3D surgical guide for the resection of vestibular exostoses and mandibular torus: case report
DOI:
https://doi.org/10.24265/kiru.2025.v22n2.08Keywords:
Exostoses; Surgery, Oral; Surgery, Computer-AssistedAbstract
Resection of vestibular exostoses and mandibular tori as a key pre-prosthetic procedure for optimal edentulous rehabilitation. This article reports a case involving the resection of a mandibular torus and vestibular exostoses, emphasizing the use of a 3D-printed surgical guide for enhanced precision. A 49-year-old female patient diagnosed with mandibular tori and vestibular exostoses in the edentulous mandibular region underwent pre-prosthetic surgical treatment. The procedure involved the resection of the mandibular torus and vestibular exostoses, guided by virtual planning. Customized mandibular cutting guides, fabricated using acrylic resin, facilitated precise osteotomy. The use of these patient-specific surgical guides resulted in: reduced surgical time, minimally invasive approach, improved postoperative recovery, preserved mandibular symmetry and fewer surgical complications. At the six-month follow-up, a definitive prosthesis was placed, demonstrating excellent adaptation without soft tissue trauma, ulceration, or displacement. It is concluded that the application of 3D-printed surgical guides in the resection of mandibular tori and vestibular exostoses enables precise bone removal, minimizes surgical invasiveness, and optimizes prosthetic rehabilitation outcomes. This approach enhances surgical predictability, reduces morbidity, and ensures improved long-term patient satisfaction.
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Lease LR. Correlations between dental wear and oral cavity characteristics: Mandibular torus, palatine torus, and oral exostoses. Am J Hum Biol. 2020;33(2):e23446. doi:10.1002/ajhb.23446
Bezamat M, Zhou Y, Park T, Vieira AR. Genome-wide family-based study in torus palatinus affected individuals. Arch Oral Biol. 2021;130:105-221. doi:10.1016/j.archoralbio.2021.105221
Sasaki J, Suzuki K, Kashihara S, Saito T. Three-dimensional evaluation of a giant torus in the maxilla and mandible that affected pronunciation: a case report. Ann Med Surg. 2024;86(10):6221–6. doi:10.1097/MS9.0000000000002523
Silva MWG da, Garcia ALO, Dietrich L, Barros L de, Viana HC, Limirio PHJO, et al. Remoção de tórus mandibular bilateral com finalidade protética: relato de caso clínico. Res Soc Dev. 2021;10(3):e48410313564. doi:10.33448/rsd-v10i3.13564
Valentin R, Julie L, Narcisse Z, Charline G, Vivien M, David G. Early recurrence of mandibular torus following surgical resection: A case report. Int J Surg Case Rep. 2021;83:105942. doi:10.1016/j.ijscr.2021.105942
Zambrano L, Ari̇sti̇zabal D, Arri̇ola L, Rodri̇guez Y, Ali̇aga A, Guerrero ME. Unusual appearance of multiple exostosis: Case report. Cumhur Üniv Diş Hekim Fak derg. 2020;23(1):72–5. doi:10.7126/cumudj.655874
Rossello VE, Andrade MN, López Gamboa VR, Blanzari MJ, Gómez Zanni MS, del Valle Papa MB. Torus Palatino. Med Cutan Ibero Lat Am. 2020;47(3):216–8. doi:10.35366/91762
Aiba H, Spazzoli B, Tsukamoto S, Mavrogenis AF, Hermann T, Kimura H, et al. Current concepts in the resection of bone tumors using a patient-specific three-dimensional printed cutting guide. Curr Oncol. 2023;30(4):3859-3870. http://dx.doi.org/10.3390/curroncol30040292
Olivo K, Batista A, Guzman S, Rivera R. Estudio sobre el uso de tomografía volumétrica de haz cónico en la confección de guías quirúrgicas para implantes dentales en una población de odontólogos especialistas en Santo Domingo, Distrito Nacional, República Dominicana en el periodo Mayo - Noviembre .Universidad Iberoamericana Facultad de Ciencia de la Salud Escuela de Odontología; 2021. Disponible en: https://adin-iberica.com/wp-content/uploads/2020/07/MB041-02-Cirugia-guiada-Paso-a-Paso-ESP2.pdf
Abad-Coronel C, Pazán DP, Hidalgo L, Larriva Loyola J. Comparative analysis between 3D-printed models designed with generic and dental-specific software. Dent J. 2023;11(9):216. doi:10.3390/dj11090216
Rodrigues N, Fernandes L, Dutra S, Borba G. Torus mandibular e palatino predisponentes em um grupo familiar: Fatores genéticos e ambientais – Relato de uma série de casos. Rev. Cir. Traumatol. Buco-Maxilo-Fac. 2022;22(3):40-45.
