Browse > Article
http://dx.doi.org/10.17245/jdapm.2021.21.3.253

A simplified CAD/CAM extraoral surgical guide for therapeutic injections  

Cameron, Andrew (School of Dentistry and Oral Health, Griffith University)
Custodio, Antonio Luis Neto (Department of Morphology, Biological Sciences Institute, Federal University of Minas Gerais)
Bakr, Mahmoud (School of Dentistry and Oral Health, Griffith University)
Reher, Peter (School of Dentistry and Oral Health, Griffith University)
Publication Information
Journal of Dental Anesthesia and Pain Medicine / v.21, no.3, 2021 , pp. 253-260 More about this Journal
Abstract
Therapeutic injections into the craniofacial region can be a complex procedure because of the nature of its anatomical structure. This technical note demonstrates a process for creating an extra-oral template to inject therapeutic substances into the temporomandibular joint and the lateral pterygoid muscle. The described process involves merging cone-beam computed tomography data and extra-oral facial scans obtained using a mobile device to establish a correlated data set for virtual planning. Virtual injection points were simulated using existing dental implant planning software to assist clinicians in precisely targeting specific anatomical structures. A template was designed and then 3D printed. The printed template showed adequate surface fit. This innovative process demonstrates a potential new clinical technique. However, further validation and in vivo trials are necessary to assess its full potential.
Keywords
3D Printing; CAD-CAM; Extra-Oral Scanning; Face Scanner; Lateral Pterygoid Muscle; Temporomandibular Joint;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Sunil Dutt C, Ramnani P, Thakur D, Pandit M. Botulinum toxin in the treatment of muscle specific Oro-facial pain: a literature review. J Maxillofac Oral Surg 2015; 14: 171-5.   DOI
2 Emara AS. Faramawey, MI, Hassaan, MA, Hakam MM. Botulinum toxin injection for management of temporomandibular joint clicking. Int J Oral Maxillofac Surg 2013; 42: 759-64.   DOI
3 Oghli I, List T, Su N, Haggman-Henrikson B. The impact of oro-facial pain conditions on oral health-related quality of life: a systematic review. J Oral Rehabil 2020; 47: 1052-64.   DOI
4 Bakke M, Moller E, Werdelin LM, Dalager T, Kitai N, Kreiborg S. Treatment of severe temporomandibular joint clicking with botulinum toxin in the lateral pterygoid muscle in two cases of anterior disc displacement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100: 693-700.   DOI
5 Long X, Chen G, Cheng AH, Cheng Y, Deng M. A randomized controlled trial of superior and inferior temporomandibular joint space injection with hyaluronic acid in treatment of anterior disc displacement without reduction. J Oral Maxillofac Surg 2009; 67: 357-61.   DOI
6 Chougule VN, Mulay AV, Ahuja BB. Methodologies for development of patient specific bone models from human body CT scans. J Inst Eng India Ser C 2018; 99: 413-8.   DOI
7 Bujtar P, Simonovics J, Zombori G, Fejer Z, Szucs A, Bojtos A, et al. Internal or in-scan validation: a method to assess CBCT and MSCT gray scales using a human cadaver. Oral Surg Oral Med Oral Pathol Oral Radiol 2014; 117: 768-79.   DOI
8 Krause M, Dorfler HM, Kruber D, Humpfner-Hierl H, Hierl T. Template-based temporomandibular joint puncturing and access in minimally invasive TMJ surgery (MITMJS)-a technical note and first clinical results. Head Face Med 2019; 15: 10.   DOI
9 Piedra-Cascon W, Meyer MJ, Methani MM, Revilla-Leon M. Accuracy (trueness and precision) of a dual-structured light facial scanner and interexaminer reliability. J Prosthet Dent 2020; 124: 567-74.   DOI
10 Yoshida K, Fukuda Y, Takahashi R, Nishiura K, Inoue H. A method for inserting the EMG electrode into the superior head of the human lateral pterygoid muscle. J Jpn Prosthodont Soc 1992; 36: 88-93.   DOI
11 Zimmermann M, Mehl A. Virtual smile design systems: a current review. Int J Comput Dent 2015; 18: 303-17.
12 Grazioso S, Selvaggio M, Di Gironimo G. Design and development of a novel body scanning system for healthcare applications. Int J Interact Des Manuf 2018; 12: 611-20.   DOI
13 Custodio ALN, Cameron A, Bakr M, Little C, Chrcanovic BR, Reher P. Positioning accuracy assessment of minimally invasive percutaneous injection techniques for the treatment of temporomandibular disorders. Dentomaxillofac Radiol 2021; 50: 20200313.   DOI
14 Simpso LL. The origin, structure, and pharmacological activity of botulinum toxin. Pharmacol Rev 1981; 33: 155-88.
15 Brin MF. Botulinum toxin: chemistry, pharmacology, toxicity, and immunology. Muscle Nerve Suppl 1997; 20: 146-68.   DOI
16 Unkovskiy A, Roehler A, Huettig F, Geis-Gerstorfer J, Brom J, Keutel C, et al. Simplifying the digital workflow of facial prostheses manufacturing using a three-dimensional (3D) database: setup, development, and aspects of virtual data validation for reproduction. J Prosthodont Res 2019; 63: 313-20.   DOI
17 Lo Russo L, Di Gioia C, Salamini A, Guida L. Integrating intraoral, perioral, and facial scans into the design of digital dentures. J Prosthet Dent 2020; 123: 584-8.   DOI
18 Sarment D. Cone beam computed tomography: oral and maxillofacial diagnosis and applications. Ames, Iowa, John Wiley & Sons Inc. 2013.
19 Tan PLB, Layton DM, Wise SL. In vitro comparison of guided versus freehand implant placement: use of a new combined TRIOS surface scanning, Implant Studio, CBCT, and stereolithographic virtually planned and guided technique. Int J Comput Dent 2018; 21: 87-95.