A simplified CAD/CAM extraoral surgical guide for therapeutic injections
Cameron Andrew, Custodio Antonio Luis Neto, Bakr Mahmoud, Reher Peter,
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( Cameron Andrew ) - Griffith University School of Dentistry and Oral Health
( Custodio Antonio Luis Neto ) - Federal University of Minas Gerais Biological Sciences Institute Department of Morphology
( Bakr Mahmoud ) - Griffith University School of Dentistry and Oral Health
( Reher Peter ) - Griffith University School of Dentistry and Oral Health
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.
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3D Printing; CAD-CAM; Extra-Oral Scanning; Face Scanner; Lateral Pterygoid Muscle; Temporomandibular Joint
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