case_images: PMC5748123_01
case_images: Acrylonitrile butadiene styrene (ABS) model showing comminuted mandible fracture with severe anterior open bite.
case_images: CRID2017-2732907.001.jpg
case_images: PMC5748123_01_CRID2017-2732907.001.jpg
case_images: fig1
case_images: To begin with, we applied an additive manufacturing (AM) concept to produce an acrylonitrile butadiene styrene (ABS) three-dimensional (3D) life-size surgical model by using her DICOM computed tomography (CT) data (Figure 1).
case_images: Fracture reduction performed following angle mandible osteotomy and then waxing-up to allow adaptation of the reconstruction plate. Note that there is loss of left posterior facial height secondary to condylar neck fracture.
case_images: CRID2017-2732907.002.jpg
case_images: PMC5748123_01_CRID2017-2732907.002.jpg
case_images: fig2
case_images: Next, fracture reduction and correction of occlusion were carried out, followed by waxing-up of the multiple defect areas to allow good bending and adaptation of the reconstruction plate (Figure 2).
case_images: Intraoperative condylar positioning device on right maxilla. This procedure was completed bilaterally prior to the surgery on the mandible in stabilizing the proximal segments bilaterally.
case_images: CRID2017-2732907.003.jpg
case_images: PMC5748123_01_CRID2017-2732907.003.jpg
case_images: fig3
case_images: This was the first step undertaken to prevent any unnecessary change in the condylar position before carrying out further surgical procedures (Figure 3).
case_images: Postoperative panoramic showing good fracture reduction and occlusion achieved.
case_images: CRID2017-2732907.004.jpg
case_images: PMC5748123_01_CRID2017-2732907.004.jpg
case_images: fig4
case_images: Postoperative follow-up and orthopantomogram showed good healing with restoration of her preinjury states of occlusion (Figure 4).