual 3D reconstruction of the alveolar ridge was generated, producing anatomically shaped, custom-made scaffolds. CAM software generated a set of tool-paths for manufacture by a computer-numerical-control milling machine into the exact shape of the reconstruction, starting from porous hydroxyapatite blocks. The custom-made scaffolds were of satisfactory size, shape, and appearance; they matched the defect area, suited the surgeon's requirements, and were easily implanted during surgery. This helped reduce the time for surgery and contributed to the good healing of the defects.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Caprioglio, Alberto" sort="Caprioglio, Alberto" uniqKey="Caprioglio A" first="Alberto" last="Caprioglio">Alberto Caprioglio</name><name sortKey="Iezzi, Giovanna" sort="Iezzi, Giovanna" uniqKey="Iezzi G" first="Giovanna" last="Iezzi">Giovanna Iezzi</name><name sortKey="Luongo, Giuseppe" sort="Luongo, Giuseppe" uniqKey="Luongo G" first="Giuseppe" last="Luongo">Giuseppe Luongo</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="Piattelli, Adriano" sort="Piattelli, Adriano" uniqKey="Piattelli A" first="Adriano" last="Piattelli">Adriano Piattelli</name><name sortKey="Shibli, Jamil Awad" sort="Shibli, Jamil Awad" uniqKey="Shibli J" first="Jamil Awad" last="Shibli">Jamil Awad Shibli</name></noCountry><country name="Italie"><noRegion><name sortKey="Mangano, Francesco" sort="Mangano, Francesco" uniqKey="Mangano F" first="Francesco" last="Mangano">Francesco Mangano</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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