MAKSİLLOFASİYAL CERRAHİDE CAD/CAM SİSTEMLERİNİN KULLANIMI
“Computer-Aided Manufacturing” (CAD/CAM), bilgisayar-destekli tasarım ve bilgisayar-destekli üretim anlamına gelen terimlerden oluşmaktadır. CAD/CAM teknolojisi tıp ve diş hekimliği alanında kullanılan en güncel yöntemler arasında yer almaktadırlar. Kullanım alanları oldukça geniş olan bu sistemler, diş hekimleri tarafından protetik tedavi alanında yaygın olarak kullanılmakla beraber, son yıllarda oral ve maksillofasiyal cerrahlar tarafından da yaygın olarak kullanılmaya başlanmıştır. Teknolojinin ilerlemesi ile birlikte kullanım alanları da her geçen gün genişlemektedir. Maksillofasiyal cerrahide teşhisten, planlamaya cerrahi rehberden, tedaviye varan birçok alanda hızla bu sistemden yararlanılması giderek artmaktadır. Rapor edilen çalışmalarda CAD/CAM sistemlerinden yararlanılmasının işlem başarısını arttırdığı gibi işlem süresini kısalttığı ve karmaşık operasyonları daha basit işlemlere dönüştürebildiği bildirilmektedir. En büyük dezavantajlarından biri olarak kabul edilen yüksek maliyetleri ise teknolojide yaşanan gelişmeler sayesinde giderek daha ulaşılabilir seviyelere gelmektedir. Bu derlemede CAD/CAM sistemlerinin maksillofasiyal cerrahi alanında güncel kullanım alanlarının incelenmesi amaçlanmaktadır
The abbreviation “CAD/CAM” stands for Computer-Aided Design and Computer-Aided Manufacturing. CAD/CAM technology is among the most contemporary methods used in both medicine and dentistry. These systems are already widely used in the prosthetic dentistry for a long time and have been widely used by oral and maxillofacial surgeons in recent years. Along with the progress of technology, its usage are expanding day by day. In maxillofacial surgery, it is becoming increasingly possible to use CAD/CAM systems from diagnosis to preoperative planning, to surgical guidance to defect reconstruction. It has been reported that the use of CAD/CAM systems not only increases the success of operations but also shorten the operation time and make complex operations simpler. Besides higher costs, one of the biggest disadvantages, are increasingly getting cheaper through rapid technological developments and makes these systems more accessible. In this review, it is aimed to investigate current usage areas of CAD/CAM systems in maxillofacial surgery
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- [1] Steinbacher DM. Three-Dimensional
Analysis and Surgical Planning in
Craniomaxillofacial Surgery. J Oral
Maxillofac Surg. 2015;73:S40-56.
- [2] Hassfeld S, Muhling J. Computer assisted
oral and maxillofacial surgery--a review
and an assessment of technology. Int J
Oral Maxillofac Surg. 2001;30:2-13.
- [3] Gotz C, Warnke PH, Kolk A. Current and
future options of regeneration methods and
reconstructive surgery of the facial skeleton.
Oral Surg Oral Med Oral Pathol Oral Radiol.
2015;120:315-23.
- [4] Levine JP, Patel A, Saadeh PB, Hirsch DL.
Computer-aided design and manufacturing
in craniomaxillofacial surgery: the
new state of the art. J Craniofac Surg.
2012;23:288-93.
- [5] Robiony M, Salvo I, Costa F, Zerman N,
Bandera C, Filippi S, et al. Accuracy
of virtual reality and stereolithographic
models in maxillo-facial surgical
planning. J Craniofac Surg. 2008;19:482-9.
- [6] Troulis MJ, Everett P, Seldin EB, Kikinis
R, Kaban LB. Development of a
three-dimensional treatment planning system
based on computed tomographic data. Int J
Oral Maxillofac Surg. 2002;31:349-57.
- [7] Bell RB. Computer planning and
intraoperative navigation in craniomaxillofacial
surgery. Oral Maxillofac
Surg Clin North Am. 2010;22:135-56.
