Comparison of three-dimensional computed tomography with rapid prototype models in the management of coronoid hyperplasia

Objectives: To compare (1) the accuracy of 3DCT wilt rapid prototyping (RP) models and (2) their application in the management of coronoid hyperplasia. Methods: An adult dry skull was used to compare 3DCT and a RP model for accuracy of reproduction; Polymerisation contraction and 17 distances between 27 anatomical points were measured. Two patients with coronoid process hyperplasia were assessed by means of 3DCT and plastic models. Results: Differences in measurements with the RP model and the dried skull were smaller than those with 3DCT (P=0.04). Polymerisation contraction was greater than the errors in reproduction with the RP model and approximately equal to those with the 3DCT. The coronoid process was thick and prominent in the patients with coronoid process hyperplasia and the small space and early contact between zygomatic arch and the coronoid process demonstrated. The plastic model duplicated the exostosis of the inner surface of the: malar bone facing the concavity of the elongated process. The coronoid process had an anterior tilt in one case. Conclusion: The plastic model duplicated the relationship between the maxillofacial deformity and the coronoid process with tolerable accuracy. Trismus may be due to the direction as well as the length of the enlarged coronoid process.