Complete Digital Workflow for Manufacturing Presurgical Orthodontic Palatal Plates in Newborns and Infants with Cleft Lip and/or Palate

被引:4
作者
Weismann, Christina [1 ,2 ]
Xepapadeas, Alexander B. [1 ,2 ]
Bockstedte, Marit [1 ,2 ]
Koos, Bernd [1 ,2 ]
Krimmel, Michael [2 ,3 ]
Poets, Christian F. [2 ,4 ]
Aretxabaleta, Maite [1 ,2 ]
机构
[1] Univ Hosp Tubingen, Dept Orthodont, Osianderstr 2-8, D-72076 Tubingen, Germany
[2] Univ Hosp Tubingen, Ctr Cleft Lip Palate & Craniofacial Malformat, Osianderstr 2-8, D-72076 Tubingen, Germany
[3] Univ Hosp Tubingen, Dept Oral & Maxillofacial Surg, Osianderstr 2-8, D-72076 Tubingen, Germany
[4] Univ Hosp Tubingen, Dept Neonatol, Calwerstr 7, D-72076 Tubingen, Germany
关键词
unilateral cleft lip and palate; bilateral cleft lip and palate; cleft covering plate; computer-aided design; computer-aided manufacturing; 3D printing; intraoral scanning; ORTHOPEDIC TREATMENT; CLINICAL-TRIAL; FACIAL GROWTH; NASOALVEOLAR; IMPRESSIONS; PRECISION; DEVICES; UCLP; CARE;
D O I
10.3390/jfb15100301
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Deciding on the implementation or modification of steps in daily clinical care is a nuanced process that demands careful evaluation. This is crucial not only for selecting the most appropriate solution but also for achieving the best treatment outcome. Thus, implementing a workflow for treating cleft lip and/or palate patients with a presurgical orthodontic cleft-covering plate needs to consider objective factors, prioritized from most to least important: safety and quality level, user-friendliness, feasibility, and, finally, efficiency and cost. The goal of this workflow is to integrate CAD/CAM technologies into daily clinical routine to enhance technical and clinical efficiency, reduce the burden of cleft care, and simplify the implementation of these technologies in other facilities. To achieve this, a methodology based on intraoral scanning and additive manufacturing is employed to produce patient-specific passive palatal plates. The approach describes possible pitfalls and their resolution within the routine of a cleft centre, along with an exemplary case scenario. Comparative analysis between the digital workflow and the conventional process demonstrated the digital approach to be safer, higher in quality, more user-friendly, feasible, and cost- and time-effective than the conventional process.
引用
收藏
页数:26
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