Abstract
Maxillofacial deformities and undesirable position of the mandible cause facial asymmetry and malocclusions. The techniques and equipment used for the maxillofacial surgeries have changed over the years. In this chapter, traditional preoperative preparations and surgical planning process in the orthognathic surgery have been summarized. In addition, we reviewed various software and workflows used for the preoperative planning and design of the miniplates. We also presented a systematic protocol for the subject-specific miniplate design as a case study. In this case, design steps, which are required to be taken for obtaining the virtual model of the patient head composed of the skull, mandible, and teeth were elucidated. Simulation of the Le Fort I osteotomy, which is considered as a safe and functional procedure to correct maxillary deformities, benefiting from a computer-aided design software to plan the actual surgery process was also carried out. It is expected that the presented virtual planning process would improve the accuracy of orthognathic surgery and patient satisfaction, and reduce the operation time and cost.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Neville BW, Damm DD, Allen CM, Bouquot J (2009) Oral and maxillofacial pathology, 3rd edn. WB Saunders Co., Philadelphia
Ruhl CM, Bellian KT, Van Meter BH, Hoard MA, Pham CD, Edlich RF (1994) Diagnosis, complications, and treatment of dentoskeletal malocclusion. Am J Emerg Med 12(1):98–104
Huang CS, Hsu SS, Chen YR (2014) Systematic review of the surgery-first approach in orthognathic surgery. Biomed J 37(4):184–190
Kraeima J, Jansma J, Schepers RH (2016) Splintless surgery: does patient-specific CAD-CAM osteosynthesis improve accuracy of Le Fort I osteotomy? Br J Oral Maxillofac Surg 54:1085–1089
Drommer RB (1986) The history of the “Le Fort I osteotomy”. J Maxillofac Surg 14:119
Kim SG, Park SS (2007) Incidence of complications and problems related to orthognathic surgery. J Oral Maxillofac Surg 65:2438–2444
Hammoudeh JA, Howell LK, Boutros S, Scott MA, Urata MM (2015) Current status of surgical planning for orthognathic surgery: traditional methods versus 3D surgical planning. Plast Reconstr Surg Glob Open 3(2):e307
Hausamen JE (2001) The scientific development of maxillofacial surgery in the 20th century and an outlook into the future. J Craniomaxillofac Surg 29:2–21
Zinser MJ, Mischkowski RA, Dreiseidler T et al (2013) Computer-assisted orthognathic surgery: waferless maxillary positioning, versatility, and accuracy of an image-guided visualisation display. Br J Oral Maxillofac Surg 51:827–833
Vale F, Scherzberg J, Cavaleiro J, Sanz D, Caramelo F, Malo L, Marcelino JP (2016) 3D virtual planning in orthognathic surgery and CAD/CAM surgical splints generation in one patient with craniofacial microsomia: a case report. Dental Press J Orthod 21:89–100
Aboul-Hosn Centenero S, Hernández-Alfaro F (2012) 3D planning in orthognathic surgery: CAD/CAM surgical splints and prediction of the soft and hard tissues results—our experience in 16 cases. J Craniomaxillofac Surg 40:162–168
Nilsson J, Richards RG, Thor A, Kamer L (2016) Virtual bite registration using intraoral digital scanning, CT and CBCT: in vitro evaluation of a new method and its implication for orthognathic surgery. J Craniomaxillofac Surg 44:1194–1200
Swennen GR, Mollemans W, Schutyser F (2009) Three-dimensional treatment planning of orthognathic surgery in the era of virtual imaging. J Oral Maxillofac Surg 67(10):2080–2092
Bootvong K, Liu Z, McGrath C, Hagg U, Wong RW, Bendeus M, Yeung S (2010) Virtual model analysis as an alternative approach to plaster model analysis: reliability and validity. Eur J Orthod 32:589–595
Stevens DR, Flores-Mir C, Nebbe B, Raboud DW, Heo G, Major PW (2006) Validity, reliability, and reproducibility of plaster vs digital study models: comparison of peer assessment rating and Bolton analysis and their constituent measurements. Am J Orthod Dentofacial Orthop 129:794–803
Hatamleh MM, Bhamrah G, Ryba F, Mack G, Huppa C (2016) Simultaneous computer-aided design/computer-aided manufacture bimaxillary orthognathic surgery and mandibular reconstruction using selective-laser sintered titanium implant. J Craniofac Surg 27:1810–1814