Zoabi A, Redenski I, Oren D, Kasem A, Zigron A, Daoud S, et al. 3D printing and virtual surgical planning in oral and maxillofacial surgery. J Clin Med. 2022;11(9):2385. doi:2077-0383/11/9/2385
Ahn SH, Jeong Y, Shin GC, Yoon J-H, Kim C-H, Cho H-J. Outcomes of multilevel upper airway surgery, including tongue base resection, in patients with torus mandibularis. J Craniomaxillofac Surg. 2021;49(8):682–7. doi:10.1016/j.jcms.2021.02.008
Brouwer de Koning SG, ter Braak TP, Geldof F, van Veen RLP, van Alphen MJA, Karssemakers LHE, et al. Evaluating the accuracy of resection planes in mandibular surgery using a preoperative, intraoperative, and postoperative approach. Int J Oral Maxillofac Surg. 2021;50(3):287–93. doi: S090150272030237X
Yi CR, Choi J-W. Three-dimension-printed surgical guide for accurate and safe mandibuloplasty in patients with prominent mandibular angles. J Craniofac Surg. 2019;30(7):1979–81. doi: 10.1097/SCS.0000000000005626
Xie K, Wang L, Chen K, Hu X, Wu G. Application of 3D-printed surgical cutting guide in anterior mandibular body ostectomy. J Craniofac Surg. 2022;34(2):656–7. doi: 10.1097/SCS.0000000000009047
Ma B, Wu X, Li Y, Wang S, Sun M, Hua Z. Digital surgical guides in mandibular genioplasty: Evaluating precision against conventional techniques. Aesthetic Plast Surg. 2024;48(19):3741-3750. doi:10.1007/s00266-024-04225-5
Gunalan Kalaivani, Venkateshwarapuram Rengaswami Balaji, Dhanasekaran Manikandan, Govindasamy Rohini. Expectation and reality of guided implant surgery protocol using computer-assisted static and dynamic navigation system at present scenario: Evidence-based literature review. J Indian Soc Periodontol. 2020. 24(5):398–408. doi: 10.4103/jisp.jisp_92_20
Panez-Toro I, Heymann D, Gouin F, Amiaud J, Heymann M-F, Córdova LA. Roles of inflammatory cell infiltrate in periprosthetic osteolysis. Front Immunol. 2023;14:1310262. doi: 10.3389/fimmu.2023.1310262
Sellin M-L, Hansmann D, Bader R, Jonitz-Heincke A. Influence of metallic particles and TNF on the transcriptional regulation of NLRP3 inflammasome-associated genes in human osteoblasts. 2024;15:1397432. doi:10.3389/fimmu.2024.1397432
Evrard R, Schubert T, Paul L, Docquier PL. Márgenes de resección obtenidos con instrumentos específicos para el paciente para la resección de sarcomas óseos pélvicos primarios: un estudio de casos y controles. Ortopedía, traumatología y cirugía. 2019;105(4):781–787. doi: 10.1016/j.otsr.2018.12.016.
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Copyright (c) 2025 Daniel Andrés Degado-Piedra , Elizabeth Adriana Padilla Paltas , David Flores Cuvi, Mayra Elizabeth Paltas MIranda
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