Background: Mandibular defects caused by trauma or tumor resection pose significant challenges in both functional and aesthetic reconstruction. Additive manufacturing (AM) technologies offer promising solutions for surgical planning and personalized treatment. Objectives: This review aims to evaluate current trends in the application of AM technologies for mandibular resection and reconstruction, with a particular focus on material selection, clinical integration, and technology-specific advantages. Methods: A structured literature review was performed using PubMed, Scopus, Web of Science, and Google Scholar. Studies published between January 2020 and May 2025 were screened using the following inclusion criteria: original peer-reviewed English-language research involving AM in mandibular surgery. The exclusion criteria included review articles, non-English sources, and non-mandibular studies. A total of 77 studies met the inclusion criteria and were analyzed in this review. Results: Based on the literature review conducted from 2020 to 2025, the most common restorative methods for the mandible using additively manufactured models include reconstruction with a titanium surgical plate bent to the curvature of the edges and angle of the mandible or a personalized titanium or PEEK surgical plate made directly based on the patient’s diagnosis. Implants made of Ti-6AL-4V ELI and bioceramic scaffolds are also used in the reconstruction process. They are developed based on patient diagnostic data and effectively replace the loss of mandibular bone structure. In addition, based on models and surgical guides created using additive manufacturing techniques, the performance of autogenous grafts from the fibula or iliac crest has improved significantly when used with a titanium implant plate. Conclusions: Additive manufacturing supports highly personalized and accurate mandibular reconstruction. The advantages of these methods include a reduced overall duration of procedures, a lower health risk for patients due to less reliance on general anesthesia, a near perfect match between the implant and the remaining hard tissues, and satisfactory aesthetic outcomes. However, success depends on the appropriate selection AM technology and material, particularly in load-bearing applications.
Cherubizm to choroba uwarunkowana genetycznie, dotycząca kości części twarzowej czaszki. Schorzenie jest najczęściej diagnozowane u dzieci poniżej 5. roku życia. Obraz radiologiczny i histopatologiczny cherubizmu zbliżony jest do dysplazji włóknistej, guza brunatnego w nadczynności przytarczyc lub guzów olbrzymiokomórkowych. W artykule przedstawiono dwa przypadki cherubizmu. Oba przypadki rozpoznano na podstawie badania klinicznego potwierdzonego badaniami radiologicznymi, histopatologicznymi oraz testami genetycznymi. W niniejszej pracy w pierwszym przypadku nie stwierdzono mutacji genu SH3BP2, co nie wyklucza, że mutacja występuje w innym genie. W drugim przypadku u chorej, u której rozpoznanie cherubizm zostało ustalone po wieloletniej obserwacji i w momencie nasilenia objawów klinicznych, badania genetyczne potwierdziły mutację w egzonie 9 genu SH3BP2.
Precise orbital floor reconstruction requires personalised surgical templates that combine high geometric fidelity with manufacturing efficiency. This study presents and validates the TARMM procedure, developed to optimise the production of polylactide (PLA) templates. A key innovation is the integration of advanced machine learning algorithms (Random Forest) and Mitchell–Netravali interpolation to reduce medical reconstruction artefacts, as well as the implementation of Material Extrusion (MEX) technology with Variable Layer Height (VLH). This strategy minimises the stair-step effect on complex anatomical curvatures while maintaining high process throughput. The results demonstrate that the TARMM procedure ensures a geometric error within ±0.1 mm. A strong linear correlation (r = 0.99) was found between layer height and surface roughness (Sa), indicating that a 0.07 mm layer in critical areas significantly improves template morphology and facilitates the contouring of titanium meshes. The clinical validation across 21 cases confirmed a 30 min reduction in surgical preparation time. The developed method serves as a low-cost, high-precision alternative to photopolymerization technologies, contributing to modern 3D printing applications in maxillofacial surgery.