McCormick SU, Drew SJ (2011) Virtual model surgery for efficient planning and surgical performance. J Oral Maxillofac Surg 69:638–644
Stokbro K, Aagaard E, Torkov P, Bell RB, Thygesen T (2014) Virtual planning in orthognathic surgery. Int J Oral Maxillofac Surg 43:957–965
Cansiz E, Arslan YZ, Turan F, Atalay B (2014) Computer-assisted design of patient-specific sagittal split osteotomy guide and soft tissue retractor. J Med Biol Eng 34:363–367
Cansiz E, Turan F, Arslan YZ (2016) Computer-aided design and manufacturing of a novel maxillofacial surgery instrument: application in the sagittal split osteotomy. J Med Devices 10:44505-1–44505-4
Zinser MJ, Mischkowski RA, Sailer HF, Zöller JE (2012) Computer-assisted orthognathic surgery: feasibility study using multiple CAD/CAM surgical splints. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 113:673–687
Hernandez-Alfaro F, Guijarro-Martinez R (2013) New protocol for three-dimensional surgical planning and CAD/CAM splint generation in orthognathic surgery: an in vitro and in vivo study. Int J Oral Maxillofac Surg 42:1547–1556
Choi JY, Song KG, Baek SH (2009) Virtual model surgery and wafer fabrication for orthognathic surgery. Int J Oral Maxillofac Surg 38:1306–1323
Cansiz E, Dogru SC, Arslan YZ (2015) Comparative evaluation of the mechanical properties of resorbable and titanium miniplates used for fixation of mandibular condyle fractures. J Mech Med Biol 15:1–8
Dogru SC, Cansiz E, Arslan YZ (2018) A review of finite element applications in oral and maxillofacial biomechanics. J Mech Med Biol 18:1–26
Mišic D, Manic M, Vitkovic N, Korunovic N (2015) Toward an integrated information system for the design, manufacturing and application of customized implants. Facta Univ, Ser: Mech Eng 13(3):307–323
Manic M, Stamenkovic Z, Mitkovic M, Stojkovic M, Shephard DE (2015) Design of 3D model of customized anatomically adjusted implants. Facta Univ, Ser: Mech Eng 13(3):269–282
Ristic M, Manic M, Misic D, Kosanovic M, Mitkovic M (2017) Implants material selection using expert system. Facta Univ, Ser Mech Eng 15:133–144
Fernandes CR, Fernandes BL (2015) Evidence of the semi-solid formation in the medical grade TI6AL4V alloy using induction heating. Facta Univ, Ser: Mech Eng 13(3):229–239
Fedorov A, Beichel R, Kalpathy-Cramer J, Finet J, Fillion-Robin JC, Pujol S et al (2012) 3D Slicer as an image computing platform for the quantitative imaging network. J Magn Reson Imaging 30:1323–1341
Neumann A (2009) Biomaterials for craniofacial reconstruction. Laryngorhinootologie 88(Suppl. 1):S48–S63
Hatamleh MM, Turner C, Bhamrah G, Mack G, Osher J (2016) Improved virtual planning for bimaxillary orthognathic surgery. J Craniofac Surg 27:568–573
Swennen GR, Mommaerts MY, Abeloos J, De Clercq C, Lamoral P, Neyt N (2009) A cone-beam CT based technique to augment the 3D virtual skull model with a detailed dental surface. Int J Oral Maxillofac Surg 38:48–57
Agrawal JM, Agrawal MS, Nanjannavar LG, Parushetti AD (2013) CBCT in orthodontics: the wave of future. J Contemp Dent Pract 14:153–157
Cevidanes LH, Tucker S, Styner M (2010) Three-dimensional surgical simulation. Am J Orthod Dentofacial Orthop 138:361–371
Philippe B (2013) Custom-made prefabricated titanium miniplates in Lefort I osteotomies: principles, procedure and clinical insights. Int J Oral Maxillofac Surg 42:1001–1006
Lin HH, Lonic D, Lo LJ (2018) 3D printing in orthognathic surgery—a literature review. J Formos Med Assoc 117(7):547–558
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Ortes, F., Cansiz, E., Arslan, Y.Z. (2019). Computer-Aided Design of Subject-Specific Dental Instruments for Preoperative Virtual Planning in Orthognathic Surgery. In: Prakash, C., et al. Biomanufacturing. Springer, Cham. https://doi.org/10.1007/978-3-030-13951-3_4
Download citation
DOI: https://doi.org/10.1007/978-3-030-13951-3_4
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-13950-6
Online ISBN: 978-3-030-13951-3
eBook Packages: Chemistry and Materials ScienceChemistry and Material Science (R0)