Akademik Veri Yönetim Sistemi
18th European Congress of DentoMaxilloFacial Radiology, Lublin, Polonya, 8 - 10 Haziran 2022, ss.58
Objectives: Talking about the place and importance of 3-dimensional printing in obturator production in patients with
maxillary defects, to present an exemplary study in which digital and traditional techniques are used together.
Methods: In the intraoral examination of a 68-year-old female patient who applied to our clinic with the complaint of
pain and swelling, an expansive solid swelling was observed in the area of the 11-12 tooth extraction socket.In the
radiological examination, sclerosing, radiopaque foci and periosteal reaction were observed.As a result of the
histopathological examination of the biopsy material, the lesion was defined as chondroblastic type osteosarcoma. Hemimaxillectomy and simultaneous radiotherapy and chemotherapy treatment were planned for the patient.After the
treatment of the patient, permanent prosthesis planning was made.With the help of the patient's Cone-beam computed
tomography data, a 3-dimensional model of the maxilla was created on the 3-dimensional printer.Then, permanent
prosthesis planning was made by taking measurements from the obtained 3-dimensional model with conventional
methods.
Results: Thus, a hybrid protocol was implemented using digital and conventional techniques.In this way, secondary
infection and many similar complications have been prevented and a model that optimally reflects the defect area has
been obtained.The prosthesis we have produced with this hybrid protocol is less costly than the one produced using
only the 3-dimensional printing method.
Conclusions: As a result of the production of the 3-dimensional model of the defect area in the maxilla with digital
technologies, many complications that may occur during the measurement have been prevented.