- [8] D’Urso PS, Barker TM, Earwaker WJ, Bruce
LJ, Atkinson RL, Lanigan MW, et al.
Stereolithographic biomodelling in
cranio-maxillofacial surgery: a prospective
trial. J Craniomaxillofac Surg. 1999;27:30-7.
- [9] Sinn DP, Cillo JE, Jr., Miles BA.
Stereolithography for craniofacial surgery.
J Craniofac Surg. 2006;17:869-75.
- [10] Marro A, Bandukwala T, Mak W. ThreeDimensional
Printing and Medical Imaging:
A Review of the Methods and Applications.
Curr Probl Diagn Radiol. 2016;45:2-9.
- [11] Vale F, Scherzberg J, Cavaleiro J, Sanz
D, Caramelo F, Malo L, et al. 3D
virtual planning in orthognathic surgery
and CAD/CAM surgical splints generation
in one patient with craniofacial microsomia:
a case report. Dental Press J Orthod.
2016;21:89-100.
- [12] Noh K, Pae A, Lee JW, Kwon YD.
Fabricating a tooth- and implant-supported
maxillary obturator for a patient after
maxillectomy with computer-guided
surgery and CAD/CAM technology:
A clinical report. J Prosthet Dent.
2016;115:637-42.
- [13] Widmann G, Fischer B, Berggren JP,
Dennhardt A, Schullian P, Reto B, et al. Cone
Beam Computed Tomography vs Multislice
Computed Tomography in ComputerAided
Design/Computer-Assisted
Manufacture Guided Implant Surgery
Based on Three-Dimensional Optical
Scanning and Stereolithographic Guides:
Does Image Modality Matter? Int J
Oral Maxillofac Implants. 2016;31:527-33.
- [14] Cassetta M, Giansanti M, Di Mambro A,
Calasso S, Barbato E. Minimally invasive
corticotomy in orthodontics using a threedimensional
printed CAD/CAM surgical
guide. Int J Oral Maxillofac Surg.
2016;45:1059-64.
- [15] Tarsitano A, Battaglia S, Ciocca L, Scotti
R, Cipriani R, Marchetti C. Surgical
reconstruction of maxillary defects using
a computer-assisted design/computer-assisted
manufacturing-produced titanium mesh
supporting a free flap. J Craniomaxillofac
Surg. 2016;44:1320-6.
- [16] Pettersson A, Kero T, Soderberg R, Nasstrom
K. Accuracy of virtually planned and CAD/
CAM-guided implant surgery on plastic
models. J Prosthet Dent. 2014;112:1472-8.
- [17] Tahmaseb A, De Clerck R, Wismeijer D.
Computer-guided implant placement: 3D
planning software, fixed intraoral reference
points, and CAD/CAM technology.
A case report. Int J Oral Maxillofac Implants.
2009;24:541-6.
- [18] Scolozzi P. Computer-aided design and
computer-aided modeling (CAD/CAM)
generated surgical splints, cutting guides
and custom-made implants: Which
indications in orthognathic surgery?
Rev Stomatol Chir Maxillofac Chir Orale.
2015;116:343-9.
- [19] Kattadiyil MT, Parciak E, Puri S, Scherer
MD. CAD/CAM guided surgery in
implant dentistry: a brief review.
Alpha Omegan. 2014;107:26-31.
- [20] Vercruyssen M, Fortin T, Widmann G, Jacobs
R, Quirynen M. Different techniques of
static/dynamic guided implant surgery:
modalities and indications. Periodontol
2000. 2014;66:214-27.
- [21] D’Souza KM, Aras MA. Types of implant
surgical guides in dentistry: a review. J Oral
Implantol. 2012;38:643-52.
- [22] Casap N, Tarazi E, Wexler A, Sonnenfeld U,
Lustmann J. Intraoperative computerized
navigation for flapless implant surgery and
immediate loading in the edentulous
mandible. Int J Oral Maxillofac Implants.
2005;20:92-8.
- [23] Chen Y, Niu F, Yu B, Liu J, Wang M, Gui L.
Three-dimensional preoperative design of
distraction osteogenesis for hemifacial
microsomia. J Craniofac Surg. 2014;25:184-8.
