scholarly journals Medical Modeling and Fabrication of Surgical Guides

2021 ◽  
Vol 23 (09) ◽  
pp. 67-80
Author(s):  
Ayna Zahoor ◽  
◽  
S.S Banwait ◽  
Nazir Ah Sheikh ◽  
◽  
...  

Medical Modelling and Rapid Prototyping are being used extensively to produce accurate implants. Rapid Prototyping has been used in making 3D medical models. The models help in personalizing pre-surgical treatment and pre-operative planning. Medical modelling is used for creation of high precision physical models from medical scans. The process includes collecting scans. The process includes collecting human anatomy data and optimizing the data for manufacturing and creating models using rapid prototyping. Computer aided software is used for prototyping. To produce high precision models, the modelling has to be in 3D. Therefore, a proper scanning method has to be used for each type of surgery. In this work we have taken a case study of fingers of hand to design and develop the 3D model for each case. We have designed, developed and fabricated one of the surgical guides for the fingers of hand. The design and fabrication was done in the 3D slicer and Grab CAD software independently. This work provides the approach and systematic procedure for the design and fabrication of surgical guide.

2019 ◽  
Vol 3 (3) ◽  
pp. 145-155
Author(s):  
Robert-Angelo Tuce ◽  
Stelian Arjoca ◽  
Monica Neagu ◽  
Adrian Neagu

Aim: To develop 3D printing and dentistry methods for building physical models that enable one to simulate a sinus lift surgery. Materials & methods: The Blue Sky Plan software was used to create a digital model from the cone beam computed tomography scan of the subject’s maxilla and to design a surgical guide for sinus augmentation and implant placement. The anatomical model and surgical guide were 3D printed from dental resin. Results: Sinus augmentation and dental implant insertion were carried out on the model as examples of practical skills training for residents in maxillofacial surgery. Conclusion: The 3D-printed models and surgical guides are useful training materials. They could be helpful also in a dental practice for surgical planning and for illustrating the procedure to the patient.


2017 ◽  
Vol 8 (5) ◽  
pp. 1-17
Author(s):  
Aires Jorge Alberto Sandi ◽  
◽  
Giacaglia Giorgio Eugenio Oscare ◽  

Author(s):  
Michelle Carvalho de Sales ◽  
Rafael Maluza Flores ◽  
Julianny da Silva Guimaraes ◽  
Gustavo Vargas da Silva Salomao ◽  
Tamara Kerber Tedesco ◽  
...  

Dental surgeons need in-depth knowledge of the bone tissue status and gingival morphology of atrophic maxillae. The aim of this study is to describe preoperative virtual planning of placement of five implants and to compare the plan with the actual surgical results. Three-dimensional planning of rehabilitation using software programs enables surgical guides to be specially designed for the implant site and manufactured using 3D printing. A patient with five teeth missing was selected for this study. The patient’s maxillary region was scanned with CBCT and a cast model was produced. After virtual planning using ImplantViewer, five implants were placed using a printed surgical guide. Two weeks after the surgical procedure, the patient underwent another CBCT scan of the maxilla. Statistically significant differences were detected between the virtually planned positions and the actual positions of the implants, with a mean deviation of 0.36 mm in the cervical region and 0.7 mm in the apical region. The surgical technique used enables more accurate procedures when compared to the conventional technique. Implants can be better positioned, with a high level of predictability, reducing both operating time and patient discomfort.


2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Lukas Postl ◽  
Thomas Mücke ◽  
Stefan Hunger ◽  
Oliver Bissinger ◽  
Michael Malek ◽  
...  

Abstract Background The accuracy of computer-assisted biopsies at the lower jaw was compared to the accuracy of freehand biopsies. Methods Patients with a bony lesion of the lower jaw with an indication for biopsy were prospectively enrolled. Two customized bone models per patient were produced using a 3D printer. The models of the lower jaw were fitted into a phantom head model to simulate operation room conditions. Biopsies for the study group were taken by means of surgical guides and freehand biopsies were performed for the control group. Results The deviation of the biopsy axes from the planning was significantly less when using templates. It turned out to be 1.3 ± 0.6 mm for the biopsies with a surgical guide and 3.9 ± 1.1 mm for the freehand biopsies. Conclusions Surgical guides allow significantly higher accuracy of biopsies. The preliminary results are promising, but clinical evaluation is necessary.


Polymers ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 1236
Author(s):  
Jung-Hwa Lim ◽  
Enkhjargal Bayarsaikhan ◽  
Seung-Ho Shin ◽  
Na-Eun Nam ◽  
June-Sung Shim ◽  
...  

