☆ 3.8 Review

Redefining precision and efficiency in orthognathic surgery through virtual surgical planning and 3D printing: a narrative review

MAXILLOFACIAL PLASTIC AND RECONSTRUCTIVE SURGERY (2023)

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Maxillomandibular Reconstruction Using Insourced Virtual Surgical Planning and Homemade CAD/CAM: A Single-Center Evolution in 75 Patients

Jan Jeroen Vranckx et al.

Summary: This study presents a method for in-house CAD/CAM technology for maxillofacial reconstruction. The results show that in-house CAD/CAM provides accuracy and precision in maxillomandibular reconstruction and improves quality of life and aesthetic outcomes. Further reduction in hardware and software acquisition costs is needed for widespread implementation of this innovative technology.

PLASTIC AND RECONSTRUCTIVE SURGERY (2023)

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Effectiveness of individualized 3D titanium-printed Orthognathic osteotomy guides and custom plates

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Summary: This study compared the accuracy and stability of conventional orthognathic surgery with virtual simulation and 3D-printed customized surgical guides and plates. The results showed that the new methods provided more accurate and stable results, with shorter operation time.

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Advancements in Oral Maxillofacial Surgery: A Comprehensive Review on 3D Printing and Virtual Surgical Planning

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Summary: This comprehensive review explores the integration of 3D printing and Virtual Surgical Planning (VSP) in orthognathic and oral maxillofacial surgery, which enables personalized surgical methods, precise planning through tactile 3D models, and accurately designed surgical guides for improved patient-centric care and predictable outcomes.

APPLIED SCIENCES-BASEL (2023)

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Review Dentistry, Oral Surgery & Medicine

The consequences of living with a severe malocclusion: A review of the literature

Richard Leck et al.

Summary: The comprehensive narrative literature review identified a range of potential consequences for individuals living with severe malocclusion, with varying levels of supporting evidence quality. While Oral Health Related Quality Of Life is poorer in adults with severe malocclusion and the risk of Traumatic Dental Injury increases with certain parameters, other conclusions were found to have low to moderate quality evidence and bias risks.

JOURNAL OF ORTHODONTICS (2022)

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Article Dentistry, Oral Surgery & Medicine

Influence of 3D-printing method, resin material, and sterilization on the accuracy of virtually designed surgical implant guides

Andreas Kessler et al.

Summary: This study evaluated the influence of manufacturing method, printing technology, material, and sterilization on the accuracy of digitally designed surgical implant guides. The results showed that different factors affected the postoperative implant position accuracy, but all implants were placed within the accepted safety distance, regardless of the manufacturing method.

JOURNAL OF PROSTHETIC DENTISTRY (2022)

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Review Dentistry, Oral Surgery & Medicine

The current state of computer assisted orthognathic surgery: A narrative review

Dimitrios Apostolakis et al.

Summary: This paper describes the workflow of computer assisted orthognathic surgery (CAOS) using digital technology and provides insights on the advantages and limitations of the hardware and software used.

JOURNAL OF DENTISTRY (2022)

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Computer-aided surgical workflow in a surgery - First orthognathic approach to correct anterior open bite in a young adult with temporomandibular disorders

Xiaoyue Xiao et al.

Summary: This case report describes the significant role that computer-assisted surgical simulation could play in correcting temporomandibular disorders and skeletal open bite deformity.

INTERNATIONAL ORTHODONTICS (2022)

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Virtual and traditional surgical planning in orthognathic surgery - systematic review and meta-analysis

S. Alkaabi et al.

Summary: The study demonstrates that virtual surgical planning (VSP) has a significant advantage over traditional surgical planning (TSP) in reducing the planning time for bimaxillary osteotomy. However, there is no significant difference in timing between VSP and TSP during surgery. Future research should focus on using standardized research and reporting metrics and procedures to improve evidence-based clinical practice.

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Virtual Surgical Planning in Orthognathic Surgery: Two Software Platforms Compared

Pasquale Piombino et al.

Summary: This study compared the differences between two commonly used digital software in pre-surgical planning for patients with dentofacial deformities. The results showed that both software tools are useful and effective in digital surgical planning, with negligible differences in performance that do not affect the success of the planning. The IPS software is a valid alternative to the popular Dolphin Imaging software and is even considered better in terms of accuracy, effectiveness, and reliability.

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A rare complication of hemolacria after Le fort I osteotomy: a case presentation

May S. Helal et al.

Summary: Nasolacrimal duct obstruction is a common pathology that can lead to epiphora. This case report describes a patient who developed hemolacria after bimaxillary surgery, but the symptom resolved spontaneously after a few days.

MAXILLOFACIAL PLASTIC AND RECONSTRUCTIVE SURGERY (2022)

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Changes in the pharyngeal airway after different orthognathic procedures for correction of class III dysplasia

Mohammad Saleh Khaghaninejad et al.

Summary: This study compared the effects of different orthognathic procedures on the pharyngeal airway in subjects with class III deformity. The results showed that mandibular setback surgery caused the greatest reduction in the pharyngeal airway, while bimaxillary surgery and maxillary advancement surgery led to a slight increase in airway dimensions. It is recommended to prefer a two-jaw operation instead of a mandibular setback alone in the treatment of prognathic mandible in subjects with predisposing factors to the development of sleep-disordered breathing.

MAXILLOFACIAL PLASTIC AND RECONSTRUCTIVE SURGERY (2022)

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Does maxillomandibular fixation affect skeletal stability following mandibular advancement? A single-blind clinical trial

Reza Tabrizi et al.

Summary: This study found that patients who received short-term MMF after mandibular advancement surgery demonstrated significantly greater skeletal stability in the sagittal and vertical dimensions one year postoperatively.

