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http://dx.doi.org/10.4047/jkap.2022.60.4.395

Digital workflow for prosthetic restoration in the pan facial fracture patient: A case report  

Kim, Seung-Wan (Department of Prosthodontics, College of Dentistry, Gangneung-Wonju National University)
Park, Geun-Taek (Department of Prosthodontics, College of Dentistry, Gangneung-Wonju National University)
Huh, Yoon-Hyuk (Department of Prosthodontics, College of Dentistry, Gangneung-Wonju National University)
Park, Chan-Jin (Department of Prosthodontics, College of Dentistry, Gangneung-Wonju National University)
Cho, Lee-Ra (Department of Prosthodontics, College of Dentistry, Gangneung-Wonju National University)
Ko, Kyung-Ho (Department of Prosthodontics, College of Dentistry, Gangneung-Wonju National University)
Publication Information
The Journal of Korean Academy of Prosthodontics / v.60, no.4, 2022 , pp. 395-403 More about this Journal
Abstract
In the fracture operation of pan facial fracture, there are many cases where the shape and position of the occlusal and oral structures are abnormally changed because the index for repositioning to the original position is insufficient. And trismus and gag reflex in patients with pan facial fractures increase the difficulty of dental treatment, and the difference in the position of the jaw bone makes it difficult to restore aesthetically and functionally. In this case, digital workflows for minimal intraoral work could be selected to reduce patient discomfort and the difficulty of dental treatment. This case is using a digital workflow from implant planning to final prosthesis production in a patient with acquired skeletal grade III, trismus, and gag reflex due to pan facial fracture 15 years ago. In this case report, the use of digital workflow in a patient who has difficulty in dental treatment was able to minimize patient discomfort and obtain esthetic and functionally appropriate results.
Keywords
Dental implants; Digital workflow; Gag reflex; Pan facial fracture; Trismus;
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1 Wusiman P, Maimaitituerxun B, Guli, Saimaiti A, Moming A. Epidemiology and Pattern of Oral and Maxillofacial Trauma. J Craniofac Surg 2020;31:e517-20.   DOI
2 Throckmorton GS, Ellis E 3rd. Recovery of mandibular motion after closed and open treatment of unilateral mandibular condylar process fractures. Int J Oral Maxillofac Surg 2000;29:421-7.   DOI
3 Wenig BL. Management of panfacial fractures. Otolaryngol Clin North Am 1991;24:93-101.   DOI
4 Ramaglia L, Toti P, Sbordone C, Guidetti F, Martuscelli R, Sbordone L. Implant angulation: 2-year retrospective analysis on the influence of dental implant angle insertion on marginal bone resorption in maxillary and mandibular osseous onlay grafts. Clin Oral Investig 2015;19:769-79.   DOI
5 Dawson PE. Functional occlusion: from TMJ to smile design. 1st ed. New York; Elsevier Health Sciences; 2006. p. 514-24.
6 Stefos S, Zoidis P, Nimmo A. Managing gag reflex during removable partial denture treatment: a review and a clinical report. J Prosthodont 2019;28:618-22.   DOI
7 De Riu G, Gamba U, Anghinoni M, Sesenna E. A comparison of open and closed treatment of condylar fractures: a change in philosophy. Int J Oral Maxillofac Surg 2001;30:384-9.   DOI
8 Sforza C, Tartaglia GM, Lovecchio N, Ugolini A, Monteverdi R, Gianni AB, Ferrario VF. Mandibular movements at maximum mouth opening and EMG activity of masticatory and neck muscles in patients rehabilitated after a mandibular condyle fracture. J Craniomaxillofac Surg 2009;37:327-33.   DOI
9 Ali K, Lettieri SC. Management of panfacial fracture. Semin Plast Surg 2017;31:108-17.   DOI
10 Ting-Shu S, Jian S. Intraoral digital impression technique: a review. J Prosthodont 2015;24:313-21.   DOI
11 Kihara H, Hatakeyama W, Komine F, Takafuji K, Takahashi T, Yokota J, Oriso K, Kondo H. Accuracy and practicality of intraoral scanner in dentistry: A literature review. J Prosthodont Res 2020;64:109-13.   DOI
12 Tzou CH, Artner NM, Pona I, Hold A, Placheta E, Kropatsch WG, Frey M. Comparison of three-dimensional surface-imaging systems. J Plast Reconstr Aesthet Surg 2014;67:489-97.   DOI
13 Schendel SA, Lane C. 3D orthognathic surgery simulation using image fusion. Semin Orthod 2009;15:48-56.   DOI
14 Lo Russo L, Caradonna G, Biancardino M, De Lillo A, Troiano G, Guida L. Digital versus conventional workflow for the fabrication of multiunit fixed prostheses: A systematic review and meta-analysis of vertical marginal fit in controlled in vitro studies. J Prosthet Dent 2019;122:435-40.   DOI
15 Mangano C, Luongo F, Migliario M, Mortellaro C, Mangano FG. Combining intraoral scans, cone beam computed tomography and face scans: the virtual patient. J Craniofac Surg 2018;29:2241-6.   DOI
16 Logozzo S, Franceschini G, Kilpela A, Caponi M, Governi L, Blois L. A comparative analysis of intraoral 3D digital scanners for restorative dentistry. Internet J Med Technol 2011;5:1-2.
