"Computer-Aided Design and Fabrication of a pediatric Fox Plan in PLA: A Case Report"

Abstract

Auto-immune lymphoproliferative syndrome (ALPS) is benign, early-onset (on average before five years), combines multifocal lymphadenopathy, splenomegaly and possibly hepatomegaly; This multi-organ involvement is reflected by an alteration of all the manducatory functions of the affected patients, but xerostomia, immunosuppression, and hypofibrinogenemia reduce the quality of osteomucosal bearing surfaces; in addition to the low salivary viscosity, retention and prosthetic stability become a real challenge. In some more complex cases, where age (13years) and microstomia added to the arsenal of challenges, it becomes necessary to adapt the instruments to reduced pediatric dimensions. The objective of this work is to demonstrate through a clinical case the prosthetic management of a patient suffering from this syndrome, through the computer-aided design and manufacturing of an individualized Fox plan according to patient’s proportions made in PLA (polylactic acid) to adjust the occlusion plane appropriately.