Pragustine, Yenny
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The Use of CAD/CAM Trial Pattern for Facial Prosthesis Fabrication of a Maxillofacial Patient with Large Defect Pragustine, Yenny; Ariani, Nina
Journal of Dentistry Indonesia
Publisher : UI Scholars Hub

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Abstract

Treatment of maxillofacial patients needs a multidisciplinary approach of several expertise based on the complexity of the case. Prosthodontists often work together with e.g. ENT, oral or plastic surgeons to provide patient with better prosthesis and optimum treatment. Case report: A 55 years old male was referred to Dental Teaching Hospital of Universitas Indonesia for facial prosthesis fabrication. Patient had undergone squamous cell carcinoma ablation surgery that encompassed nose, cheek, sinuses, upper lip and most of the hard palate. Due to the extensive nature of the defect, Department of Prosthodontics collaborated with Department of Biomedical Engineering to employ 3D printing technique using general purpose machine for fabricating the trial pattern for the prosthesis, with attention given especially to margin areas and facial contours. This technique helps for prosthesis fabrication of this patient because manual wax carving is no longer necessary. Wax carving usually is a labor/skill intensive step and takes longer time. Conclusion: 3D printing of the trial pattern for the prosthesis help minimizes the labor/ skill intensive part of facial prosthesis fabrication.