17 Tullio A, Sesenna E. Role of surgical reduction of condylar fractures in the management of panfacial fractures. Br J Oral Maxillofac Surg 2000;38:472-6.   DOI
18 Pae A, Choi CH, Noh K, Kwon YD, Kim HS, Kwon KR. The prosthetic rehabilitation of a panfacial fracture patient after reduction: a clinical report. J Prosthet Dent 2012;108:123-8.   DOI
19 Goyal G. Gag reflex: causes and management. Int J Dent Med Res 2014;1:163-6.
20 Lim JH, Park JM, Kim M, Heo SJ, Myung JY. Comparison of digital intraoral scanner reproducibility and image trueness considering repetitive experience. J Prosthet Dent 2018;119:225-32.   DOI
21 Revilla-Leon M, Sanchez-Rubio JL, Besne-Torre A, Ozcan M. A report on a diagnostic digital workflow for esthetic dental rehabilitation using additive manufacturing technologies. Int J Esthet Dent 2018; 13:184-96.
22 Park JM, Oh KC, Shim JS. Integration of intraoral digital scans with a 3D facial scan for anterior tooth rehabilitation. J Prosthet Dent 2019;121:394-7.   DOI
23 de Paris Matos T, Wambier LM, Favoreto MW, Rezende CEE, Reis A, Loguercio AD, Gonzaga CC. Patient-related outcomes of conventional impression making versus intraoral scanning for prosthetic rehabilitation: A systematic review and meta-analysis. J Prosthet Dent 2021:S0022-3913(21)00493-5.
24 Gibelli D, Cappella A, Dolci C, Sforza C. 3D surface acquisition systems and their applications to facial anatomy: let's make a point. Italian J Anat Embryol 2019;124:422-31.
25 Kau CH, Richmond S, Incrapera A, English J, Xia JJ. Three-dimensional surface acquisition systems for the study of facial morphology and their application to maxillofacial surgery. Int J Med Robot 2007;3:97-110.   DOI
26 Lepidi L, Galli M, Mastrangelo F, Venezia P, Joda T, Wang HL, Li J. Virtual articulators and virtual mounting procedures: where do we stand? J Prosthodont 2021;30:24-35.   DOI
27 Jung J, Lee CH, Lee JW, Choi BJ. Three dimensional evaluation of soft tissue after orthognathic surgery. Head Face Med 2018;14:21.   DOI
28 Perez-Giugovaz MG, Sadeghpour M, Revilla-Leon M. Virtual 3-dimensional representation of a completely edentulous patient for computer-aided static implant planning. J Prosthet Dent 2021:S0022-3913(21)00355-3.
29 Parize H, Dias Corpa Tardelli J, Bohner L, Sesma N, Muglia VA, Candido Dos Reis A. Digital versus conventional workflow for the fabrication of physical casts for fixed prosthodontics: A systematic review of accuracy. J Prosthet Dent 2022;128:25-32.   DOI
30 Siqueira R, Chen Z, Galli M, Saleh I, Wang HL, Chan HL. Does a fully digital workflow improve the accuracy of computer-assisted implant surgery in partially edentulous patients? A systematic review of clinical trials. Clin Implant Dent Relat Res 2020;22:660-71.   DOI
31 Cheung MC, Hopcraft MS, Darby IB. Patient-reported oral hygiene and implant outcomes in general dental practice. Aust Dent J 2021;66:49-60.   DOI