Total mandibular titanium prosthesis in a child

dc.creatorSergio Monteiro Lima Junior
dc.creatorFernanda Brasil Daura Jorge Boos Lima
dc.creatorTheo Peres Colferai
dc.creatorP.H. de Moraes
dc.creatorSaulo Borges
dc.date.accessioned2025-03-21T19:05:56Z
dc.date.accessioned2025-09-09T00:52:11Z
dc.date.available2025-03-21T19:05:56Z
dc.date.issued2017-03
dc.identifier.doihttps://doi.org/10.1016/j.ijom.2017.02.635
dc.identifier.issn0901-5027
dc.identifier.urihttps://hdl.handle.net/1843/80836
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofInternational Journal of Oral and Maxillofacial Surgery
dc.rightsAcesso Aberto
dc.subjectMandibular prosthesis
dc.subjectOsteolysis, essential
dc.subjectMandible
dc.titleTotal mandibular titanium prosthesis in a child
dc.typeArtigo de periódico
local.citation.epage186
local.citation.issueSupplement 1
local.citation.spage185
local.citation.volume46
local.description.resumoObjectives: The aim of this study was to report a case of a six-year-old child with the diagnosis of Gorham-Stout syndrome, presenting without the complete mandible. The patient was breathing because an acrylic device was projecting the muscles, but is sustained a local infection. Methods: The mandibular reconstruction was planned using computer-aided design/computer-aided manufacturing (CAD/CAM) technology. The skull of the patient was used to design and manufacture the customised total mandibular prosthesis with two temporomandibular joint fossae. CAD of the surgical devices used NX 10.0 software (Siemens, Plano, Texas, United States of America). The authors assumed that this design would maximise aesthetics, mandibular projection, facial height and future growth. The virtual designed mandible was submitted to a topological optimisation and finite element analysis in order to remove excess material and improve stiffness of the mandible. Findings: The final result was a mandible weighing 59g with two fossae for articulation and with threaded holes for future implant insertions and dental rehabilitation. Surgery and postoperative follow-up was uneventful. The patient resumed normal functions at the first postoperative day, with decrease morbidity when compared to microvascular grafts. No bone grafts were used. Conclusion: The project of this mandible may benefit many others patients which sustain serious mandibular defects, providing less morbidity and allowing for total mandibular and dental rehabilitation.
local.identifier.orcidhttps://orcid.org/0000-0003-0022-2538
local.identifier.orcidhttps://orcid.org/0000-0003-2847-9685
local.identifier.orcidhttps://orcid.org/0009-0004-3527-9379
local.identifier.orcidhttps://orcid.org/0000-0002-4391-350X
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE CLÍNICA
local.publisher.initialsUFMG
local.url.externahttps://www.ijoms.com/article/S0901-5027(17)30696-3/fulltext

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