Patient Specific 3D printed Titanium mesh versus Computer Guided Calvarial Bone graft for Orbital Floor Reconstruction (A Randomized Clinical Trial)

shaalan, Mohammad Ghassan; Kamel, Heba M.; shehab, Mohamed Farid

doi:10.21608/edj.2025.388362.3494

	Patient Specific 3D printed Titanium mesh versus Computer Guided Calvarial Bone graft for Orbital Floor Reconstruction (A Randomized Clinical Trial)
Egyptian Dental Journal
Volume 71, Issue 3 - Serial Number 2, July 2025, Page 2093-2102 PDF (2.73 MB)
Document Type: Original Article
DOI: 10.21608/edj.2025.388362.3494
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Authors
Mohammad Ghassan shaalan ¹; Heba M. Kamel ²; Mohamed Farid shehab ³
¹Master Candidate, Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Cairo University, Cairo
²Associate Professor, Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Cairo University, Cairo
³Professor, Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Cairo University
Abstract
Objective: In order to shed light on implant selection and application for globe position restoration and long-term enophthalmous avoidance, the purpose of this study is to evaluate clinical enophthalmous assessment, length of operation, and gaze persistence in relation to orbital floor fractures. Materials & Methods: 32 participants with recent unilateral orbital floor fractures were randomly assigned to 2 equal parallel groups for this study, which took place between March 2022 and January 20224. Evaluations of clinical enophthalmous assessment, length of operation, and gaze persistence were carried out. Results: Regarding Restoration of Clinical exophthalmometry (enophthalmous) correction (P-value > 0.05), and in measuring Operating time (P-value < 0.05), the study finds no differences between the two groups. However, PTSM achieves superior results in Gaze Persistence. Conclusion: Within the limitations of this investigation, the following conclusions could be drawn. Firstly, a patient-specific titanium implant compared to treatment of orbital fracture using Autogenous Calvarial bone shows no significant difference in clinical exophthalmometry between both groups. Secondly, in terms of gaze persistence consumption, donor sight morbidity, improved adaptation, and imaging artifacts, titanium mesh-type PTSMs performed marginally better.
Keywords
implants; PTSM; orbital mesh; guided calvarial graft and patient-specific implants


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