Accuracy of modified CAD/CAM generated wafer for orthognathic surgery

The aim of this study was to investigate an accuracy of modified CAD/CAM generated wafers for orthognathic surgery. A total of 20 patients who had undergone bimaxillary orthognathic surgery were included and divided into two groups: A conventional CAD/CAM generated intermediate wafer and a modified...

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Veröffentlicht in:PloS one 2019-05, Vol.14 (5), p.e0216945-e0216945
Hauptverfasser: Park, Jin Hoo, Lee, Yong-Bin, Kim, Sang Yoon, Kim, Hyung Jun, Jung, Young-Soo, Jung, Hwi-Dong
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creator Park, Jin Hoo
Lee, Yong-Bin
Kim, Sang Yoon
Kim, Hyung Jun
Jung, Young-Soo
Jung, Hwi-Dong
description The aim of this study was to investigate an accuracy of modified CAD/CAM generated wafers for orthognathic surgery. A total of 20 patients who had undergone bimaxillary orthognathic surgery were included and divided into two groups: A conventional CAD/CAM generated intermediate wafer and a modified CAD/CAM generated intermediate wafer. A series of CT images were taken to compare the virtual simulations with the actual postoperative outcomes(1 month after surgery). In conventional group, the mean difference of maxillary position between virtual simulation models and postoperative results was 0.78mm and overall average error within 1mm was observed in 66.4% of the repositioned maxilla. In modified group, the mean difference was 0.77mm and overall average error within 1mm was observed in 68.3%. There were no significant statistic differences between two groups in maxillary position. This study suggests that the CAD/CAM generated wafer provides excellent accuracy. The modified CAD/CAM wafer was only comparable to conventional design in accuracy and it cannot guarantee the superior precision. However, the modified design could be beneficial in cases with unstable condylar position or for inexperienced surgeons.
doi_str_mv 10.1371/journal.pone.0216945
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However, the modified design could be beneficial in cases with unstable condylar position or for inexperienced surgeons.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31095627</pmid><doi>10.1371/journal.pone.0216945</doi><tpages>e0216945</tpages><orcidid>https://orcid.org/0000-0003-1025-8323</orcidid><oa>free_for_read</oa></addata></record>
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subjects Accuracy
Adolescent
Adult
Biology and Life Sciences
CAD software
CAD/CAM
CAM
CAT scans
Cephalometry
Computed tomography
Computer aided manufacturing
Computer Simulation
Computer-Aided Design
Dentistry
Design modifications
Feasibility studies
Female
Hospitals
Humans
Image Processing, Computer-Assisted - methods
Imaging, Three-Dimensional - methods
Male
Manufacturing
Maxilla
Maxilla - surgery
Maxillofacial surgery
Medical imaging
Medical personnel
Medical research
Medicine and Health Sciences
Orthognathic surgery
Orthognathic Surgical Procedures - methods
Patient Care Planning
People and Places
Postoperative Period
Practice
Printing, Three-Dimensional
Reproducibility of Results
Simulation
Surgeons
Surgery
Surgery, Computer-Assisted - methods
Tomography
Tomography, X-Ray Computed - methods
Young Adult
title Accuracy of modified CAD/CAM generated wafer for orthognathic surgery
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