RESUMO
Rationale: Ameloblastoma often requires complex facial treatments such as resection and reconstruction, which can be aided using three-dimensional resources towards improved surgical planning, reduction of surgical time, and customization. Patient Concerns: A 51-year-old patient, concerned about submandibular volumetric increase discovered performing imaging exams to install dental implants. Diagnosis and Treatment: Diagnosed with ameloblastoma, he underwent uneventful partial mandibular resection and placement of prebent mandibular reconstruction plate. Four months later, following a motorcycle accident, a deflection of the plate and mandibular fracture was observed. Using the initial prototyping, a new reconstruction plate was customized and surgically placed to reduce the mandibular fracture, with adequate titanium plate adaptation to the remaining bone and maintenance of aesthetic mandibular contour. Outcomes and Take-away Lessons: The current digital dentistry resources, such as computed tomography and intraoral scan, can be recovered and used as a backup of recorded anatomy anytime in future, providing a long-lasting facial digital biobank.
RESUMO
Atualmente, há uma grande variedade de terapêuticas disponíveis para a correção da má-oclusão de classe II. Os protocolos mais eficientes são aqueles que não dependem da colaboração do paciente. Nos últimos anos, diversos aparelhos funcionais fixos foram idealizados e utilizados para o tratamento da má-oclusão de classe II na dentadura permanente. Os aparelhos funcionais fixos são vantajosos, pois eles são efetivos 24 horas por dia, não necessitam da colaboração dos pacientes em utilizá-los, podem ser associados ao aparelho fixo e o tratamento ativo é mais curto. Dentre estes aparelhos, destaca-se o Forsus, que foi desenvolvido em 1999 por William Vogt. O Forsus Fatigue Resistant Device é um aparelho de propulsão híbrido intrabucal de ancoragem intermaxilar recíproca, que utiliza uma combinação de um sistema de força flexível e rígido para corrigir a má-oclusão de classe II por meio da protrusão mandibular. O aparelho Forsus diferencia-se dos demais aparelhos funcionais fixos, pois apresenta fácil instalação e permite maior liberdade de movimentação da mandíbula. Dessa forma, o objetivo deste trabalho foi apresentar, por meio de um caso clínico, os efeitos do aparelho Forsus no tratamento da má-oclusão de classe II...
Currently, there is a variety of therapies available for the correction of class II malocclusion. The most efficient protocols are those that do not depend on patient compliance. In recent years, several fixed functional appliances were designed and used for the treatment of class II malocclusion in the permanent dentition. Fixed functional appliances are advantageous because they are effective 24 hours a day, do not require the cooperation of patients to use them, can be associated with fixed appliances and the active treatment is shorter. Among these devices, highlight the Forsus, which was developed in 1999 by William Vogt. The Forsus Fatigue Resistant Device is an intraoral hybrid propulsion device with reciprocal intermaxillary anchorage, which uses a combination of a system of flexible and rigid strength to correct class II malocclusions by mandibular protrusion. The Forsus device differs from other fixed functional appliances due to its features of easy installation and allows greater freedom of movement of the mandible. Thus, the aim of this paper is to show through a case report the effects of the Forsus device in the treatment of class II malocclusion...
