Abstract
The goals of dentofacial deformity correction are to achieve a healthy, functional, and harmonious occlusion balanced facial form without airway compromise. When orthognathic surgery is involved, it is essential that there is meticulous coordination between the orthodontist and the surgeon during all phases of treatment. Crucial to this process is thorough database acquisition—namely, history, examination, and relevant ancillary tests.
Continued development of digital technology in dentistry and medicine has brought about rapid changes in digital database acquisition. In addition, the processing of such digital data in the form of analysis, planning, and computer-aided design and manufacturing has profoundly impacted orthognathic surgery. However, it is important to recognize that despite the development of technology and greater utilization of digital data and planning, the principles of the orthognathic surgical workup remain unchanged. The aim of this chapter is to review the use of digital technology in each phase of orthognathic surgical planning, with an emphasis on the clinical significance, advantages, and limitations of each step.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Proffit WR, Phillips C, Turvey TA. Long-term stability of adolescent versus adult surgery for treatment of mandibular deficiency. Int J Oral Maxillofac Surg. 2010; https://doi.org/10.1016/j.ijom.2010.01.012.
Arnett GW, Bergman RT. Facial keys to orthodontic diagnosis and treatment planning. Part I: Am J Orthod Dentofac Orthop; 1993. https://doi.org/10.1016/0889-5406(93)70010-L.
Dolwick MF, Widmer CG. Orthognathic surgery as a treatment for temporomandibular disorders. Oral Maxillofac Surg Clin NA. 2018;30:303–23.
Qaseem A, Holty JEC, Owens DK, Dallas P, Starkey M, Shekelle P. Management of obstructive sleep apnea in adults: a clinical practice guideline from the American college of physicians. Ann Intern Med. 2013; https://doi.org/10.7326/0003-4819-159-7-201310010-00704.
Liu SYC, Awad M, Riley R, Capasso R. The role of the revised Stanford protocol in Today’s precision medicine. Sleep Med Clin. 2019; https://doi.org/10.1016/j.jsmc.2018.10.013.
Franklin RG, Adams RB. The two sides of beauty: laterality and the duality of facial attractiveness. Brain Cogn. 2010; https://doi.org/10.1016/j.bandc.2009.10.002.
Tole N, Lajnert V, Kovacevic Pavicic D, Spalj S. Gender, age, and psychosocial context of the perception of facial esthetics. J Esthet Restor Dent. 2014; https://doi.org/10.1111/jerd.12064.
Soh J, Ming TC, Hwee BW. A comparative assessment of the perception of Chinese facial profile esthetics. Am J Orthod Dentofac Orthop. 2005; https://doi.org/10.1016/j.ajodo.2004.02.018.
Kim J, Topolski R, Dickinson D, Ramos V. The influence of lip form on incisal display with lips in repose on the esthetic preferences of dentists and lay people. J Prosthet Dent. 2017; https://doi.org/10.1016/j.prosdent.2016.10.028.
Jeelani W, Fida M, Shaikh A. The maxillary incisor display at rest: analysis of the underlying components. Dental Press J Orthod. 2018; https://doi.org/10.1590/2177-6709.23.6.048-055.oar.
William Arnett G, Bergman RT. Facial keys to orthodontic diagnosis and treatment planning-part II. Am J Orthod Dentofac Orthop. 1993; https://doi.org/10.1016/S0889-5406(05)81791-3.
Andrews WA. AP relationship of the maxillary central incisors to the forehead in adult white females. Angle Orthod. 2008; https://doi.org/10.2319/0003-3219(2008)078[0662:AROTMC]2.0.CO;2.
Legan HL, Burstone CJ. Soft tissue cephalometric analysis for orthognathic surgery. J Oral Surg (Chic). 1980;
Arnett GW, Jelic JS, Kim J, Cummings DR, Beress A, Worley CM, Chung B, Bergman R. Soft tissue cephalometric analysis: diagnosis and treatment planning of dentofacial deformity. Am J Orthod Dentofac Orthop. 1999; https://doi.org/10.1016/S0889-5406(99)70234-9.
