Correction of facial and mandibular asymmetry using a computer aided design/computer aided manufacturing prefabricated titanium implant.
Patients with significant craniofacial asymmetry may have functional problems associated with their occlusion and aesthetic concerns related to the imbalance in soft and hard tissue profiles. This report details a case of facial asymmetry secondary to left mandible angle deficiency due to undergoing previous radiotherapy. We describe the correction of the bony deformity using computer aided design/computer aided manufacturing custom-made titanium onlay using novel direct metal laser sintering. The direct metal laser sintering onlay proved a very accurate operative fit and showed a good aesthetic correction of the bony defect with no reported complications postoperatively. It is a useful low-morbidity technique, and there is no resorption or associated donor-site complications.
From the *Maxillofacial Department, Queens Medical Centre, Nottingham University Hospital Trust; †Cranio-Maxillofacial Prosthetics Unit, Maxillofacial Department, King's College University Hospital; ‡Department of Prosthodontics, Faculty of Dentistry; and §Maxillofacial Department, Queens Medical Centre Campus, Nottingham University Hospital Trust, Nottingham, UK.
Jason
J
Watson
Muhanad
M
Hatamleh
Ahed
A
Alwahadni
Dilip
D
Srinivasan
D000273:Adipose Tissue / Q000637:transplantation; D000328:Adult; D017076:Computer-Aided Design; D003757:Dental Implantation / Q000379:methods*; D017267:Dental Prosthesis Design / Q000379:methods; D005145:Face / Q000002:abnormalities* / Q000601:surgery; D005146:Facial Asymmetry / Q000151:congenital* / Q000601:surgery; D006801:Humans; D006965:Hyperplasia / Q000601:surgery*; D007284:Inlays; D008297:Male; D008334:Mandible / Q000601:surgery*; D014025:Titanium; D016896:Treatment Outcome
D014025:Titanium