The development of three-dimensional computer-aided surgical workflow has simplified the planning of complex reconstruction cases. It can also be helpful in planning distraction osteogenesis cases. This article examines the evolving role of three-dimensional computer-aided surgical workflow in maxillofacial surgery.
View Article and Find Full Text PDFOral Surg Oral Med Oral Pathol Oral Radiol
June 2014
Objective: This study aimed to explore whether cone beam computed tomography (CBCT) and multislice computed tomography (MSCT) can be used to quantify tissue density and to determine if the Hounsfield unit scale is applicable.
Study Design: A clinical MSCT scanner and effective energy adjusted photon beam attenuation references were used to compare the gray scale of CBCT images of the mandible region. A phantom was scanned using axial cadaver slices and 4 different homogeneous reference objects.
Oral Surg Oral Med Oral Pathol Oral Radiol
June 2014
Objective: With a double exposure overlapping cone beam computed tomography (CBCT) scan technique, using CBCT acquisition radiation dose, the objective was to obtain apparent density similar to that of multidetector computed tomography (MDCT).
Study Design: Factory quality-assurance phantom and water phantom were used for the evaluation of apparent density fidelity of iCAT scans in different modes. Each scan's apparent density was analyzed for identical regions using ImageJ, version 1.
A bone plate is required to restore the load-bearing capacity of the mandible following a segmental resection. A good understanding of the underlying principles is crucial for developing a reliable reconstruction. A finite element analysis (FEA) technique has been developed to study the biomechanics of the clinical scenarios managed after surgical resection of a tumour or severe trauma to assist in choosing the optimal hardware elements.
View Article and Find Full Text PDFIntroduction: The strengthening effect of prophylactic internal fixation (PIF) with a bone plate at the radial osteocutaneous flap donor site has previously been demonstrated using the sheep tibia model of the human radius. This study investigated whether a finite element (FE) model could accurately represent this biomechanical model and whether stress or strain based failure criteria are most appropriate.
Methods: An FE model of an osteotomised sheep tibia bone was strengthened using 4 types of plates with unilocking or bicortical screw fixation.
Introduction: This article reports experience relating to the measurement of orbital volume by means of cone beam computed tomography (CBCT) and Cranioviewer program software in patients who have undergone enucleation and orbital implantation.
Patients And Methods: CBCT scans were made in 30 cases, 10 of which were later excluded because of various technical problems. The study group therefore consisted of 20 patients (8 men and 12 women).
Objective. This study aimed to define CBCT as a technique for postimplantation in vivo examination of porous hydroxyapatite and aluminium-oxide orbital implant shape, volume and density changes. Methods and Materials.
View Article and Find Full Text PDFThe osseointegration of oral implants is of utmost importance as far as the success of implant prosthetics is concerned. In clinical practice osseointegration can only be tested indirectly. The loading of implants is usually linked to osseointegration as a condition.
View Article and Find Full Text PDFBackground And Aim: Finite element analysis (FEA) was used to generate 3-dimensional models of a human mandible with impacted third molars. The aim was to analyze the effects of removing various amounts of bone around an impacted mandibular third molar and to predict the possibility of iatrogenic fracture.
Materials And Methods: Data were acquired from cone beam computed tomography (CBCT) scans of a patient using numerically calculated mechanical parameters.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod
September 2010
Objective: This study analyzed detailed models of human mandibles at 3 different stages of life with simulation of supra normal chewing forces at static conditions.
Methods And Materials: Finite element analysis (FEA) was used to generate models from cone-beam computerized tomograms (CBCT) of 3 patients aged 12, 20, and 67 years, using numerically calculated material parameters. Estimated chewing forces were then applied to the simulations.