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Virtual Surgical Planning and Custom Titanium Prosthesis for Complex Secondary Mandibular Reconstruction Following Gunshot Injury: A Case Report Publisher



Abbasi AJ1, 2, 3 ; Niakan S4 ; Noori SMR1, 5 ; Bahrami R6 ; Nikparto N7
Authors
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Authors Affiliations
  1. 1. Craniomaxillofacial Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Oral and Maxillofacial Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Prosthodontics, Dental Research Center, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Medical Imaging and Radiation Sciences, School of Paramedicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  6. 6. Department of Orthodontics, School of Dentistry, Iran University of Medical Sciences, Tehran, Iran
  7. 7. Oral and Maxillofacial Surgeon, Nastaran Clinic, Tehran, Iran

Source: Oral and Maxillofacial Surgery Cases Published:2024


Abstract

Advancements in reconstructive surgical techniques in the head and neck area have significantly improved the aesthetic and functional reconstruction of patients. Microsurgical techniques, virtual surgical planning (VSP), CAD-CAM technology, intraoperative dynamic navigation, and advanced implantology have greatly enhanced mandible reconstruction. The authors present a case report of a 30-year-old male who suffered a severe mandibular deformity from a gunshot injury. He underwent a complex reconstruction process that involved initial soft tissue repair followed by VSP for customized titanium prosthesis implantation and dental rehabilitation. Advanced software was used to aid in precise surgical and prosthetic design, ultimately restoring the patient's mandibular structure, chin alignment, and facial harmony. This innovative approach, which demonstrates the effectiveness of integrating digital technologies with surgical precision for intricate mandibular reconstructions following trauma, has a profound impact. It provides superior functional and aesthetic results compared to conventional methods, significantly improving the patient's quality of life. © 2024 The Authors