The Use of CAD/CAM Trial Pattern for Facial Prosthesis Fabrication of a Maxillofacial Patient with Large Defect

Treatment of maxillofacial patients needs a multidisciplinary approach of several expertise based on the complexityof the case.Prosthodontists often work together with e.g.ENT, oral or plastic surgeons to provide patient with betterprosthesis and optimum treatment.

Case report: A 55 years old apunisw2 male was referred to Dental Teaching Hospital ofUniversitas Indonesia for facial prosthesis fabrication.Patient had undergone squamous cell carcinoma ablationsurgery that encompassed nose, cheek, sinuses, upper lip and most of the hard palate.Due to the extensive natureof the defect, Department of Prosthodontics collaborated with Department of Biomedical Engineering to employ3D printing technique using general purpose machine for fabricating the trial pattern for the prosthesis, withattention given especially to margin areas and facial contours.This technique helps for prosthesis fabrication ofthis patient because manual wax carving is no longer necessary.

Wax carving usually is a labor/skill intensive stepand takes longer time.Conclusion: 3D printing of the trial pattern for the prosthesis hancheng fashion help minimizes the labor/skill intensive part of facial prosthesis fabrication.

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