Splintless orthognathic surgery in edentulous patients—a pilot study
The aim of this pilot study was to evaluate the accuracy and predictability of a splintless treatment protocol for edentulous patients undergoing orthognathic surgery in four consecutive cases. All operations were virtually planned, followed by computer-aided design of individual osteotomy guides an...
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| Veröffentlicht in: | International journal of oral and maxillofacial surgery 2020-05, Vol.49 (5), p.587-594 |
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| container_title | International journal of oral and maxillofacial surgery |
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| creator | Ho, J.P.T.F. Schreurs, R. Baan, F. de Lange, J. Becking, A.G. |
| description | The aim of this pilot study was to evaluate the accuracy and predictability of a splintless treatment protocol for edentulous patients undergoing orthognathic surgery in four consecutive cases. All operations were virtually planned, followed by computer-aided design of individual osteotomy guides and patient-specific fixation implants, which were three-dimensionally printed in titanium. In order to evaluate the discrepancy between the planned and the achieved postoperative result, the postoperative outcome was compared to the virtual treatment plan. Rotational and translational movement and discrepancies with the planned movements were quantified for the maxilla; the advancement was quantified for the mandible. For the maxilla, there was a mean translation discrepancy of 0.6mm. With regard to rotation, there was a mean discrepancy of 1.9°, 0.1°, and 0.4° for pitch, yaw, and roll, respectively. The mean discrepancy in translation of the mandible was 0.4mm. The results of this pilot study indicate that the splintless treatment protocol for orthognathic surgery in edentulous patients presented here is accurate and predictable. |
| doi_str_mv | 10.1016/j.ijom.2019.08.022 |
| format | Article |
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All operations were virtually planned, followed by computer-aided design of individual osteotomy guides and patient-specific fixation implants, which were three-dimensionally printed in titanium. In order to evaluate the discrepancy between the planned and the achieved postoperative result, the postoperative outcome was compared to the virtual treatment plan. Rotational and translational movement and discrepancies with the planned movements were quantified for the maxilla; the advancement was quantified for the mandible. For the maxilla, there was a mean translation discrepancy of 0.6mm. With regard to rotation, there was a mean discrepancy of 1.9°, 0.1°, and 0.4° for pitch, yaw, and roll, respectively. The mean discrepancy in translation of the mandible was 0.4mm. The results of this pilot study indicate that the splintless treatment protocol for orthognathic surgery in edentulous patients presented here is accurate and predictable.</description><identifier>ISSN: 0901-5027</identifier><identifier>EISSN: 1399-0020</identifier><identifier>DOI: 10.1016/j.ijom.2019.08.022</identifier><identifier>PMID: 31587823</identifier><language>eng</language><publisher>Denmark: Elsevier Ltd</publisher><subject>Bilateral sagittal split osteotomy ; Dental Implants ; Dentistry ; Edentulous ; Humans ; Le Fort I osteotomy ; Mandible ; Maxilla ; maxillomandibular advancement osteotomy ; Orthognathic Surgery ; Orthognathic Surgical Procedures ; Osteotomy, Le Fort ; Pilot Projects ; Splintless orthognathic ; Surgery, Computer-Assisted</subject><ispartof>International journal of oral and maxillofacial surgery, 2020-05, Vol.49 (5), p.587-594</ispartof><rights>2019 International Association of Oral and Maxillofacial Surgeons</rights><rights>Copyright © 2019 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-c41c07acc3cd03c1ffcf2c61f334073fd1ad937be2a34c050f3d67d764f24af73</citedby><cites>FETCH-LOGICAL-c422t-c41c07acc3cd03c1ffcf2c61f334073fd1ad937be2a34c050f3d67d764f24af73</cites><orcidid>0000-0003-2429-2071</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ijom.2019.08.022$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31587823$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ho, J.P.T.F.</creatorcontrib><creatorcontrib>Schreurs, R.</creatorcontrib><creatorcontrib>Baan, F.</creatorcontrib><creatorcontrib>de Lange, J.</creatorcontrib><creatorcontrib>Becking, A.G.</creatorcontrib><title>Splintless orthognathic surgery in edentulous patients—a pilot study</title><title>International journal of oral and maxillofacial surgery</title><addtitle>Int J Oral Maxillofac Surg</addtitle><description>The aim of this pilot study was to evaluate the accuracy and predictability of a splintless treatment protocol for edentulous patients undergoing orthognathic surgery in four consecutive cases. All operations were virtually planned, followed by computer-aided design of individual osteotomy guides and patient-specific fixation implants, which were three-dimensionally printed in titanium. In order to evaluate the discrepancy between the planned and the achieved postoperative result, the postoperative outcome was compared to the virtual treatment plan. Rotational and translational movement and discrepancies with the planned movements were quantified for the maxilla; the advancement was quantified for the mandible. For the maxilla, there was a mean translation discrepancy of 0.6mm. With regard to rotation, there was a mean discrepancy of 1.9°, 0.1°, and 0.4° for pitch, yaw, and roll, respectively. The mean discrepancy in translation of the mandible was 0.4mm. The results of this pilot study indicate that the splintless treatment protocol for orthognathic surgery in edentulous patients presented here is accurate and predictable.