Geometric Morphometric Methods for Bone Reconstruction: The Mandibular Condylar Process of Pico della Mirandola

The issue of reconstructing lost or deformed bone presents an equal challenge in the fields of paleoanthropology, bioarchaeology, forensics, and medicine. Particularly, within the disciplines of orthodontics and surgery, the main goal of reconstruction is to restore or create ex novo the proper form and function. The reconstruction of the mandibular condyle requires restoration of articulation, occlusion, and mastication from the functional side as well as the correct shape of the mandible from the esthetic point of view. Meeting all these demands is still problematic for surgeons. It is unfortunate that the collaboration between anthropologists and medical professionals is still limited. Nowadays, geometric morphometric methods (GMM) are routinely applied in shape analysis and increasingly in the reconstruction of missing data in skeletal material in paleoanthropology. Together with methods for three‐dimensional (3D) digital model construction and reverse engineering, these methods could prove to be useful in surgical fields for virtual planning of operations and the production of customized biocompatible scaffolds. In this contribution, we have reconstructed the missing left condylar process of the mandible belonging to a famous Italian humanist of the 15th century, Pico della Mirandola (1463–1494) by means of 3D digital models and GMM, having first compared two methods (a simple reflection of the opposite side and the mathematical–statistical GMM approach) in a complete human mandible on which loss of the left condyle was virtually simulated. Finally, stereolithographic models of Pico's skull were prototyped providing the physical assembly of the bony skull structures with a high fitting accuracy. Anat Rec, 292:1088–1097, 2009. © 2009 Wiley‐Liss, Inc.

[1]  C. Leiggener,et al.  Condylar replacement alone is not sufficient for prosthetic reconstruction of the temporomandibular joint. , 2006, International journal of oral and maxillofacial surgery.

[2]  F. Hölzle,et al.  Degradable injectable bone cement in maxillofacial surgery: indications and clinical experience in 27 patients. , 2004, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[3]  Francesca De Crescenzio,et al.  The face of the Poet Dante Alighieri reconstructed by virtual modelling and forensic anthropology techniques , 2009 .

[4]  A. Sedat Çöloǧlu,et al.  Forensic analysis of the skull: Craniofacial analysis, reconstruction, and identification , 1995 .

[5]  A K Ghosh,et al.  An economised craniofacial identification system. , 2001, Forensic science international.

[6]  F. Bookstein,et al.  Morphometric Tools for Landmark Data: Geometry and Biology , 1999 .

[7]  F. Bookstein,et al.  Computer-aided reconstruction of incomplete human crania using statistical and geometrical estimation methods , 2004 .

[8]  B. Schmidt,et al.  Reconstruction of the mandibular ramus/condyle unit following resection of benign and aggressive lesions of the mandible. , 2007, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[9]  M. Madsen,et al.  Stereolithographic modeling technology applied to tumor resection. , 2005, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[10]  G. Weber,et al.  Virtual anthropology (VA): A call for Glasnost in paleoanthropology , 2001, The Anatomical record.

[11]  R. Haug,et al.  A biomechanical evaluation of plating techniques used for reconstructing mandibular symphysis/parasymphysis fractures. , 2008, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[12]  Dennis E. Slice,et al.  Modern Morphometrics In Physical Anthropology , 2005 .

[13]  H. Seidler,et al.  New methods and techniques in anthropology. , 1999, Collegium antropologicum.

[14]  B. Eppley,et al.  Compartmentalized Bone Regeneration of Cranial Defects With Biodegradable Barriers—Effects of Calcium Sodium Phosphate Surface Coatings on LactoSorb® , 2002, The Journal of craniofacial surgery (Print).

[15]  F. Bookstein,et al.  Semilandmarks in Three Dimensions , 2005 .

[16]  Lilian Ulhaas,et al.  27 Computer-Based Reconstruction: Technical Aspects and Applications , 2007 .

[17]  H. Seidler,et al.  Virtual reality and anthropology. , 1999, European journal of radiology.

[18]  C. Zollikofer,et al.  New evidence from Le Moustier 1: Computer‐assisted reconstruction and morphometry of the skull , 1999, The Anatomical record.

[19]  B. Schmidt,et al.  Quality of life in patients undergoing segmental mandibular resection and staged reconstruction with nonvascularized bone grafts , 2007, BDJ.

[20]  W. Magee,et al.  Use of fast-setting hydroxyapatite cement for secondary craniofacial contouring. , 2004, Plastic and reconstructive surgery.

[21]  Paulo Jorge Da Silva bartolo,et al.  Bio-Materials and Prototyping Applications in Medicine , 2008 .

[22]  G W Weber,et al.  Virtual anthropology: the digital evolution in anthropological sciences. , 2001, Journal of physiological anthropology and applied human science.

[23]  Jing-Jing Fang,et al.  Restoration of the temporal defect using laser stereolithography technique. , 2002, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[24]  Luigi Chiarini,et al.  Cranioplasty using acrylic material: a new technical procedure. , 2004, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[25]  Mehmet Yaşar İşcan,et al.  Forensic analysis of the skull : craniofacial analysis, reconstruction, and identification , 1993 .

[26]  Zhengyou Zhang,et al.  Iterative point matching for registration of free-form curves and surfaces , 1994, International Journal of Computer Vision.

[27]  Daniel G Deschler,et al.  Mandibular reconstruction in 2004: an analysis of different techniques , 2004, Current opinion in otolaryngology & head and neck surgery.

[28]  A. Patel,et al.  Condylar prostheses in head and neck cancer reconstruction. , 2001, Archives of otolaryngology--head & neck surgery.

[29]  Paul J. Besl,et al.  A Method for Registration of 3-D Shapes , 1992, IEEE Trans. Pattern Anal. Mach. Intell..

[30]  K Aitasalo,et al.  Repair of orbital floor fractures with bioactive glass implants. , 2001, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[31]  M. Dujovny,et al.  Stereolithography: Neurosurgical and medical implications , 2003, Neurological research.

[32]  N. Ogihara,et al.  Computerized restoration of nonhomogeneous deformation of a fossil cranium based on bilateral symmetry. , 2006, American journal of physical anthropology.