Surgical Site Adaptability and Outcomes of Patient Specific Implants used for the Reconstruction of Maxillofacial Defects: A Prospective Pilot Study

Objectives: Major breakthrough in Craniofacial reconstructions emerged with the advent of Patient Specific Implants (PSI) which are designed with high precision and accuracy, leading to improved adaptability to such defects and a plethora of treatment options ranging from the reconstruction of simple alveolar defects to complex three-dimensional printing of maxilla or mandible en bloc.The aim of this study is to evaluate the surgical site adaptability and patient acceptance of patient specific implants used for reconstruction of maxillofacial defects.Materials and Methods: This is a case series of patients operated in the Department of Oral and Maxillofacial Surgery of Saveetha Dental College.3 patients with maxillofacial defects requiring reconstruction have been included.CBCT or CT analysis of the defects was done, based on which patient specific implants were designed using in -house Geomagic Freeform 3D designing software.Three-dimensional titanium printing of the designed implants was done in the in-house laboratory at Saveetha Dental College.Surgical procedure for placement was carried out.The variables assessed are the surgical site adaptability, postoperative VAS score, scale assessing the aesthetic result of the surgery and challenges faced intraoperatively.e135