Custom Cutting Guide

Custom Cutting Guide

Surgical guides are advanced, patient-specific tools used in maxillofacial and craniofacial surgery that can be sterilized and customized for each case. These guides are virtually planned using the patient’s 3D tomographic data before surgery, allowing the surgeon to operate saws and drills at precisely the intended location, angle, and depth. This ensures millimetric precision in implementing the surgical plan during complex procedures such as mandibular reconstructions (including fibula grafts), genioplasty, Le Fort osteotomies, and bone-cutting implant surgeries.

These guides are generally categorized into two main types: cutting guides, used for osteotomies, and positioning guides, used for aligning and stabilizing bone segments. For short-term use, sterilizable polymers are typically used as the production material. However, titanium guides, which offer greater durability, allow for direct cutting and drilling, significantly enhancing surgical efficiency.This innovative approach minimizes surgical errors, shortens operation time, and greatly enhances patient safety.

• Enhances Accuracy
• Reduces Surgical Time
• Enables Pre-Determined Cuts and Screw Placement
• Ensures Safe Cutting of Bone Segments
• in Jaw Surgeries, Screw Placements Can Be Designed to Ensure the Use of the Same Holes for Both Bone Fixation and Plate Positioning
• Ensures the Effective Transfer of the Virtual Surgical Plan to the Operating Room
• They Are Specifically Designed to Match the Patient’s Unique Anatomy
• Provides Precise Resection in Osteotomies
• In Reconstruction Surgeries, Positioning Guides Assist in Accurately Securing Bone Segments or Implants in the Correct Location
• Titanium Material (stronger and More Durable)

CUSTOM CUTTING GUIDE | Order and Delivery Process

1. DICOM The patient’s DICOM file must be sent via WeTransfer to custimesh.case@gmail.com. The physician’s name and the specific region for the Custimplant must be clearly stated in the description section. Prior to creating the Custimplant, a total prosthesis containing barium sulfate must be fabricated for the patient. Then, a Medical CT scan should be performed while the patient is in the occlusion position, using a slice thickness of 0.5 mm.
2. DOCTOR A 3D model is prepared based on the region where the Custimplant is to be planned. The model is then submitted for the physician’s approval, and communication is established with the physician for any necessary evaluations.
3. PAYMENT At this stage, payment is made, and the active design process begins, initiating the Custimplant design phase.
4. DESIGN Preliminary evaluations and analyses are conducted for the relevant region. The design of the Custimplant is then finalized by determining the positions of the multi-units, prosthetic emergence profiles, safe screw locations, and optimal intraoral screw access angles.
5. DOCTOR APPROVAL The final productionready design of the custom-made Custimplant is submitted for the physician’s approval.
6. PRODUCTION The Custimplant approved by the physician is manufactured using 3D printing technology from Grade 23 (Ti6Al4V) Medical Titanium Alloy.
7. SHIPPING After undergoing the necessary postprocessing stages, the Custimplant is carefully prepared and shipped to the respective physician.