Complete Digital Workflow for Manufacturing Presurgical Orthodontic Palatal Plates in Newborns and Infants with Cleft Lip and/or Palate.

IF 5 3区 医学 Q1 ENGINEERING, BIOMEDICAL
Christina Weismann, Alexander B Xepapadeas, Marit Bockstedte, Bernd Koos, Michael Krimmel, Christian F Poets, Maite Aretxabaleta
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Abstract

Deciding on the implementation or modification of steps in daily clinical care is a nuanced process that demands careful evaluation. This is crucial not only for selecting the most appropriate solution but also for achieving the best treatment outcome. Thus, implementing a workflow for treating cleft lip and/or palate patients with a presurgical orthodontic cleft-covering plate needs to consider objective factors, prioritized from most to least important: safety and quality level, user-friendliness, feasibility, and, finally, efficiency and cost. The goal of this workflow is to integrate CAD/CAM technologies into daily clinical routine to enhance technical and clinical efficiency, reduce the burden of cleft care, and simplify the implementation of these technologies in other facilities. To achieve this, a methodology based on intraoral scanning and additive manufacturing is employed to produce patient-specific passive palatal plates. The approach describes possible pitfalls and their resolution within the routine of a cleft centre, along with an exemplary case scenario. Comparative analysis between the digital workflow and the conventional process demonstrated the digital approach to be safer, higher in quality, more user-friendly, feasible, and cost- and time-effective than the conventional process.

为唇裂和/或腭裂新生儿和婴儿制造术前正畸腭板的完整数字化工作流程。
决定实施或修改日常临床护理中的步骤是一个需要仔细评估的微妙过程。这不仅对选择最合适的解决方案至关重要,而且对实现最佳治疗效果也至关重要。因此,在实施使用术前正畸裂隙覆盖板治疗唇裂和/或腭裂患者的工作流程时,需要考虑客观因素,从最重要到最不重要依次为:安全和质量水平、用户友好性、可行性,最后是效率和成本。本工作流程的目标是将 CAD/CAM 技术整合到日常临床工作中,以提高技术和临床效率,减轻唇裂护理负担,并简化这些技术在其他机构的实施。为此,我们采用了一种基于口内扫描和增材制造的方法来制作患者专用的被动腭板。该方法介绍了裂隙中心日常工作中可能存在的隐患及其解决方法,并提供了一个示范病例。数字化工作流程与传统工艺之间的比较分析表明,数字化方法比传统工艺更安全、质量更高、更方便用户、更可行、更节约成本和时间。
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来源期刊
Journal of Functional Biomaterials
Journal of Functional Biomaterials Engineering-Biomedical Engineering
CiteScore
4.60
自引率
4.20%
发文量
226
审稿时长
11 weeks
期刊介绍: Journal of Functional Biomaterials (JFB, ISSN 2079-4983) is an international and interdisciplinary scientific journal that publishes regular research papers (articles), reviews and short communications about applications of materials for biomedical use. JFB covers subjects from chemistry, pharmacy, biology, physics over to engineering. The journal focuses on the preparation, performance and use of functional biomaterials in biomedical devices and their behaviour in physiological environments. Our aim is to encourage scientists to publish their results in as much detail as possible. Therefore, there is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Several topical special issues will be published. Scope: adhesion, adsorption, biocompatibility, biohybrid materials, bio-inert materials, biomaterials, biomedical devices, biomimetic materials, bone repair, cardiovascular devices, ceramics, composite materials, dental implants, dental materials, drug delivery systems, functional biopolymers, glasses, hyper branched polymers, molecularly imprinted polymers (MIPs), nanomedicine, nanoparticles, nanotechnology, natural materials, self-assembly smart materials, stimuli responsive materials, surface modification, tissue devices, tissue engineering, tissue-derived materials, urological devices.
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