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Electron Beam Melting Manufacturing Technology for Individually Manufactured Jaw Prosthesis: A Case Report

Journal article
Authors Felicia Suska
Göran Kjeller
Peter Tarnow
Eduard Hryha
Lars Nyborg
A. Snis
Anders Palmquist
Published in Journal of Oral and Maxillofacial Surgery
Volume 74
Issue 8
Pages 1706.e1-1706.e16
ISSN 0278-2391
Publication year 2016
Published at Institute of Odontology
Institute of Clinical Sciences, Department of Biomaterials
Institute of Clinical Sciences, Department of Plastic Surgery
Pages 1706.e1-1706.e16
Language en
Keywords ti-6al-4v structures, trabecular titanium, bone ingrowth, implants, reconstruction, osseointegration, biomaterial, osteoblasts, scaffolds, thickness, Dentistry, Oral Surgery & Medicine
Subject categories Dentistry, Metallurgical process and manufacturing engineering


In the field of maxillofacial reconstruction, additive manufacturing technologies, specifically electron beam melting (EBM), offer clinicians the potential for patient-customized design of jaw prostheses, which match both load-bearing and esthetic demands. The technique allows an innovative, functional design, combining integrated porous regions for bone ingrowth and secondary biological fixation with solid load-bearing regions ensuring the biomechanical performance. A patient-specific mandibular prosthesis manufactured using EBM was successfully used to reconstruct a patient's mandibular defect after en bloc resection. Over a 9-month follow-up period, the patient had no complications. A short operating time, good esthetic outcome, and high level of patient satisfaction as measured by quality-of-life questionnaires-the European Organisation for Research and Treatment of Cancer QLQ-C30 (30-item quality-of-life core questionnaire) and H&N35 (head and neck cancer module)-were reported for this case. Individually planned and designed EBM-produced prostheses may be suggested as a possible future alternative to fibular grafts or other reconstructive methods. However, the role of porosity, the role of geometry, and the optimal combination of solid and porous parts, as well as surface properties in relation to soft tissues, should be carefully evaluated in long-term clinical trials. (C) 2016 American Association of Oral and Maxillofacial Surgeons

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