{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:08:23Z","timestamp":1787749703117,"version":"build-2784847793"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:00:00Z","timestamp":1761523200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T00:00:00Z","timestamp":1761523200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Oral Maxillofac Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The management of atrophic mandibular fractures presents challenges due to the absence of stable occlusion and the insufficient bone volume. In this case series, we present a technique based on virtual surgical planning and in-house computer-aided design and manufacturing (CAD\/CAM) for the surgical treatment of severe atrophic mandibular fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>etween 1 January 2022 and 31 December 2024, eight patients with edentulous mandibular fractures were treated. Data collected included age, gender, cause of mandibular fracture, degree of atrophy according to Luhr's classification, site and type of fracture according to Ellis and Price, mean virtual planning and operative time, number of osteosynthesis plates, length of hospital stay, adequacy of reduction according to Ramanathan, and clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven female and one male patient (mean age 82.6 \u00b1 3.99 years; range 80-92) were included. Six patients were classified as having class III atrophy, and two as class II. Mild, moderate, and severe displacement were observed in three (37.5%), two (25%) and three (37.5%) patients respectively. Postoperative panoramic radiography demonstrated good and very good reduction in three (37.5%) and five (62.5%) patients respectively. Virtual surgical planning and plate pre-bending required an average of 90.5\u00b1 10.5 minutes. The mean operative time was 135.3 \u00b1 6.63 minutes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Virtual fracture reduction and plate pre-bending on stereolithographic models represent a valuable tool for managing severe atrophic mandibular fractures. The authors believe this approach has potential to improve operative accuracy and reduce surgical time in these complex cases, offering good cost-effectiveness and time efficiency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10006-025-01484-7","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T05:14:51Z","timestamp":1761542091000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Virtual reduction and 3D printing in the management of edentulous atrophic mandibular body fractures: case series and literature review"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7605-4054","authenticated-orcid":false,"given":"Ylenia","family":"Gugliotta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Roccia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Novaresio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pompeo","family":"Cassano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Sobrero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guglielmo","family":"Ramieri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Zavattero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,27]]},"reference":[{"issue":"3","key":"1484_CR1","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1111\/edt.12736","volume":"38","author":"A Bojino","year":"2022","unstructured":"Bojino A, Roccia F, Carlaw K, Aquilina P, Rae E, Laverick S, Romeo I, Iocca O, Copelli C, Sobrero F, Segura-Paller\u00e8s I, Ganasouli D, Zanakis SN, de Oliveira Gorla LF, Pereira-Filho VA, Gallafassi D, Perez Faverani L, Alalawy H, Kamel M, Samieirad S, Jaisani MR, Rahman SA, Rahman T, Aladelusi T, Hassanein AG, Duran-Valles F, Bescos C, Goetzinger M, Bottini GB (2022) A multicentric prospective analysis of maxillofacial trauma in the elderly population. 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The Intercompany Territorial Ethics Committee (CET), A.O.U.\u00a0Citt\u00e0\u00a0della\u00a0Salute\u00a0e\u00a0della\u00a0Scienza\u00a0di\u00a0Torino, Turin, Italy has confirmed that no ethical approval is required. Informed consent was obtained from all individual participants included in the study.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was performed in line with the principles of the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors affirm that human research participants provided informed consent for publication of the images in Figure(s)\n                      \n                      ,\n                      \n                      ,\n                      \n                      and\n                      \n                      .","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors confirm that the data supporting the findings of this study are available within the article. Any further data is available from the corresponding author, YG, upon reasonable request.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical trial number"}},{"value":"The authors declare no competing interests.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"188"}}