- [24] Sun H, Li B, Zhao Z, Zhang L, Shen SG,
Wang X. Error analysis of a CAD/CAM
method for unidirectional mandibular
distraction osteogenesis in the
treatment of hemifacial microsomia. Br J
Oral Maxillofac Surg. 2013;51:892-7.
- [25] Mattick CR. Osteogenic distraction within
the craniofacial complex. Dent Update.
2000;27:426-31.
- [26] Van Strijen PJ, Perdijk FB, Becking AG,
Breuning KH. Distraction osteogenesis for
mandibular advancement. Int J Oral
Maxillofac Surg. 2000;29:81-5.
- [27] Herford AS, Stringer DE, Tandon R.
Mandibular surgery: technologic and
technical improvements. Oral Maxillofac
Surg Clin North Am. 2014;26:487-521.
- [28] Agrawal JM, Agrawal MS, Nanjannawar LG,
Parushetti AD. CBCT in orthodontics: the
wave of future. J Contemp Dent Pract.
2013;14:153-7.
- [29] Aboul-Hosn Centenero S, HernandezAlfaro
F. 3D planning in orthognathic
surgery: CAD/CAM surgical splints and
prediction of the soft and hard tissues
results - our experience in 16 cases.
J Craniomaxillofac Surg. 2012;40:162-8.
- [30] Mavili ME, Canter HI, Saglam-Aydinatay
B, Kamaci S, Kocadereli I. Use of
three-dimensional medical modeling methods
for precise planning of orthognathic surgery.
J Craniofac Surg. 2007;18:740-7.
- [31] Sumida T, Otawa N, Kamata YU,
Kamakura S, Mtsushita T, Kitagaki
H, et al. Custom-made titanium devices as
membranes for bone augmentation in
implant treatment: Clinical application
and the comparison with conventional
titanium mesh. J Craniomaxillofac Surg.
2015;43:2183-8.
- [32] Vera C, Barrero C, Shockley W,
Rothenberger S, Minsley G, Drago C.
Prosthetic reconstruction of a patient
with an acquired nasal defect using
extraoral implants and a CAD/CAM copymilled
bar. J Prosthodont. 2014;23:582-7.
- [33] Frodel JL, Jr. Computer-designed implants
for fronto-orbital defect reconstruction.
Facial Plast Surg. 2008;24:22-34.
- [34] De Stavola L, Fincato A, Albiero AM.
A computer-guided bone block harvesting
procedure: a proof-of-principle case
report and technical notes. Int J Oral
Maxillofac Implants. 2015;30:1409-13.
- [35] Yu Y, Zhang WB, Liu XJ, Guo CB,
Yu GY, Peng X. Three-Dimensional
Accuracy of Virtual Planning and Surgical
Navigation for Mandibular Reconstruction
With Free Fibula Flap. J Oral Maxillofac
Surg. 2016;74:1503 e1- e10.
- [36] Nkenke E, Agaimy A, Vairaktaris E,
Lell M, von Wilmowsky C, Eitner S.
Case History Report: Immediate
Rehabilitation with a Prefabricated Fibula
Flap Following Removal of a Locally
Aggressive Maxillary Tumor. Int J
Prosthodont. 2016;29:53-8.
- [37] Haq J, Patel N, Weimer K, Matthews NS.
Single stage treatment of ankylosis of the
temporomandibular joint using
patient-specific total joint replacement and
virtual surgical planning. Br J Oral
Maxillofac Surg. 2014;52:350-5.
- [38] Wang G, Li J, Khadka A, Hsu Y, Li W,
Hu J. CAD/CAM and rapid prototyped
titanium for reconstruction of ramus defect
and condylar fracture caused by mandibular
reduction. Oral Surg Oral Med Oral
Pathol Oral Radiol. 2012;113:356-61.
- [39] Zhang S, Liu X, Xu Y, Yang C,
Undt G, Chen M, et al. Application of rapid
prototyping for temporomandibular
joint reconstruction. J Oral Maxillofac Surg.
2011;69:432-8.