オガワ タクミ   Ogawa Takumi
  小川 匠
   所属   鶴見大学  歯学部 歯学科 クラウンブリッジ補綴学
   鶴見大学  歯学部 歯学科 歯科医学教育学
   職種   教授
論文種別 【査読あり】 研究論文(学術雑誌)
言語種別 英語
査読の有無 査読あり
表題 Computer assisted mandibular reconstruction using a custom-made titan mesh tray and removable denture based on the top-down treatment technique
掲載誌名 正式名:JOURNAL OF PROSTHODONTIC RESEARCH
ISSNコード:18831958
出版社 ELSEVIER IRELAND LTD
巻・号・頁 60(4),pp.321-331
著者・共著者 Tomoko Ikawa,Yuko Shigeta,Rio Hirabayashi,Shinya Hirai,Kentaro Hirai,Naohiko Harada,Noboru Kawamura,Takumi Ogawa
発行年月 2016/10
概要 Purpose: The purpose of this report is to propose a computer assisted mandibular reconstruction procedure, utilizing a custom-made Ti-mesh tray with particulate cancellous bone and marrow, and a removable denture. This procedure was based on the top-down treatment technique, and reviews the case of a representative patient with mandibular continuity defect.Methods: The patient was a 74-year old female with a chief complaint of facial asymmetry and masticatory dysfunction. Due to gingival carcinoma, she underwent a segmental mandibulectomy on the left mandibule.On the VR space, using 3-D reconstructed computer tomography data, the residual right side mandibular fragment was repositioned based on the condylar position and the occlusal relation. The mandibular fragment was then mirrored for a central sagittal plane. The position of the mirrored object was slightly arranged with the occlusal relation. Through the above operations, the landmark configuration, for the custom-made Ti-mesh tray as a virtual simulation model, was fabricated. On the physical model, we produced a custom-made Ti-mesh tray with a commercial Ti-mesh sheet. Surgical treatment was carried out using the tray.The
DOI 10.1016/j.jpor.2016.01.009
PMID 26895971