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Background: Biocompatible computer-assisted design (CAD) implants for cranioplasty are associated with high costs and considerable waiting time. We present the results of the first cranioplasty experience in our country using polymethylmethacrylate (PMMA) with customized 3D molds of the cranial defect.
Methods: We present a case series describing five patients with extensive cranial defects who underwent cranioplasty with PMMA using customized 3D molds. From tomographic studies, a bone implant model for the cranial defect was virtually designed and a mold was built according to the specifications of the defect. The mold was printed in 3D using acrylonitrile-butadiene-styrene. With the sterile mold, the implant could be designed intraoperatively with PMMA to perform the cranioplasty. The evolution, complications, and cost of the implant were evaluated.
Results: No postoperative complications were observed. Good aesthetic and functional results were achieved in all patients. The cost of the implant per patient using our technique was approximately $350 USD. In our country, the cost of CAD implants varies between $10000 and $20000 USD.
Conclusions: Cranioplasty with PMMA and 3D custom mold is a safe and low-cost technique that would benefit patients in middle- and low-income countries. Compared to CAD implants, the cost was reduced by 95%-97%. This technique can be implemented on a large scale with remarkable benefits in low- and middle-income countries.
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http://dx.doi.org/10.1016/j.wneu.2024.10.139 | DOI Listing |
Clin Implant Dent Relat Res
October 2025
Faculty of Dentistry, Department of Prosthodontics, Istanbul University, Istanbul, Turkey.
Introduction: Screw loosening remains a frequent mechanical complication in implant-supported prostheses, primarily caused by the gradual loss of abutment-screw preload. The aim of this study was to evaluate the mechanical performance of CAD-CAM custom and stock abutments by measuring removal torque values (RTV) at multiple time points and assessing surface morphology by scanning electron microscopy (SEM), following prolonged loading up to 2 × 10 cycles.
Methods: Forty-four implant-abutment assemblies with an internal conical-hex connection were divided into two groups: Stock abutments (SA) and custom abutments (CA).
Knee Surg Sports Traumatol Arthrosc
September 2025
Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
Purpose: The kinematic alignment (KA) technique aims to restore native joint anatomy; however, the extent to which it restores posterior femoral condylar morphology after total knee arthroplasty (TKA) remains unclear. The posterior longitudinal overhang in the femoral condyle (PLOF) has been reported to affect clinical outcomes. This study aimed to compare the PLOF after medial pivot TKA performed using KA and mechanical alignment (MA) techniques.
View Article and Find Full Text PDFJ Prosthet Dent
September 2025
Chief, The Affiliated Stomatological Hospital of Chongqing Medical University, Chongqing Key Laboratory of Oral Diseases, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing Municipal Health Commission Key Laboratory of Oral Biomedical Engineering, Chongq
Statement Of Problem: Immediate implant and interim restoration placement in the maxillary anterior esthetic zone presents challenges in achieving optimal implant positioning, esthetics, and peri-implant tissue stability. A more accurate and efficient clinical workflow is needed to address these demands.
Purpose: This study aimed to establish a fully digital workflow that combines autonomous robotic-assisted immediate implant placement and prefabricated interim restorations in the maxillary anterior esthetic region and to evaluate its accuracy and short-term clinical outcomes.
Cureus
July 2025
Department of Prosthodontics, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, IND.
Craniofacial rehabilitation demands a multidisciplinary approach where prosthodontists play a pivotal yet often underutilized role in the continuum of care. Traditionally, prosthetic rehabilitation is considered a postsurgical step, leading to delays in functional restoration and compromised outcomes. This editorial emphasizes the need to redefine prosthodontics as an integral component of craniofacial surgical planning, from the operating room to the dental chair.
View Article and Find Full Text PDFQuant Imaging Med Surg
September 2025
Department of Radiology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Background: Super-resolution deep learning reconstruction (SR-DLR) algorithm has emerged as a promising image reconstruction technique for improving the image quality of coronary computed tomography angiography (CCTA) and ensuring accurate CCTA-derived fractional flow reserve (CT-FFR) assessments even in problematic scenarios (e.g., the presence of heavily calcified plaque and stent implantation).
View Article and Find Full Text PDF