Alveolar bone regeneration using a 3D‐printed patient‐specific resorbable scaffold for dental implant placement: A case report
Background This case report demonstrates the effective clinical application of a 3D‐printed, patient‐specific polycaprolactone (PCL) resorbable scaffold for staged alveolar bone augmentation. Objective To evaluate the effectiveness of a 3D‐printed PCL scaffold in facilitating alveolar bone regenerat...
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| Vydané v: | Clinical oral implants research Ročník 35; číslo 12; s. 1655 - 1668 |
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| Hlavní autori: | , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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Denmark
Wiley Subscription Services, Inc
01.12.2024
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| ISSN: | 0905-7161, 1600-0501, 1600-0501 |
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| Abstract | Background
This case report demonstrates the effective clinical application of a 3D‐printed, patient‐specific polycaprolactone (PCL) resorbable scaffold for staged alveolar bone augmentation.
Objective
To evaluate the effectiveness of a 3D‐printed PCL scaffold in facilitating alveolar bone regeneration and subsequent dental implant placement.
Materials and Methods
A 46‐year‐old man with a missing tooth (11) underwent staged alveolar bone augmentation using a patient‐specific PCL scaffold. Volumetric bone gain and implant stability were assessed. Histological analysis was conducted to evaluate new bone formation and graft integration.
Results
The novel approach resulted in a volumetric bone gain of 364.69 ± 2.53 mm3, sufficient to reconstruct the original alveolar bone contour and permit dental implant placement. Histological analysis showed new bone presence and successful graft integration across all defect zones (coronal, medial, and apical), with continuous new bone formation around and between graft particles. The dental implant achieved primary stability at 35 Ncm−1, indicating the scaffold's effectiveness in promoting bone regeneration and supporting implant therapy. The post‐grafting planned implant position deviated overall by 2.4° compared with the initial restoratively driven implant plan pre‐bone augmentation surgery. The patient reported low average daily pain during the first 48 h and no pain from Day 3.
Conclusions
This proof‐of‐concept underscores the potential of 3D‐printed scaffolds in personalized dental reconstruction and alveolar bone regeneration. It marks a significant step forward in integrating additive manufacturing technologies into clinical practice through a scaffold‐guided bone regeneration (SGBR) approach. The trial was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12622000118707p). |
|---|---|
| AbstractList | Background
This case report demonstrates the effective clinical application of a 3D‐printed, patient‐specific polycaprolactone (PCL) resorbable scaffold for staged alveolar bone augmentation.
Objective
To evaluate the effectiveness of a 3D‐printed PCL scaffold in facilitating alveolar bone regeneration and subsequent dental implant placement.
Materials and Methods
A 46‐year‐old man with a missing tooth (11) underwent staged alveolar bone augmentation using a patient‐specific PCL scaffold. Volumetric bone gain and implant stability were assessed. Histological analysis was conducted to evaluate new bone formation and graft integration.
Results
The novel approach resulted in a volumetric bone gain of 364.69 ± 2.53 mm3, sufficient to reconstruct the original alveolar bone contour and permit dental implant placement. Histological analysis showed new bone presence and successful graft integration across all defect zones (coronal, medial, and apical), with continuous new bone formation around and between graft particles. The dental implant achieved primary stability at 35 Ncm−1, indicating the scaffold's effectiveness in promoting bone regeneration and supporting implant therapy. The post‐grafting planned implant position deviated overall by 2.4° compared with the initial restoratively driven implant plan pre‐bone augmentation surgery. The patient reported low average daily pain during the first 48 h and no pain from Day 3.