González de Villaumbrosia P, Martínez-Rus F, García-Orejas A, Salido MP, Pradíes G. In vitro comparison of the accuracy (trueness and precision) of six extraoral dental scanners with different scanning technologies. J Prosthet Dent. 2016; https://doi.org/10.1016/j.prosdent.2016.01.025.
Kravitz ND, Groth C, Jones PE, Graham JW, Redmond WR. Intraoral digital scanners. Orthod: J. Clin; 2014.
Park JM, Choi SA, Myung JY, Chun YS, Kim M. Impact of orthodontic brackets on the intraoral scan data accuracy. Biomed Res Int. 2016; https://doi.org/10.1155/2016/5075182.
Lee R, El-Rabbany M, Kienle F, Caminiti M. Accuracy of centric relation record derived from intraoral scan versus computed tomography in condylar positioning for computer assisted surgical simulation. J Oral Maxillofac Surg. 2019;77:e5–6.
Sam A, Currie K, Oh H, Flores-Mir C, Lagravére-Vich M. Reliability of different three-dimensional cephalometric landmarks in cone-beam computed tomography: a systematic review. Angle Orthod. 2019; https://doi.org/10.2319/042018-302.1.
Swennen GRJ, Mollemans W, Schutyser F. Three-dimensional treatment planning of orthognathic surgery in the era of virtual imaging. J Oral Maxillofac Surg. 2009; https://doi.org/10.1016/j.joms.2009.06.007.
Angelopoulos C, Scarfe WC, Farman AG. A comparison of maxillofacial CBCT and medical CT. Atlas Oral Maxillofac Surg Clin North Am. 2012; https://doi.org/10.1016/j.cxom.2011.12.008.
Charakorn N, Kezirian EJ. Drug-induced sleep endoscopy. Otolaryngol Clin N Am. 2016; https://doi.org/10.1016/j.otc.2016.06.002.
Kezirian EJ, Hohenhorst W, De Vries N. Drug-induced sleep endoscopy: the VOTE classification. Eur Arch Oto-Rhino-Laryngology. 2011; https://doi.org/10.1007/s00405-011-1633-8.
Caplin J, Han MD, Miloro M, Allareddy V, Markiewicz MR. Interceptive Dentofacial orthopedics (growth modification). Oral Maxillofac Surg Clin North Am. 2020; https://doi.org/10.1016/j.coms.2019.08.006.
Hassel B, Farman AG. Skeletal maturation evaluation using cervical vertebrae.
Yule S, Parker SH, Wilkinson J, McKinley A, MacDonald J, Neill A, McAdam T. Coaching non-technical skills improves surgical residents’ performance in a simulated operating room. J Surg Educ. 2015;72:1124–30.
Wheeler TT. Orthodontic clear aligner treatment. Semin Orthod. 2017;23:83–9.
Sinanoglu A, Kocasarac HD, Noujeim M. Age estimation by an analysis of spheno-occipital synchondrosis using cone-beam computed tomography. Legal Med. 2016;18:13–9.
Larson BE. Orthodontic Preparation for Orthognathic Surgery. https://doi.org/10.1016/j.coms.2014.08.002.
Zhang N, Liu S, Hu Z, Hu J, Zhu S, Li Y. Accuracy of virtual surgical planning in two-jaw orthognathic surgery: comparison of planned and actual results. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016; https://doi.org/10.1016/j.oooo.2016.03.004.
Services USD of H& H Guidance on HIPAA & Cloud Computing. https://www.hhs.gov/hipaa/for-professionals/special-topics/cloud-computing/index.html.
Quast A, Santander P, Witt D, Damm A, Moser N, Schliephake H, Meyer P, Meyer-Marcotty P. Traditional face-bow transfer versus three-dimensional virtual reconstruction in orthognathic surgery. Int J Oral Maxillofac Surg. 2019;48:347–54.
