Digital technology revolutionizing mandibular fracture treatment: a comparative analysis of patient-specific plates and conventional titanium plates.

Autor:	Che SA; Department of Oral and Maxillofacial Surgery, Hallym University Sacred Heart Hospital, Anyang, 14066, Republic of Korea.; Department of Artificial Intelligence and Robotics in Dentistry, Graduated School of Clinical Dentistry, Hallym University, Chuncheon, 24252, Republic of Korea.; Institute of Clinical Dentistry, Hallym University, Chuncheon, 24252, Republic of Korea.; Dental Artificial Intelligence and Robotics R&D Center, Hallym University Medical Center, Anyang, 14066, Republic of Korea., Byun SH; Department of Oral and Maxillofacial Surgery, Hallym University Sacred Heart Hospital, Anyang, 14066, Republic of Korea.; Department of Artificial Intelligence and Robotics in Dentistry, Graduated School of Clinical Dentistry, Hallym University, Chuncheon, 24252, Republic of Korea.; Institute of Clinical Dentistry, Hallym University, Chuncheon, 24252, Republic of Korea.; Dental Artificial Intelligence and Robotics R&D Center, Hallym University Medical Center, Anyang, 14066, Republic of Korea., Cho SW; Institute of Clinical Dentistry, Hallym University, Chuncheon, 24252, Republic of Korea., Yi SM; Department of Oral and Maxillofacial Surgery, Hallym University Sacred Heart Hospital, Anyang, 14066, Republic of Korea.; Department of Artificial Intelligence and Robotics in Dentistry, Graduated School of Clinical Dentistry, Hallym University, Chuncheon, 24252, Republic of Korea.; Institute of Clinical Dentistry, Hallym University, Chuncheon, 24252, Republic of Korea.; Dental Artificial Intelligence and Robotics R&D Center, Hallym University Medical Center, Anyang, 14066, Republic of Korea., Park SY; Department of Oral and Maxillofacial Surgery, Hallym University Sacred Heart Hospital, Anyang, 14066, Republic of Korea.; Department of Artificial Intelligence and Robotics in Dentistry, Graduated School of Clinical Dentistry, Hallym University, Chuncheon, 24252, Republic of Korea.; Institute of Clinical Dentistry, Hallym University, Chuncheon, 24252, Republic of Korea.; Dental Artificial Intelligence and Robotics R&D Center, Hallym University Medical Center, Anyang, 14066, Republic of Korea., On SW; Department of Artificial Intelligence and Robotics in Dentistry, Graduated School of Clinical Dentistry, Hallym University, Chuncheon, 24252, Republic of Korea.; Institute of Clinical Dentistry, Hallym University, Chuncheon, 24252, Republic of Korea.; Dental Artificial Intelligence and Robotics R&D Center, Hallym University Medical Center, Anyang, 14066, Republic of Korea.; Division of Oral and Maxillofacial Surgery, Department of Dentistry, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, 18450, Republic of Korea., Kim JC; Department of Oral and Maxillofacial Surgery, Hallym University Sacred Heart Hospital, Anyang, 14066, Republic of Korea.; Daegu Mir Dental Hospital, Daegu, 41940, Republic of Korea., Malakuti I; Department of Surgical Sciences, Odontology & Maxillofacial Surgery, Uppsala University, Uppsala, 751 85, Sweden., Yang BE; Department of Oral and Maxillofacial Surgery, Hallym University Sacred Heart Hospital, Anyang, 14066, Republic of Korea. face@hallym.or.kr.; Department of Artificial Intelligence and Robotics in Dentistry, Graduated School of Clinical Dentistry, Hallym University, Chuncheon, 24252, Republic of Korea. face@hallym.or.kr.; Institute of Clinical Dentistry, Hallym University, Chuncheon, 24252, Republic of Korea. face@hallym.or.kr.; Dental Artificial Intelligence and Robotics R&D Center, Hallym University Medical Center, Anyang, 14066, Republic of Korea. face@hallym.or.kr.
Jazyk:	angličtina
Zdroj:	Clinical oral investigations [Clin Oral Investig] 2024 Jul 08; Vol. 28 (8), pp. 417. Date of Electronic Publication: 2024 Jul 08.
DOI:	10.1007/s00784-024-05816-x
Abstrakt:	Objectives: The treatment of fractures prioritizes the restoration of functionality through the realignment of fractured segments. Conventional methods, such as titanium plates, have been employed for this purpose; however, certain limitations have been observed, leading to the development of patient-specific plates. Furthermore, recent advancements in digital technology in dentistry enable the creation of virtual models and simulations of surgical procedures. The aim was to assess the clinical effectiveness of patient-specific plates utilizing digital technology in treating mandibular fractures compared to conventional titanium plates. Materials and Methods: Twenty patients diagnosed with mandibular fractures were included and randomly assigned to either the study or control groups. The surgical procedure comprised reduction and internal fixation utilizing patient-specific plates generated through virtual surgery planning with digital models for the study group, while the control group underwent the same procedure with conventional titanium plates. Assessment criteria included the presence of malunion, infection, sensory disturbance, subjective occlusal disturbance and occlusal force in functional maximum intercuspation (MICP). Statistical analysis involved using the Chi-square test and one-way repeated measures analysis of variance. Results: All parameters showed no statistically significant differences between the study and control groups, except for the enhancement in occlusal force in functional MICP, where a statistically significant difference was observed (p = 0.000). Conclusion: Using patient-specific plates using digital technology has demonstrated clinical effectiveness in treating mandibular fractures, offering advantages of time efficiency and benefits for less experienced surgeons. Clinical Relevance: Patient-specific plates combined with digital technology can be clinically effective in mandibular fracture treatment. (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu Full text from SpringerLink