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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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. |
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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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0216945</identifier><identifier>PMID: 31095627</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>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</subject><ispartof>PloS one, 2019-05, Vol.14 (5), p.e0216945-e0216945</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Park et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Park et al 2019 Park et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-10961c242699a87e0ba3626cd30e35f8edbc90b642cf7b91dbbe33c0abdc9833</citedby><cites>FETCH-LOGICAL-c692t-10961c242699a87e0ba3626cd30e35f8edbc90b642cf7b91dbbe33c0abdc9833</cites><orcidid>0000-0003-1025-8323</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522041/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522041/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31095627$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Jin Hoo</creatorcontrib><creatorcontrib>Lee, Yong-Bin</creatorcontrib><creatorcontrib>Kim, Sang Yoon</creatorcontrib><creatorcontrib>Kim, Hyung Jun</creatorcontrib><creatorcontrib>Jung, Young-Soo</creatorcontrib><creatorcontrib>Jung, Hwi-Dong</creatorcontrib><title>Accuracy of modified CAD/CAM generated wafer for orthognathic surgery</title><title>PloS one</title><addtitle>PLoS One</addtitle><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.</description><subject>Accuracy</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Biology and Life Sciences</subject><subject>CAD software</subject><subject>CAD/CAM</subject><subject>CAM</subject><subject>CAT scans</subject><subject>Cephalometry</subject><subject>Computed tomography</subject><subject>Computer aided manufacturing</subject><subject>Computer Simulation</subject><subject>Computer-Aided Design</subject><subject>Dentistry</subject><subject>Design modifications</subject><subject>Feasibility studies</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted - methods</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Male</subject><subject>Manufacturing</subject><subject>Maxilla</subject><subject>Maxilla - surgery</subject><subject>Maxillofacial surgery</subject><subject>Medical imaging</subject><subject>Medical personnel</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Orthognathic surgery</subject><subject>Orthognathic Surgical Procedures - methods</subject><subject>Patient Care Planning</subject><subject>People and Places</subject><subject>Postoperative Period</subject><subject>Practice</subject><subject>Printing, Three-Dimensional</subject><subject>Reproducibility of Results</subject><subject>Simulation</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNkl2L1DAUhoMo7jr6D0QLgujFzOajTZsboYyrDqws6OJtSNK0zdA2s0mqzr8343SXqeyF5CLh5DnvyTl5AXiJ4AqRHF1s7egG0a12dtAriBFlafYInCNG8JJiSB6fnM_AM--3EGakoPQpOCMIsozi_BxclkqNTqh9Yuukt5Wpja6SdfnxYl1-TRo9aCdCjPwStXZJbV1iXWhtM4jQGpX40TXa7Z-DJ7XovH4x7Qtw8-nyZv1leXX9ebMur5aKMhyWsSpFCqeYMiaKXEMpCMVUVQRqktWFrqRiUNIUqzqXDFVSakIUFLJSrCBkAV4fZXed9XwagOcYY5qmGMZ2F2BzJCortnznTC_cnlth-N-AdQ0XLhjVac5klRaK5AzFQ4pIkSMJkUgZljJTREStD1O1Ufa6UnoITnQz0fnNYFre2J-cZhjDqLgA7yYBZ29H7QPvjVe668Sg7Xh4N4kcy_M0om_-QR_ubqIaERswQ21jXXUQ5WVWZLRAsMgitXqAiqvSvVHRLbWJ8VnC-1lCZIL-HRoxes8337_9P3v9Y86-PWFbLbrQetuNwdjBz8H0CCpnvXe6vh8ygvxg9rtp8IPZ-WT2mPbq9IPuk-7cTf4AHqn3_w</recordid><startdate>20190516</startdate><enddate>20190516</enddate><creator>Park, Jin Hoo</creator><creator>Lee, Yong-Bin</creator><creator>Kim, Sang Yoon</creator><creator>Kim, Hyung Jun</creator><creator>Jung, Young-Soo</creator><creator>Jung, Hwi-Dong</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-1025-8323</orcidid></search><sort><creationdate>20190516</creationdate><title>Accuracy of modified CAD/CAM generated wafer for orthognathic surgery</title><author>Park, Jin Hoo ; Lee, Yong-Bin ; Kim, Sang Yoon ; Kim, Hyung Jun ; Jung, Young-Soo ; Jung, Hwi-Dong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-10961c242699a87e0ba3626cd30e35f8edbc90b642cf7b91dbbe33c0abdc9833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Accuracy</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Biology and Life Sciences</topic><topic>CAD software</topic><topic>CAD/CAM</topic><topic>CAM</topic><topic>CAT scans</topic><topic>Cephalometry</topic><topic>Computed tomography</topic><topic>Computer aided manufacturing</topic><topic>Computer Simulation</topic><topic>Computer-Aided Design</topic><topic>Dentistry</topic><topic>Design modifications</topic><topic>Feasibility studies</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Jin Hoo</au><au>Lee, Yong-Bin</au><au>Kim, Sang Yoon</au><au>Kim, Hyung Jun</au><au>Jung, Young-Soo</au><au>Jung, Hwi-Dong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of modified CAD/CAM generated wafer for orthognathic surgery</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-05-16</date><risdate>2019</risdate><volume>14</volume><issue>5</issue><spage>e0216945</spage><epage>e0216945</epage><pages>e0216945-e0216945</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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.</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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