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Deviation analysis in custom-made mandibular reconstruction: how to evaluate results

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The purpose of this case report is to present a deviation analysis made to evaluate the accuracy and reproducibility of virtual surgical planning—computer-aided design—computer-aided manufacturing (CAD/CAM) technology. These techniques were… Click to show full abstract

The purpose of this case report is to present a deviation analysis made to evaluate the accuracy and reproducibility of virtual surgical planning—computer-aided design—computer-aided manufacturing (CAD/CAM) technology. These techniques were used to programme and perform both demolitive and reconstructive surgery in an 18-year-old man treated for a mandibular ameloblastoma. Total body CT scan and CT angiography were performed before the surgery. DICOM-format data were captured and a planning was performed using CAD/CAM technology. After the surgery, DICOM files of a postoperative CT scan were evaluated to assess the accuracy of the reconstruction. The deviation of the postoperative result from what was planned was indicated with different colours in a mandible mapper and changes in condylar and angular position between 0.5 mm and 2 mm were observed. A standardised method to evaluate accuracy or efficiency of CAD/CAM technology is still not available, nevertheless, since the patient has a good functional or aesthetic recover, the authors are satisfied with the results.

Keywords: deviation; evaluate; cad cam; reconstruction; deviation analysis

Journal Title: BMJ Case Reports
Year Published: 2022

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