</description><subject>Bilateral sagittal split osteotomy</subject><subject>Dental Implants</subject><subject>Dentistry</subject><subject>Edentulous</subject><subject>Humans</subject><subject>Le Fort I osteotomy</subject><subject>Mandible</subject><subject>Maxilla</subject><subject>maxillomandibular advancement osteotomy</subject><subject>Orthognathic Surgery</subject><subject>Orthognathic Surgical Procedures</subject><subject>Osteotomy, Le Fort</subject><subject>Pilot Projects</subject><subject>Splintless orthognathic</subject><subject>Surgery, Computer-Assisted</subject><issn>0901-5027</issn><issn>1399-0020</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kL9OwzAQhy0EoqXwAgwoI0vC2U7iRGJBFQWkSgzAbLn-07pKk2A7SN14CJ6QJ8FVCyPLnU767qe7D6FLDBkGXN6sM7vuNhkBXGdQZUDIERpjWtcpAIFjNIYacFoAYSN05v0aAGpasVM0orioWEXoGM1e-sa2odHeJ50Lq27ZirCyMvGDW2q3TWybaKXbMDTd4JNeBBsH__35JZLeNl1IfBjU9hydGNF4fXHoE_Q2u3-dPqbz54en6d08lTkhIVYsgQkpqVRAJTZGGiJLbCjNgVGjsFA1ZQtNBM0lFGCoKpliZW5ILgyjE3S9z-1d9z5oH_jGeqmbRrQ63scJBVxVpKggomSPStd577ThvbMb4bYcA9_542u-88d3_jhUPPqLS1eH_GGx0epv5VdYBG73gI5ffljtuJfRiNTKOi0DV539L_8H4zmDzA</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Ho, J.P.T.F.</creator><creator>Schreurs, R.</creator><creator>Baan, F.</creator><creator>de Lange, J.</creator><creator>Becking, A.G.</creator><general>Elsevier Ltd</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>7X8</scope><orcidid>https://orcid.org/0000-0003-2429-2071</orcidid></search><sort><creationdate>202005</creationdate><title>Splintless orthognathic surgery in edentulous patients—a pilot study</title><author>Ho, J.P.T.F. ; Schreurs, R. ; Baan, F. ; de Lange, J. ; Becking, A.G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-c41c07acc3cd03c1ffcf2c61f334073fd1ad937be2a34c050f3d67d764f24af73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Bilateral sagittal split osteotomy</topic><topic>Dental Implants</topic><topic>Dentistry</topic><topic>Edentulous</topic><topic>Humans</topic><topic>Le Fort I osteotomy</topic><topic>Mandible</topic><topic>Maxilla</topic><topic>maxillomandibular advancement osteotomy</topic><topic>Orthognathic Surgery</topic><topic>Orthognathic Surgical Procedures</topic><topic>Osteotomy, Le Fort</topic><topic>Pilot Projects</topic><topic>Splintless orthognathic</topic><topic>Surgery, Computer-Assisted</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ho, J.P.T.F.</creatorcontrib><creatorcontrib>Schreurs, R.</creatorcontrib><creatorcontrib>Baan, F.</creatorcontrib><creatorcontrib>de Lange, J.</creatorcontrib><creatorcontrib>Becking, A.G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ho, J.P.T.F.</au><au>Schreurs, R.</au><au>Baan, F.</au><au>de Lange, J.</au><au>Becking, A.G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Splintless orthognathic surgery in edentulous patients—a pilot study</atitle><jtitle>International journal of oral and maxillofacial surgery</jtitle><addtitle>Int J Oral Maxillofac Surg</addtitle><date>2020-05</date><risdate>2020</risdate><volume>49</volume><issue>5</issue><spage>587</spage><epage>594</epage><pages>587-594</pages><issn>0901-5027</issn><eissn>1399-0020</eissn><abstract>The aim of this pilot study was to evaluate the accuracy and predictability of a splintless treatment protocol for edentulous patients undergoing orthognathic surgery in four consecutive cases. All operations were virtually planned, followed by computer-aided design of individual osteotomy guides and patient-specific fixation implants, which were three-dimensionally printed in titanium. In order to evaluate the discrepancy between the planned and the achieved postoperative result, the postoperative outcome was compared to the virtual treatment plan. Rotational and translational movement and discrepancies with the planned movements were quantified for the maxilla; the advancement was quantified for the mandible. For the maxilla, there was a mean translation discrepancy of 0.6mm. With regard to rotation, there was a mean discrepancy of 1.9°, 0.1°, and 0.4° for pitch, yaw, and roll, respectively. The mean discrepancy in translation of the mandible was 0.4mm. The results of this pilot study indicate that the splintless treatment protocol for orthognathic surgery in edentulous patients presented here is accurate and predictable.</abstract><cop>Denmark</cop><pub>Elsevier Ltd</pub><pmid>31587823</pmid><doi>10.1016/j.ijom.2019.08.022</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2429-2071</orcidid></addata></record> |
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| identifier | ISSN: 0901-5027 |
| ispartof | International journal of oral and maxillofacial surgery, 2020-05, Vol.49 (5), p.587-594 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Bilateral sagittal split osteotomy Dental Implants Dentistry Edentulous Humans Le Fort I osteotomy Mandible Maxilla maxillomandibular advancement osteotomy Orthognathic Surgery Orthognathic Surgical Procedures Osteotomy, Le Fort Pilot Projects Splintless orthognathic Surgery, Computer-Assisted |
| title | Splintless orthognathic surgery in edentulous patients—a pilot study |
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