Peiró-Guijarro MA, Guijarro-Martínez R, Hernández-Alfaro F. Surgery first in orthognathic surgery: a systematic review of the literature. Am J Orthod Dentofac Orthop. 2016; https://doi.org/10.1016/j.ajodo.2015.09.022.
Jeong WS, Choi JW, Kim DY, Lee JY, Kwon SM. Can a surgery-first orthognathic approach reduce the total treatment time? Int J Oral Maxillofac Surg. 2017; https://doi.org/10.1016/j.ijom.2016.12.006.
Soverina D, Gasparini G, Pelo S, et al. Skeletal stability in orthognathic surgery with the surgery first approach: a systematic review. Int J Oral Maxillofac Surg. 2019; https://doi.org/10.1016/j.ijom.2019.01.002.
Kwon T-G, Han MD. Current status of surgery first approach (part II): precautions and complications. Maxillofac Plast Reconstr Surg. 2019; https://doi.org/10.1186/s40902-019-0206-4.
Uribe FA, Farrell B. Surgery-first approach in the orthognathic patient. Oral Maxillofac Surg Clin North Am. 2020;32:89–103.
Kim JH, Park YC, Yu HS, Kim MK, Kang SH, Choi YJ. Accuracy of 3-dimensional virtual surgical simulation combined with digital teeth alignment: a pilot study. J Oral Maxillofac Surg. 2017; https://doi.org/10.1016/j.joms.2017.07.161.
Badiali G, Costabile E, Lovero E, Pironi M, Rucci P, Marchetti C, Bianchi A. Virtual orthodontic surgical planning to improve the accuracy of the surgery-first approach: a prospective evaluation. J Oral Maxillofac Surg. 2019; https://doi.org/10.1016/j.joms.2019.04.017.
Weir T. Clear aligners in orthodontic treatment. Aust Dent J. 2017; https://doi.org/10.1111/adj.12480.
Ziuchkovski JP, Fields HW, Johnston WM, Lindsey DT. Assessment of perceived orthodontic appliance attractiveness. Am J Orthod Dentofac Orthop. 2008; https://doi.org/10.1016/j.ajodo.2006.07.025.
Rosvall MD, Fields HW, Ziuchkovski J, Rosenstiel SF, Johnston WM. Attractiveness, acceptability, and value of orthodontic appliances. Am J Orthod Dentofac Orthop. 2009; https://doi.org/10.1016/j.ajodo.2008.07.011.
Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi CL. Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review. Angle Orthod. 2015; https://doi.org/10.2319/061614-436.1.
Rossini G, Parrini S, Deregibus A, Castroorio T, Orthod S. Controlling orthodontic tooth movement with clear aligners an updated systematic review regarding ecacy and eciency. 2017.
Taub DI, Palermo V. Orthognathic surgery for the Invisalign patient. Semin Orthod. 2017; https://doi.org/10.1053/j.sodo.2016.10.008.
Caminiti M, Lou T. Clear aligner orthognathic splints. J Oral Maxillofac Surg. 2019;77:1071.e1–8.
Ackerman JL, Proffit WR, Sarver DM. The emerging soft tissue paradigm in orthodontic diagnosis and treatment planning. Clin Orthod Res. 1999; https://doi.org/10.1111/ocr.1999.2.2.49.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Caminiti, M., Han, M.D. (2022). Digital Data Acquisition and Treatment Planning in Orthognathic Surgery. In: Miloro, M., Ghali, G.E., Larsen, P.E., Waite, P. (eds) Peterson’s Principles of Oral and Maxillofacial Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-91920-7_59
Download citation
DOI: https://doi.org/10.1007/978-3-030-91920-7_59
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-91919-1
Online ISBN: 978-3-030-91920-7
eBook Packages: MedicineMedicine (R0)