Conclusions
This proof‐of‐concept underscores the potential of 3D‐printed scaffolds in personalized dental reconstruction and alveolar bone regeneration. It marks a significant step forward in integrating additive manufacturing technologies into clinical practice through a scaffold‐guided bone regeneration (SGBR) approach. The trial was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12622000118707p). This case report demonstrates the effective clinical application of a 3D-printed, patient-specific polycaprolactone (PCL) resorbable scaffold for staged alveolar bone augmentation.BACKGROUNDThis case report demonstrates the effective clinical application of a 3D-printed, patient-specific polycaprolactone (PCL) resorbable scaffold for staged alveolar bone augmentation.To evaluate the effectiveness of a 3D-printed PCL scaffold in facilitating alveolar bone regeneration and subsequent dental implant placement.OBJECTIVETo evaluate the effectiveness of a 3D-printed PCL scaffold in facilitating alveolar bone regeneration and subsequent dental implant placement.A 46-year-old man with a missing tooth (11) underwent staged alveolar bone augmentation using a patient-specific PCL scaffold. Volumetric bone gain and implant stability were assessed. Histological analysis was conducted to evaluate new bone formation and graft integration.MATERIALS AND METHODSA 46-year-old man with a missing tooth (11) underwent staged alveolar bone augmentation using a patient-specific PCL scaffold. Volumetric bone gain and implant stability were assessed. Histological analysis was conducted to evaluate new bone formation and graft integration.The novel approach resulted in a volumetric bone gain of 364.69 ± 2.53 mm3, sufficient to reconstruct the original alveolar bone contour and permit dental implant placement. Histological analysis showed new bone presence and successful graft integration across all defect zones (coronal, medial, and apical), with continuous new bone formation around and between graft particles. The dental implant achieved primary stability at 35 Ncm-1, indicating the scaffold's effectiveness in promoting bone regeneration and supporting implant therapy. The post-grafting planned implant position deviated overall by 2.4° compared with the initial restoratively driven implant plan pre-bone augmentation surgery. The patient reported low average daily pain during the first 48 h and no pain from Day 3.RESULTSThe novel approach resulted in a volumetric bone gain of 364.69 ± 2.53 mm3, sufficient to reconstruct the original alveolar bone contour and permit dental implant placement. Histological analysis showed new bone presence and successful graft integration across all defect zones (coronal, medial, and apical), with continuous new bone formation around and between graft particles. The dental implant achieved primary stability at 35 Ncm-1, indicating the scaffold's effectiveness in promoting bone regeneration and supporting implant therapy. The post-grafting planned implant position deviated overall by 2.4° compared with the initial restoratively driven implant plan pre-bone augmentation surgery. The patient reported low average daily pain during the first 48 h and no pain from Day 3.This proof-of-concept underscores the potential of 3D-printed scaffolds in personalized dental reconstruction and alveolar bone regeneration. It marks a significant step forward in integrating additive manufacturing technologies into clinical practice through a scaffold-guided bone regeneration (SGBR) approach. The trial was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12622000118707p).CONCLUSIONSThis proof-of-concept underscores the potential of 3D-printed scaffolds in personalized dental reconstruction and alveolar bone regeneration. It marks a significant step forward in integrating additive manufacturing technologies into clinical practice through a scaffold-guided bone regeneration (SGBR) approach. The trial was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12622000118707p). This case report demonstrates the effective clinical application of a 3D-printed, patient-specific polycaprolactone (PCL) resorbable scaffold for staged alveolar bone augmentation. To evaluate the effectiveness of a 3D-printed PCL scaffold in facilitating alveolar bone regeneration and subsequent dental implant placement. A 46-year-old man with a missing tooth (11) underwent staged alveolar bone augmentation using a patient-specific PCL scaffold. Volumetric bone gain and implant stability were assessed. Histological analysis was conducted to evaluate new bone formation and graft integration. The novel approach resulted in a volumetric bone gain of 364.69 ± 2.53 mm , sufficient to reconstruct the original alveolar bone contour and permit dental implant placement. Histological analysis showed new bone presence and successful graft integration across all defect zones (coronal, medial, and apical), with continuous new bone formation around and between graft particles. The dental implant achieved primary stability at 35 Ncm , indicating the scaffold's effectiveness in promoting bone regeneration and supporting implant therapy. The post-grafting planned implant position deviated