Chin Wing Osteotomy for Improving Mandible Projection and Contour in Patients with Normal Occlusion: Case Reports

Aim To present a chin wing osteotomy in two patients who had undergone a virtual surgical planning workflow for surgical procedures and were followed up for 4 years. Case reports Two retrognathic patients with normal occlusion were evaluated by means of dental and facial photographs, cone beam compu...

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Veröffentlicht in:Journal of maxillofacial and oral surgery 2022-06, Vol.21 (2), p.521-529
Hauptverfasser: Barros, Hugo Leonardo Mendes, Demétrio, Maurício Silva, de Matos Barbosa, Saulo, do Rêgo, Marcus Vinícius Neiva Nunes, Marlière, Daniel Amaral Alves
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container_end_page 529
container_issue 2
container_start_page 521
container_title Journal of maxillofacial and oral surgery
container_volume 21
creator Barros, Hugo Leonardo Mendes
Demétrio, Maurício Silva
de Matos Barbosa, Saulo
do Rêgo, Marcus Vinícius Neiva Nunes
Marlière, Daniel Amaral Alves
description Aim To present a chin wing osteotomy in two patients who had undergone a virtual surgical planning workflow for surgical procedures and were followed up for 4 years. Case reports Two retrognathic patients with normal occlusion were evaluated by means of dental and facial photographs, cone beam computed tomographs and digitization of dental arches. Virtual surgical planning was performed by using the Dolphin Imaging software to simulate the chin wing osteotomy. Next, three-dimensional models were imported into computer-aided design system (Rhino 6) for designing two hybrid (dental-bone supported) cutting and repositioning guides. Chin wing osteotomies were carried out by using the cutting guides and the osteotomized segments were placed by using L-shaped plates and screws assisted by the repositioning guides. Bone grafts were interposed in the mandibular angle region bilaterally. In both cases, the patients reported aesthetically and functionally favorable outcomes. Conclusion Chin wing osteotomy is an appropriate treatment for retrognathic mandible in patients with normal occlusion and no additional discrepancies as the technique provided chin advancement and improvement in facial contour. The post-operative outcomes showed reliable workflow of virtual planning and surgical procedures, which could be adopted as an alternative in similar cases.
doi_str_mv 10.1007/s12663-022-01708-3
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Case reports Two retrognathic patients with normal occlusion were evaluated by means of dental and facial photographs, cone beam computed tomographs and digitization of dental arches. Virtual surgical planning was performed by using the Dolphin Imaging software to simulate the chin wing osteotomy. Next, three-dimensional models were imported into computer-aided design system (Rhino 6) for designing two hybrid (dental-bone supported) cutting and repositioning guides. Chin wing osteotomies were carried out by using the cutting guides and the osteotomized segments were placed by using L-shaped plates and screws assisted by the repositioning guides. Bone grafts were interposed in the mandibular angle region bilaterally. In both cases, the patients reported aesthetically and functionally favorable outcomes. Conclusion Chin wing osteotomy is an appropriate treatment for retrognathic mandible in patients with normal occlusion and no additional discrepancies as the technique provided chin advancement and improvement in facial contour. The post-operative outcomes showed reliable workflow of virtual planning and surgical procedures, which could be adopted as an alternative in similar cases.</description><identifier>ISSN: 0972-8279</identifier><identifier>EISSN: 0974-942X</identifier><identifier>DOI: 10.1007/s12663-022-01708-3</identifier><identifier>PMID: 35712400</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Case Report ; Case reports ; Dentistry ; Design ; Medicine ; Medicine &amp; Public Health ; Oral and Maxillofacial Surgery ; Otorhinolaryngology ; Plastic Surgery ; Software ; Surgery</subject><ispartof>Journal of maxillofacial and oral surgery, 2022-06, Vol.21 (2), p.521-529</ispartof><rights>The Association of Oral and Maxillofacial Surgeons of India 2022</rights><rights>The Association of Oral and Maxillofacial Surgeons of India 2022.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c322t-3ad926da58c1f1803d8496bcef69f4c61a85c044c36e381e9da795a293a4e8213</cites><orcidid>0000-0002-4855-370X ; 0000-0003-4897-355X ; 0000-0001-7667-3007</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/PMC9192913/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2919608995?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,21367,27901,27902,33721,41464,42533,43781,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35712400$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barros, Hugo Leonardo Mendes</creatorcontrib><creatorcontrib>Demétrio, Maurício Silva</creatorcontrib><creatorcontrib>de Matos Barbosa, Saulo</creatorcontrib><creatorcontrib>do Rêgo, Marcus Vinícius Neiva Nunes</creatorcontrib><creatorcontrib>Marlière, Daniel Amaral Alves</creatorcontrib><title>Chin Wing Osteotomy for Improving Mandible Projection and Contour in Patients with Normal Occlusion: Case Reports</title><title>Journal of maxillofacial and oral surgery</title><addtitle>J. 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In both cases, the patients reported aesthetically and functionally favorable outcomes. Conclusion Chin wing osteotomy is an appropriate treatment for retrognathic mandible in patients with normal occlusion and no additional discrepancies as the technique provided chin advancement and improvement in facial contour. 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Chin wing osteotomies were carried out by using the cutting guides and the osteotomized segments were placed by using L-shaped plates and screws assisted by the repositioning guides. Bone grafts were interposed in the mandibular angle region bilaterally. In both cases, the patients reported aesthetically and functionally favorable outcomes. Conclusion Chin wing osteotomy is an appropriate treatment for retrognathic mandible in patients with normal occlusion and no additional discrepancies as the technique provided chin advancement and improvement in facial contour. 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subjects Case Report
Case reports
Dentistry
Design
Medicine
Medicine & Public Health
Oral and Maxillofacial Surgery
Otorhinolaryngology
Plastic Surgery
Software
Surgery
title Chin Wing Osteotomy for Improving Mandible Projection and Contour in Patients with Normal Occlusion: Case Reports
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