Tkáňové expandéry jsou od osmdesátých let 20. století akceptovanou chirurgickou technikou v řešení traumatických, pooperačních a jiných defektů nebo nedostatku tkání. Ve vlasaté části hlavy se zavádí buď podkožně, nebo subgaleárně nad periost, a umožňují tak získat kožní lalok včetně vlasových folikulů. Jednou z největších komplikací je špatný výběr místa pro tkáňový expandér. Na kazuistice ukazujeme, že k plánování jeho vhodného umístění může pomoci 3D rekonstrukce z CT a následně 3D tisk.
Tissue expanders have been an accepted surgical technique in the treatment of traumatic, post-operative and other defects and loss of tissue since the 1980s. The expander is inserted in the hairy part of the scalp either subcutaneously or subgaleally above the periosteum, thus enabling the skin lobe, including hair follicles, to develop normally. One of the major complications is the poor choice of location for the tissue expander. In the case report, we will present that 3D modeling from CT and subsequent 3D printing can help to plan its most suitable location.
- MeSH
- Printing, Three-Dimensional MeSH
- Carcinoma, Basal Cell surgery MeSH
- Middle Aged MeSH
- Humans MeSH
- Scalp surgery MeSH
- Tissue Expansion Devices * MeSH
- Imaging, Three-Dimensional MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Case Reports MeSH
3D printing seems to be the technology of the future for the preparation of metallic implants. For such applications, corrosion behaviour is pivotal. However, little is published on this topic and with inconsistent results. Therefore, we carried out a complex study in which we compared two techniques of the 3D printing technology - selective laser melting and electron beam melting. The corrosion behaviour was studied in physiological solution by standard electrochemical techniques and susceptibility to localised corrosion was estimated too. All samples showed typical passive behaviour. Localised corrosion was shown to be possible on the original as-printed surfaces. Corrosion experiments were repeated tree times. To reveal possible negative effects of 3D printing on cytocompatibility, direct in vitro tests were performed with U-2 OS cells. The cells showed good viability and proliferation, but their growth was impeded by surface unevenness. Our results suggest that both techniques are suitable for implants production. Statistical evaluation was performed by ANOVA followed by Tukey's test.
The authors report on three cases in which a custom-made 3D printed titanium acetabular component of total hip arthroplasty was used to manage an advanced acetabular bone defect with pelvic discontinuity. The implant surface structure impeded long-term bone integration. Nonetheless, the stable bridging of the acetabular defect resulted in full integration of impacted bone allografts at the base of the implant. The pelvic continuity was restored within 12 months after surgery, and thus the acetabulum was prepared for potential further implantation of a standard revision acetabular component. Only one of the three female patients underwent a revision surgery at 18 months after surgery, the other two female patients were satisfied to such a degree with the clinical outcome at 6 years and 5 years, respectively, after surgery that they refused to undertake the revision surgery, despite X-ray images showing signs of loosening of the custom-made titanium acetabular component. The authors concluded that the implantation technique of three-point fixed custom-made 3D printed acetabular component made of titanium combined with impaction grafting of the acetabular base is a good alternative in managing the advanced bone defects of acetabulum with pelvic discontinuity after the failure of total hip arthroplasty. Even though inadequate surface porosity of the thus produced component did not allow its permanent osteointegration, the assembly was stable enough to allow the bone allografts to rebuild and restore continuity of the pelvis and facilitated future implantation of the standard revision acetabular component. Key words: 3D printing, individual acetabular component, titanium, total hip prosthesis, revision hip arthroplasty, acetabular reconstruction, custom-made implants.
- MeSH
- Printing, Three-Dimensional MeSH
- Acetabulum diagnostic imaging surgery MeSH
- Hip Prosthesis * MeSH
- Humans MeSH
- Arthroplasty, Replacement, Hip * MeSH
- Follow-Up Studies MeSH
- Prosthesis Design MeSH
- Reoperation MeSH
- Prosthesis Failure MeSH
- Titanium MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
Článok predstavuje a hodnotí prelomové technologické postupy v ortodoncii: skutočný a pseudo 3D záznam, ich spracovanie a vizualizácie. Popisuje postup od celohlavového záznamu CBCT iCAT cez export do stereolitografického formátu (STL) až po jeho 3D tlač. Článok hodnotí možnosti manipulácie s týmto 3D záznamom a tiež sa detailnejšie sa venuje téme „rapid prototypingu" a perspektívam klinického využitia rôznych variant 3D tlače vrátane tlače biokompatibilnými materiálmi, napríklad titánom (AM/ EMB).
The article introduces and reviews revolutionary technologies and procedures in orthodontics: true ar pseudo 3D record, its processing and visualization. In particular, it describes procedure from CBCT iCATTM scanning through its export to stereolithographic (STL) format and final 3D print. In addition, the article reviews possibilities of 3D CBCT volume and brings the current view on rapid prototyping and perspectives of various 3D print techniques in clinical orthodontics including printing by biocompatible materials like titanium (AM/EBM).
Three-dimensional (3D) printing technology offers attractive possibilities for many fields. In electrochemistry, 3D printing technology has been used to fabricate customized 3D-printed electrodes as a platform to develop bio/sensing, energy generation and storage devices. Here, we use a 3D-printed graphene/polylactic (PLA) electrode made by additive manufacturing technology and immobilize horseradish peroxidase (HRP) to create a direct electron transfer enzyme-based biosensors for hydrogen peroxide detection. Gold nanoparticles are included in the system to confirm and facilitate heterogeneous electron transfer. This work opens a new direction for the fabrication of third-generation electrochemical biosensors using 3D printing technology, with implications for applications in the environmental and biomedical fields.