This study evaluated the internal fit and the accuracy of the implant placement position in order to determine how the surface shape of the tooth and the offset influence the accuracy of the surgical guide. The acquired digital data were analyzed in three dimensions using 3D inspection software. The obtained results confirmed that the internal fit was better in the groove sealing (GS) group (164.45 ± 28.34 μm) than the original shape (OS) group (204.07 ± 44.60 μm) (p < 0.001), and for an offset of 100 μm (157.50 ± 17.26 μm) than for offsets of 30 μm (206.48 ± 39.12 μm) and 60 μm (188.82 ± 48.77 μm) (p < 0.001). The accuracy of implant placement was better in the GS than OS group in terms of the entry (OS, 0.229 ± 0.092 mm; GS, 0.169 ± 0.061 mm; p < 0.001), apex (OS, 0.324 ± 0.149 mm; GS, 0.230 ± 0.124 mm; p < 0.001), and depth (OS, 0.041 ± 0.027 mm; GS, 0.025 ± 0.022 mm; p < 0.001). In addition, the entries (30 μm, 0.215 ± 0.044 mm; 60 μm, 0.172 ± 0.049 mm; 100 μm, 0.119 ± 0.050 mm; p < 0.001) were only affected by the amount of offset. These findings indicate that the accuracy of a surgical guide can be improved by directly sealing the groove of the tooth before manufacturing the surgical guide or setting the offset during the design process.


Author(s):  
Giovanni de Almeida Prado Di Giacomo ◽  
Patrícia Cury ◽  
Airton Moreira da Silva ◽  
Jorge Vicente Lopes da Silva ◽  
Carlos Eduardo Pompeo Souto ◽  
...  

This study was designed to evaluate the accuracy of a novel computer-designed and selectively laser sintered surgical guide for flapless dental implant placement in the edentulous jaw. Fifty dental implants were placed in 11 patients with at least one totally edentulous jaw. Initially, cone-beam computed tomography (CBCT) was performed in each patient to define the virtual position of the dental implants based on the assessment of bone availability and the proposed dental prosthesis. After virtual planning, 3D surgical guides were printed using selective laser sintering. CBCT was repeated after the surgery, and the pre-and postoperative images were overlapped in the CAD software to compare the planned and actual positions of the dental implants using a one-sample t-test. The mean ± angular standard deviation between the long axes of the planned and final dental implant positions was 4.58 ±2.85 degrees; The linear deviation in the coronal position was  0.87 ± 0.49 mm and  in the apical region of the dental implants was 1.37 ± 0.69 mm. These differences were statistically significant (p &lt;0.001). The proposed modifications reduced the deviations, resulting in an improvement in the technique. We were able to place implants and temporary prostheses using the present protocol, taking into account the differences between the planned and final positions of the dental implants.


2012 ◽  
Vol 452-453 ◽  
pp. 253-257 ◽  
Author(s):  
Li Lin ◽  
Xian Sheng Ran ◽  
Tian Hong Luo

This study extends the new product development (NPD) to a new field; Market Driving Digital New Product Development Method is addressed in this paper, which is based on reverse engineering and rapid prototyping technology. This study finds that the higher the effort on marketing-R&D process, the less possible it might encounter risk. Thus, a better NPD performance can be achieved by market driving Digital NPD method (MDDNPD).A case study of All-Terrain Vehicle (ATV) is used to illustrate the new method. We believe that the proposed methodology will have a positive impact on the future new product development.


2018 ◽  
Vol 14 (3) ◽  
pp. 44-68 ◽  
Author(s):  
Fatma Abdelhedi ◽  
Amal Ait Brahim ◽  
Gilles Zurfluh

Nowadays, most organizations need to improve their decision-making process using Big Data. To achieve this, they have to store Big Data, perform an analysis, and transform the results into useful and valuable information. To perform this, it's necessary to deal with new challenges in designing and creating data warehouse. Traditionally, creating a data warehouse followed well-governed process based on relational databases. The influence of Big Data challenged this traditional approach primarily due to the changing nature of data. As a result, using NoSQL databases has become a necessity to handle Big Data challenges. In this article, the authors show how to create a data warehouse on NoSQL systems. They propose the Object2NoSQL process that generates column-oriented physical models starting from a UML conceptual model. To ensure efficient automatic transformation, they propose a logical model that exhibits a sufficient degree of independence so as to enable its mapping to one or more column-oriented platforms. The authors provide experiments of their approach using a case study in the health care field.


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