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Computer Guided 3D Bone Reconstruction
Posted on 01.29.2017 10:03 PM
By Naheed Mohamed
In Bone Grafting
Using CAD/CAM and CBCT software I digitally planned a 3D bone augmentation procedure for a maxillary lateral defect site with horizontal and vertical deficiency. The software was used to plan a guided block graft harvest to reconstruct the site. The bone block harvest guide was 3d printed to be used in the surgery. The guide serves as a bridge connecting the digital plan to the clinical surgery. This protocol allows a reduced surgical time and more efficient surgery. Hope you all enjoy. See you in Vegas soon!!!
Regards,
Naheed
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13 Comments
Naheed Mohamed says on 01.30.2017 08:21 PM
Forgot to mention, the software used was Co-Diagnostix for CBCT planning and CAD software used to plan virtual surgery and create harvest guide was MeshMixer. The 3D printer used was a Stratasys Objet30 however this can be printed on a FormLabs Form 2 as well with just as much accuracy, it just takes longer to print and more post print clean up.
Maurice Salama says on 01.31.2017 06:48 AM
Naheed; Remarkable and the FUTURE of Bone reconstruction. Great accuracy and precision in harvesting and more safe. Would love for you to voiceover this video and resend to XP for formal featured posting. See you soon in Vegas. Dr. Salama
Naheed Mohamed says on 01.31.2017 11:55 AM
Thank you kindly for your praise. Always a great feeling to have feedback like this from a mentor. Yes I would be honored to do a voice over to explain a little more and slow down the video a little for an XP formal presentation. Looking forward to discuss more in Vegas.
Regards, Naheed
richard martin says on 01.31.2017 07:43 AM
Naheed,
Just beautiful stuff I'm smiling from Ear toEar- looking forward to connecting in Vegas and sharing thoughts!!get your input on a couple of similar cases
Cheers,
Richard
Naheed Mohamed says on 01.31.2017 11:56 AM
Thank you very kindly for your excitement and interest. I would be happy to discuss further in Vegas. Looking forward to meeting you in person. Regards, Naheed
Michel Azer says on 01.31.2017 07:52 AM
Briliant idea, neatly executed and documented! Well done. My compliments :)
Naheed Mohamed says on 01.31.2017 11:57 AM
Thank you for your compliments Michel. I'm glad you enjoyed the video. Regards, Naheed
Cristian Rotaru says on 01.31.2017 03:17 PM
Great job , Naheed !
I really enjoyed watching your video and cant wait for the long verion with extra footage maybe and th eproper explanation !
Thank you for sharing !
Naheed Mohamed says on 01.31.2017 11:17 PM
Thank you for your kind words. I will work on the new video and add more explanation for the planning steps.
Ehab Moussa says on 01.31.2017 04:17 PM
Naheed,
Beautiful work my friend, clean and pristine as usual. Regarding the technology, I believe this to be the future of autogenous augmentation. One step closer in reducing the morbidity. This will especially be useful in cases where a larger site is being treated and more graft is required. I do have a question about the case. What has been your experience with resorption of these onlay grafts, especially for vertical aug.?
Sorry to miss you this year in Vegas, but I look forward to meeting you again soon!
Ehab,
Naheed Mohamed says on 01.31.2017 11:20 PM
Thank you for your compliments Ehab. Too bad I will not see you in Vegas. Regarding your questions, usually I do not see too much resorption as long as the healing is uneventful and the screws don't cause any tissue irritation. Once in a while I have seen some slight resorption on the coronal plate near the screw, likely due to pressure overtime from the flap. However overall, if you have good closure and no flap dehiscences during the healing period you usually get a great result.
Naheed
snjezana pohl says on 02.01.2017 01:58 PM
Naheed, nothing to add to previous comments, just great idea!
I hope that your voice is as pleasant as your background music.
Enjoy your time in LV, send a selfie with Richard!
Cheers
Snjezana
Naheed Mohamed says on 02.01.2017 02:11 PM
Thank you for the compliments! Would have been great to meet you in person. Maybe another time :)
Naheed