Digital screw path transfer of preoperative mandibular models using CBCT and its preliminary application in mandibular fractures
10.13591/j.cnki.kqyx.2025.02.005
- VernacularTitle:基于CBCT实现术前下颌骨模型的数字化钉道转移及其在下颌骨骨折中的初步应用
- Author:
Youjun WAN
1
;
Tianyu ZHANG
1
;
Bowen ZHU
1
;
Liuning ZHU
1
;
Shoushan BU
1
;
Hai ZHUANG
1
Author Information
1. 南京医科大学第一附属医院口腔科,江苏南京(210000)
- Publication Type:Journal Article
- Keywords:
short-segment drilling guides;
virtual surgical planning;
fused deposition modeling;
mandibular fracture
- From:
STOMATOLOGY
2025;45(2):105-111,117
- CountryChina
- Language:Chinese
-
Abstract:
Objective To scan and accurately reconstruct mandible models printed via fused deposition modeling(FDM)that contain screw path information,using cone-beam CT(CBCT),to achieve the digital transfer of preoperative model screw paths.Methods CBCT scans were conducted on 12 FDM-printed mandibular models(Model1 group)intended for prebending reconstruction plates.Mim-ics software was employed to reconstruct scanned data into mandibular models(Model2 group)and extract digital screw path informa-tion.Model2 was then compared with original models(Model0 group)in three dimensions,evaluating reconstruction accuracy through root mean square(RMS).Reconstruction parameters were optimized to enable automatic matching of Model2 with Model0,facilitating precise digital transfer of screw paths.In clinical application,this method was utilized to produce digital short-segment drilling guides,assisting in the reduction surgery of three mandibular fracture patients.Results Model2 demonstrated automatic matching with Model0,exhibiting detailed surface characteristics and clear screw path position and orientation information.The RMS was measured at(0.32±0.09)mm.Utilization of digital segmented screw path transfer guides assisted in the satisfactory reduction surgery of three pa-tients with comminuted mandibular fractures.Conclusion CBCT scanning of FDM-printed preoperative models accurately captures screw path position and orientation information,enabling digital transfer of screw paths and providing a novel method for precise design of digital surgical guides.
