Suresh M. Chaware, Vaibhav Bagaria, and Abhay Kuthe
Indian Journal of Plastic Surgery, Vol 42, Iss 01, Pp 085-093 (2020)
ankylosis, cad, rapid prototyping, temporomandibular joint, total joint replacement, Surgery, and RD1-811
Anthropometric variations in humans make it difficult to replace a temporomandibular joint (TMJ), successfully using a standard “one-size-fits-all” prosthesis. The case report presents a unique concept of total TMJ replacement with customized and modified TMJ prosthesis, which is cost-effective and provides the best fit for the patient. The process involved in designing and modifications over the existing prosthesis are also described. A 12-year- old female who presented for treatment of left unilateral TMJ ankylosis underwent the surgery for total TMJ replacement. A three-dimensional computed tomography (CT) scan suggested features of bony ankylosis of left TMJ. CT images were converted to a sterolithographic model using CAD software and a rapid prototyping machine. A process of rapid manufacturing was then used to manufacture the customized prosthesis. Postoperative recovery was uneventful, with an improvement in mouth opening of 3.5 cm and painless jaw movements. Three years postsurgery, the patient is pain-free, has a mouth opening of about 4.0 cm and enjoys a normal diet. The postoperative radiographs concur with the excellent clinical results. The use of CAD/CAM technique to design the custom-made prosthesis, using orthopaedically proven structural materials, significantly improves the predictability and success rates of TMJ replacement surgery.
prototyping, digital model, physical model, smart building envelope, and design process
In this study, a design methodology based on prototyping is proposed. This design methodology is intended to enhance the functionality of the test, differentiating it from the prototyping that is being conducted in conventional architectural design projects. The objective of this study is to explore reference cases that enable designers to maximize the utilization of both digital models and physical models that have been currently used in architectural designs. Also, it is to explore the complementary roles and effects of digital models and physical models. Smart Building Envelopes (SBEs) are one of challenging topics in architectural design and requires innovative design process included tests and risk management. A conceptual prototyping-based model considering the topic is applied to the design studio (education environment in university). Designing SBEs is not difficult to conceive ideas, but it is impossible to &ldquo implement&rdquo using the conventional design method. Implementing SBEs requires to strengthen validities and improve responsibilities of ideas in the stages of architectural designs, with cutting-edge technologies and smart materials. The design methodology enables designers (represented by students) to apply materials and manufacturing methods using digital models (parametric design, simulation, BIM) and physical models, rather than representing vanity images that are considered simple science fiction.