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Reliability of Patient Specific Implant for Mandible Reconstruction in Large Lesions: Remotest Effort for Newborn Technology to Replace Microvascular Flaps

Ritoban Saha Bhowmick, Sankarsan Choudhury, Oishee Mukherjee, Sonali Ghai Choudhury

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Indian Journal of Dental Education 18 (1):p 23-29, Jan -April 2025. | DOI: https://doi.org/10.21088/ijde.0974.6099.18125.4

How Cite This Article:

Ritoban Saha Bhowmick, Sankarsan Choudhury, et al. Reliability of Patient Specific Implant for Mandible Reconstruction in Large Lesions: Remotest Effort for Newborn Technology to Replace Microvascular Flaps. Ind J Dent Educ. 2025; 18(1): 23-29.

Timeline

Received : January 14, 2025         Accepted : March 06, 2025          Published : April 20, 2025

Abstract

This case shares about the outcome of PSI in large sized lesion of the Mandible and Our experience regarding the factors leading to the failure of Patient specific Implants. The Patient was suffering from odontogenic keratocyst, extending from right side angle to left side angle of the mandible. After segmental mandibulectomy, Patient Specific Implant was delivered. Thereafter 1 month, PSI was exposed and got infected. On the next step, we retrieved the PSI and did microvascular free fibula flap for reconstruction of jaw. This paper focuses on the scope of improvement for mandibular reconstruction by Patient Specific Implant.


References

  • 1.   Wieja F., Jacobs G., Stein S., Kopp A., van Gaalen K., Kröger N., Zinser M. Development and validation of a parametric human mandible model to determine internal stresses for the future design optimization of maxillofacial implants. Journal of the mechanical behavior of biomedical materials. 2022 Jan 1; 125: 104893.
  • 2.   Li C.H., Wu C.H., Lin C.L. Design of a patientspecific mandible reconstruction implant with dental prosthesis for metal 3D printing using integrated weighted topology optimization and finite element analysis. Journal of the mechanical behavior of biomedical materials. 2020 May 1; 105: 103700.
  • 3.   Shi Q., Sun Y., Yang S., Van Dessel J., Lübbers H.T., Zhong S., Gu Y., Bila M., Dormaar T., Schoenaers J., Politis C. Failure analysis of an in-vivo fractured patient-specific Ti6Al4V mandible reconstruction plate fabricated by selective laser melting. Engineering Failure Analysis. 2021 Jun 1; 124: 105353.
  • 4.   Van Kootwijk A., Moosabeiki V., Saldivar M.C., Pahlavani H, Leeflang M.A, Niar S.K., Pellikaan P., Jonker B.P., Ahmadi S.M., Wolvius E.B., Tümer N. Semi-automated digital workflow to design and evaluate patient-specific mandibular reconstruction implants. journal of the mechanical behavior of biomedical materials. 2022 Aug 1; 132: 105291.
  • 5.   Prasadh S., Suresh S., Hong K.L., Bhargav A., Rosa V., Wong R.C. Biomechanics of alloplastic mandible reconstruction using biomaterials: The effect of implant design on stress concentration influences choice of material. Journal of the mechanical behavior of biomedical materials. 2020 Mar 1;103:103548.
  • 6.   Suojanen J., Leikola J., Stoor P. The use of patient-specific implants in orthognathic surgery: A series of 30 mandible sagittal split osteotomy patients. Journal of CranioMaxillofacial Surgery. 2017 Jun 1;45(6):990-4.
  • 7.   Kreutzer K., Steffen C., Nahles S, Koerdt Ss, Heiland M., Rendenbach C., Beck-Broichsitter B. Removal of patient-specific reconstruction plates after mandible reconstruction with a fibula free flap: is the plate the problem?. International journal of oral and maxillofacial surgery. 2022 Feb 1; 51(2): 182-90.
  • 8.   Mounir M., Abou-ElFetouh A., ElBeialy W., Mounir R. Patient-specific alloplastic endoprosthesis for reconstruction of the mandible following segmental resection: A case series. Journal of Cranio-Maxillofacial Surgery. 2020 Aug 1; 48(8): 719-23.

Data Sharing Statement

There are no additional data available.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

Information not provide.

Conflicts of Interest

The authors report no conflicts of interest in this work.


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Cite this article

Ritoban Saha Bhowmick, Sankarsan Choudhury, et al. Reliability of Patient Specific Implant for Mandible Reconstruction in Large Lesions: Remotest Effort for Newborn Technology to Replace Microvascular Flaps. Ind J Dent Educ. 2025; 18(1): 23-29.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
January 14, 2025 March 06, 2025 April 20, 2025

DOI: https://doi.org/10.21088/ijde.0974.6099.18125.4

Keywords

Segmental MandibulectomyPatient Specific ImplantMicrovascular free fibula flapOdontogenic KeratocystMandibular Reconstruction

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Received January 14, 2025
Accepted March 06, 2025
Published April 20, 2025

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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