Polyetheretherketone patient-specific implants (PPSI) for the reconstruction of two different mandibular contour deformities

Autor: Mohamed Shawky, Amr Gibaly, M. Atef, Mohamed Mounir, Samy Mounir
Rok vydání: 2021
Předmět:
Zdroj: Oral and Maxillofacial Surgery. 26:299-309
ISSN: 1865-1569
DOI: 10.1007/s10006-021-00984-6
Popis: This study aims to prospect the soft and hard tissue changes after augmentation of two different local mandibular contour defects using polyetheretherketone (PEEK) patient-specific onlay implants. Six patients with disfiguring local mandibular deformities were included in this study (five males and one female) and received seven PEEK patient-specific implants (PSI), virtually designed and surgically settled to augment seven mandibular defects, three deficient chins, and four mandibular angels. The analysis of the soft and hard tissue changes utilized the superimposition of the preoperative and the 6-month postoperative sagittal and coronal CT views, after standardizing the radiographic interpretation. The soft tissue gain for the chin was 6.8 mm ± 0.98 with a 45.8% increase versus 4.42 mm ± 0.41 with a 22.9% increase for the angle. The difference in the soft tissue gain between the two groups was statistically significant (P = 0.0001). Comparing the soft tissue gain to the planned implant thickness, the percentage of the soft tissue gain for the chin recorded 109.2% versus 65.57% for the angle. The difference between the two groups was also statistically significant (P
Databáze: OpenAIRE