Three-Dimensional Printable Open-Source Cleft Lip and Palate Impression Trays: A Single-Impression Workflow.

Plast Reconstr Surg

From Oral and Craniomaxillofacial Surgery, University Hospital Basel and University of Basel; Department of Biomedical Engineering, Biomaterials Science Centre, University of Basel, Allschwil; and Department of Clinical Research, University of Basel.

Published: February 2024

AI Article Synopsis

  • Documenting 3D cleft lip and palate malformations typically involves using plaster casts from maxillary impressions, which is a standard practice, but digital impressions could be more effective if costs were lower.
  • Individualized impression trays minimize airway risks and offer better precision for these impressions, while a newly introduced open-source impression tray library eliminates the need for 3D modeling skills.
  • This library, available on Open Science Framework, includes various tray shapes and sizes that can be 3D printed with safe materials, providing a practical solution for cleft centers until digital impressions become more widely used.

Article Abstract

Documenting complex three-dimensional (3D) cleft lip and palate malformation with plaster casts based on maxillary impressions is standard care. Presurgical orthopedic treatment also requires an impression. Digital impression-taking in patients with cleft lip and palate is feasible, but procurement costs hinder clinical implementation. Individualized impression trays allow for a precise impression, limiting airway risk. The authors present an open-source impression tray library with scalable impression trays not requiring 3D modeling knowledge. The cleft lip and palate impression tray library is accessible on Open Science Framework. Different shapes are available, and the tray size is selected based on the tuber distance. This allows 3D printing with biocompatible material at the point of care complying with local regulations. The open-source cleft tray library presented offers a hybrid solution for cleft centers, pending the implementation of digital impression.

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Source
http://dx.doi.org/10.1097/PRS.0000000000010684DOI Listing

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