Direct composite restorations are accepted as a treatment option for microdontia, which is a relatively prevalent condition that poses esthetic concerns. While free-hand composite placement is technique-sensitive and time-consuming, the resin composite injection technique is more straightforward and predictable. A fully digital workflow has been recently introduced, but the 3D-printed resin index is rigid and challenged by undercuts, as opposed to the silicone index. This case report presents a flexible 3D-printed resin index, which can accurately transfer the digitally simulated functional and esthetic form to the final restoration. In addition, a rigid stabilization holder was designed to stabilize the flexible index.
- MeSH
- Printing, Three-Dimensional MeSH
- Esthetics, Dental * MeSH
- Humans MeSH
- Workflow MeSH
- Silicones MeSH
- Composite Resins * therapeutic use MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- MeSH
- Printing, Three-Dimensional instrumentation MeSH
- Technology, Dental MeSH
- Child MeSH
- Adult MeSH
- Humans MeSH
- Malocclusion diagnostic imaging MeSH
- Dental Impression Materials MeSH
- Adolescent MeSH
- Imaging, Three-Dimensional MeSH
- Models, Dental * classification MeSH
- Dental Impression Technique classification instrumentation MeSH
- Check Tag
- Child MeSH
- Adult MeSH
- Humans MeSH
- Adolescent MeSH
- Publication type
- Evaluation Study MeSH
PATIENTS: This case report presents a minimally invasive approach to replace a missing mandibular lateral incisor using a dual-injection molding technique with flowable composite resins. Integrated with a comprehensive digital workflow, this method achieves a structurally and esthetically biomimetic, bi-layered prosthetic solution. A 34-year-old woman with congenital absence of a mandibular lateral incisor was successfully rehabilitated using a direct composite resin-bonded fixed partial denture (RBFPD). DISCUSSION: Two specialized three-dimensional (3D)-printed flexible indices stabilized by a custom-designed 3D-printed rigid holder were employed to ensure the meticulous injection molding of flowable composite resins formulated to emulate the inherent chromatic gradations between dentin and enamel. The inherent flexibility of the indices, combined with the holder, facilitated accurate and seamless adaptation to the complex morphological features of the dental arch, thereby mitigating the challenges commonly associated with rigid 3D-printed resin indices. CONCLUSIONS: The bilayered direct composite RBFPD using 3D printed flexible indices prepared with a full digital workflow has several advantages over other dental prosthetic solutions, including noninvasiveness, cost-effectiveness, biomimetic esthetics, repairability, and shortened treatment times. Although the initial results are promising, further longitudinal studies with larger patient cohorts are required to confirm the long-term efficacy of this approach.
- MeSH
- Printing, Three-Dimensional * MeSH
- Anodontia rehabilitation therapy MeSH
- Biomimetics MeSH
- Adult MeSH
- Humans MeSH
- Mandible * MeSH
- Incisor * MeSH
- Composite Resins * MeSH
- Denture, Partial, Fixed, Resin-Bonded MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
Additive manufacturing, also called 3D printing, is an effective method for preparing scaffolds with defined structure and porosity. The disadvantage of the technique is the excessive smoothness of the printed fibers, which does not support cell adhesion. In the present study, a 3D printed scaffold was combined with electrospun classic or structured nanofibers to promote cell adhesion. Structured nanofibers were used to improve the infiltration of cells into the scaffold. Electrospun layers were connected to 3D printed fibers by gluing, thus enabling the fabrication of scaffolds with unlimited thickness. The composite 3D printed/nanofibrous scaffolds were seeded with primary chondrocytes and tested in vitro for cell adhesion, proliferation and differentiation. The experiment showed excellent cell infiltration, viability, and good cell proliferation. On the other hand, partial chondrocyte dedifferentiation was shown. Other materials supporting chondrogenic differentiation will be investigated in future studies.
- MeSH
- Printing, Three-Dimensional * MeSH
- Cell Adhesion physiology MeSH
- Cell Differentiation physiology MeSH
- Chondrocytes cytology MeSH
- Cells, Cultured physiology MeSH
- Humans MeSH
- Nanofibers * chemistry MeSH
- Cell Proliferation physiology MeSH
- Tissue Engineering methods MeSH
- Tissue Scaffolds * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
Due to a broad spectrum of endodontic rotary instruments on the market and no standardised protocol for comparing their mechanical properties, it can be challenging for clinician to choose proper instruments. In vitro studies using resin blocks with artificial canals can offer many valuable information because of their uniformity compared to studies performed on extracted teeth. To improve precision and reproducibility of artificial canals, 3D printing was used in this study to manufacture endodontic test block samples. 20 commercially available endodontic blocks Endo-Training-Bloc-J by Dentsply Sirona were tested. The mean values of the measured parameters were used for a 3D CAD model of their replicas. 20 copies of the endodontic training blocks were printed from acrylic resin (VeroClear-RGD810, Stratasys, Eden Prairie, USA) using the 3D printer Objet30 Pro (Stratasys, Eden Prairie, USA). The key dimensions of the commercial blocks and the 3D printed blocks were measured under and compared using t - test and Levene's test for equality of variances. The profiles of the 3D printed artificial canals showed significantly lower dimensional variability when compared with the commercial blocks. 3D polyjet printing proved to be a precise and reproducible method for production of blocks for testing endodontic rotary instruments.
- MeSH
- Printing, Three-Dimensional MeSH
- Endometriosis * MeSH
- Tooth Extraction MeSH
- Humans MeSH
- Reproducibility of Results MeSH
- Research Design * MeSH
- Check Tag
- Humans MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
