Customized anatomically adjusted plate for fixation of mandible internal fractures

Abstract

Mandible internal fractures are a common injury because of the mandible's lack of structural support. For the treatment of such injuries various fixation elements are used. In order to improve quality of the orthodontists interventions anatomically correct and geometrically accurate customized implants are necessary. In this paper an example of accurate geometrical model of the customized plate implant for the fixation of mandible fracture is presented. For the creation of such model new method has been developed. This method is based on reverse engineering techniques applied on the CT scan of the specific patient mandible. With the application of this method it is possible to create geometrical model of the customized plate implant which geometry and topology conforms to the shape of the mandible of the specific patient. The side of the implant, which is in contact with a periosteum outer layer of the mandible, is fully aligned with the shape of the mandible outer surface near the fracture. The obtained model(s) can be used for production of plate implants, and/or for simulation of orthodontist interventions.