MAXILLOFACIAL PLASTIC AND RECONSTRUCTIVE SURGERY (2022)

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Changes in facial width according to the ostectomy level of the proximal bone segment in intraoral vertical ramus osteotomy for mandibular prognathism

Sang-Hoon Kang et al.

Summary: This study investigated changes in facial width after orthognathic surgery in patients with mandibular prognathism using different levels of osteotomy. The study found significant differences in postoperative facial soft tissue width at the coronoid process and mandibular alveolar bone heights between patients with osteotomy at the level of the mandibular occlusal surface and those with osteotomy at the level of the mandibular inferior border.

MAXILLOFACIAL PLASTIC AND RECONSTRUCTIVE SURGERY (2022)

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Evaluation of postoperative changes in condylar positions after orthognathic surgery using balanced orthognathic surgery system

Yong-Chan Lee et al.

Summary: This study evaluated the changes in condylar positions after orthognathic surgery using virtual surgical planning via the BOS system. The results showed that the change mainly occurred downward in the y-axis, with slight changes in the x- and z-axes.

MAXILLOFACIAL PLASTIC AND RECONSTRUCTIVE SURGERY (2022)

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Review Dentistry, Oral Surgery & Medicine

A Meta-analysis and Systematic Review Comparing the Effectiveness of Traditional and Virtual Surgical Planning for Orthognathic Surgery: Based on Randomized Clinical Trials

Zhixing Chen et al.

Summary: The study found that virtual surgical planning (VSP) and traditional surgical planning (TSP) techniques were similar in surgical accuracy for hard tissue, but VSP showed advantages in soft tissue prediction precision and accuracy in certain areas of the maxilla. Despite requiring more time for software planning, VSP technique saved time in the entire preoperative process. Overall, VSP has become a good alternative for orthognathic surgery.

JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY (2021)

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Virtually-Planned Orthognathic Surgery Achieves an Accurate Condylar Position

Hyun Jun Oh et al.

Summary: The study compared virtual planning with surgical outcomes for orthognathic surgery in skeletal class III patients. Results showed that the condyles had the highest level of agreement between planned and actual outcomes, followed by the maxilla and the distal segment of the mandible. Surgical errors should be considered for each anatomic location during operations.

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Selective laser sintering versus conventional lost-wax casting for single metal copings: A systematic review and meta-analysis

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Po Wu et al.

Summary: This study applied 3D printing PLA surgical guide plate to reconstruct mandibular defect with fibula flap, achieving good clinical outcomes and high accuracy to improve the quality of mandibular defect reconstruction.

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Yueyi Tian et al.

Summary: Three-dimensional (3D) printing technologies, based on computer-aided design digital models, have been widely used in various fields for nearly 30 years, including dentistry. Despite advantages such as high material utilization and manufacturing complex geometries, they also have drawbacks like high cost and time-consuming postprocessing. The future trend of 3D printing in dentistry will likely involve the development of new materials and technologies.

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Using 3D-Printed Mesh-Like Brain Cortex with Deep Structures for Planning Intracranial EEG Electrode Placement

Ramin Javan et al.

JOURNAL OF DIGITAL IMAGING (2020)

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Article Surgery

Value-Based Analysis of Virtual Versus Traditional Surgical Planning for Orthognathic Surgery

Lawrence O. Lin et al.

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JOURNAL OF CLINICAL MEDICINE (2020)

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Accuracy of virtual planning in orthognathic surgery: a systematic review

Ali Alkhayer et al.

HEAD & FACE MEDICINE (2020)

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A comparison of cost-effectiveness of computer-assisted 2-and 3-dimensional planning techniques in orthognathic surgery

M. Bengtsson et al.

BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY (2019)

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Article Dentistry, Oral Surgery & Medicine

Customized virtual surgical planning in bimaxillary orthognathic surgery: a prospective randomized trial

Daniel Schneider et al.

CLINICAL ORAL INVESTIGATIONS (2019)

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Comparison of time and cost between conventional surgical planning and virtual surgical planning in orthognathic surgery in Korea

Si-Yeon Park et al.

MAXILLOFACIAL PLASTIC AND RECONSTRUCTIVE SURGERY (2019)

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Quality of life after different approaches of orthognathic surgery: a randomized controlled study

Mahmoud Hanafy et al.

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Sequencing of bimaxillary surgery in the correction of vertical maxillary excess: retrospective study

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INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY (2018)

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Hong Sun et al.

JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY (2018)

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Is Virtual Surgical Planning in Orthognathic Surgery Faster Than Conventional Planning? A Time and Workflow Analysis of an Office-Based Workflow for Single- and Double-Jaw Surgery

Thomas Steinhuber et al.

JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY (2017)

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Comparison of time required for traditional versus virtual orthognathic surgery treatment planning

M. K. Wrzosek et al.

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Psychosocial Outcomes in Orthognathic Surgery: A Review of the Literature

Morna J. Liddle et al.

CLEFT PALATE CRANIOFACIAL JOURNAL (2015)

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Three-dimensional virtual planning in orthognathic surgery enhances the accuracy of soft tissue prediction

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JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY (2015)

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Three-Dimensional Facial Simulation in Bilateral Sagittal Split Osteotomy: A Validation Study of 100 Patients

Jeroen H. F. Liebregts et al.

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PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN (2015)

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Quality of life assessment in patients with dentofacial deformity undergoing orthognathic surgery-A systematic review

C. L. Soh et al.

INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY (2013)

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Impact of dentofacial deformity and motivation for treatment: A qualitative study

Fiona S. Ryan et al.

AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS (2012)

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Change in quality of life after combined orthodontic-surgical treatment of dentofacial deformities

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Srinivas M. Susarla et al.

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Accuracy of the computer-aided surgical simulation (CASS) system in the treatment of patients with complex craniomaxillofacial deformity: A pilot study

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