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R_Bibb_Medical_Modelling_The_Application_of_Adv.pdf

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SURGICAL APPLICATIONS<br />

6.3 Surgical applications case study 1: Planning<br />

osseointegrated implants using computer-aided<br />

design and rapid prototyping<br />

6.3.1 Acknowledgements<br />

<strong>The</strong> work described in this case study was fi rst reported in the references<br />

below and is reproduced here in part or in full with the permission <strong>of</strong> the<br />

Institute <strong>of</strong> Maxill<strong>of</strong>acial Prosthetists and Technologists and the Council <strong>of</strong><br />

the Institute <strong>of</strong> Mechanical Engineers.<br />

• <strong>Bibb</strong> R, Bocca A, Sugar A, Evans P, 2003, ‘Planning osseointegrated<br />

implant sites using computer aided design and rapid prototyping’,<br />

Journal <strong>of</strong> Maxill<strong>of</strong>acial Prosthetics & Technology, 6, 1–4.<br />

• <strong>Bibb</strong> R, Eggbeer D, Bocca A, Evans P, Sugar A, 2003 ‘Design and<br />

manufacture <strong>of</strong> drilling guides for osseointegrated implants using rapid<br />

prototyping techniques’, Bocking C E, Rennie A E W, Jacobson D M<br />

(eds), Proceedings <strong>of</strong> the 4 th National Conference on Rapid & Virtual<br />

Prototyping and <strong>Application</strong>s, London, Wiley, pages 3–11, ISBN:<br />

186058411X.<br />

6.3.2 Introduction<br />

In recent years, rapid prototyping (RP) has been used to build highly accurate<br />

anatomical models from medical scan data. <strong>The</strong>se models have proved<br />

to be a valuable aid in the planning <strong>of</strong> complex reconstructive surgery,<br />

particularly in maxill<strong>of</strong>acial and crani<strong>of</strong>acial cases. Typically, RP is used to<br />

create accurate models <strong>of</strong> internal skeletal structures on which operations<br />

can be accurately planned and rehearsed (1, 2, 3, 4). Such models have been<br />

successfully used for positioning osseointegrated implants. Osseointegrated<br />

implants are titanium screws attached directly to a patient’s bone structure<br />

128

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