overall by 2.4° compared with the initial restoratively driven implant plan pre-bone augmentation surgery. The patient reported low average daily pain during the first 48 h and no pain from Day 3. This proof-of-concept underscores the potential of 3D-printed scaffolds in personalized dental reconstruction and alveolar bone regeneration. It marks a significant step forward in integrating additive manufacturing technologies into clinical practice through a scaffold-guided bone regeneration (SGBR) approach. The trial was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12622000118707p). BackgroundThis case report demonstrates the effective clinical application of a 3D‐printed, patient‐specific polycaprolactone (PCL) resorbable scaffold for staged alveolar bone augmentation.ObjectiveTo evaluate the effectiveness of a 3D‐printed PCL scaffold in facilitating alveolar bone regeneration and subsequent dental implant placement.Materials and MethodsA 46‐year‐old man with a missing tooth (11) underwent staged alveolar bone augmentation using a patient‐specific PCL scaffold. Volumetric bone gain and implant stability were assessed. Histological analysis was conducted to evaluate new bone formation and graft integration.ResultsThe novel approach resulted in a volumetric bone gain of 364.69 ± 2.53 mm3, sufficient to reconstruct the original alveolar bone contour and permit dental implant placement. Histological analysis showed new bone presence and successful graft integration across all defect zones (coronal, medial, and apical), with continuous new bone formation around and between graft particles. The dental implant achieved primary stability at 35 Ncm−1, indicating the scaffold's effectiveness in promoting bone regeneration and supporting implant therapy. The post‐grafting planned implant position deviated overall by 2.4° compared with the initial restoratively driven implant plan pre‐bone augmentation surgery. The patient reported low average daily pain during the first 48 h and no pain from Day 3.ConclusionsThis proof‐of‐concept underscores the potential of 3D‐printed scaffolds in personalized dental reconstruction and alveolar bone regeneration. It marks a significant step forward in integrating additive manufacturing technologies into clinical practice through a scaffold‐guided bone regeneration (SGBR) approach. The trial was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12622000118707p). |
| Author | Arora, Himanshu Ivanovski, Sašo Alayan, Jamil Vaquette, Cedryck Staples, Reuben |
| Author_xml | – sequence: 1 givenname: Sašo orcidid: 0000-0001-5339-0936 surname: Ivanovski fullname: Ivanovski, Sašo email: s.ivanovski@uq.edu.au organization: Centre for Orofacial Regeneration Reconstruction and Rehabilitation (COR3) Herston – sequence: 2 givenname: Reuben surname: Staples fullname: Staples, Reuben organization: Centre for Orofacial Regeneration Reconstruction and Rehabilitation (COR3) Herston – sequence: 3 givenname: Himanshu orcidid: 0000-0002-7181-0006 surname: Arora fullname: Arora, Himanshu organization: Centre for Orofacial Regeneration Reconstruction and Rehabilitation (COR3) Herston – sequence: 4 givenname: Cedryck surname: Vaquette fullname: Vaquette, Cedryck organization: Centre for Orofacial Regeneration Reconstruction and Rehabilitation (COR3) Herston – sequence: 5 givenname: Jamil surname: Alayan fullname: Alayan, Jamil organization: Centre for Orofacial Regeneration Reconstruction and Rehabilitation (COR3) Herston |
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| Keywords | guided bone regeneration case report scaffold‐guided bone regeneration Polycaprolactone 3D printing |
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This case report demonstrates the effective clinical application of a 3D‐printed, patient‐specific polycaprolactone (PCL) resorbable scaffold for... This case report demonstrates the effective clinical application of a 3D-printed, patient-specific polycaprolactone (PCL) resorbable scaffold for staged... BackgroundThis case report demonstrates the effective clinical application of a 3D‐printed, patient‐specific polycaprolactone (PCL) resorbable scaffold for... |
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| SubjectTerms | 3D printing Absorbable Implants Alveolar bone Alveolar Ridge Augmentation - methods Bone grafts Bone growth Bone Regeneration Bone surgery case report Case reports Clinical trials Dental Implantation, Endosseous - methods Dental Implants Dental materials Effectiveness Grafting guided bone regeneration Humans Male Middle Aged Osteogenesis Pain Patients Polycaprolactone Polyesters Printing, Three-Dimensional Regeneration Regeneration (physiology) Scaffolds scaffold‐guided bone regeneration Stability analysis Stability augmentation Teeth Tissue Scaffolds |
| Title | Alveolar bone regeneration using a 3D‐printed patient‐specific resorbable scaffold for dental implant placement: A case report |
| URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fclr.14340 https://www.ncbi.nlm.nih.gov/pubmed/39109582 https://www.proquest.com/docview/3142545418 https://www.proquest.com/docview/3089882306 |
| Volume | 35 |
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