Objective
The objective of this study was to evaluate the efficacy of a novel tooth/bony-supported
virtual splint design to control the maxillary vertical, rotational, and anteroposterior
intraoperative movements.
Study Design
A tooth/bone-borne splint was designed to position the osteotomized maxilla intraoperatively.
Lateral cephalometric radiographs were obtained 1 week before the operation and 1
week after to compare the planned and actual movements of the maxilla.
Results
The paired t test showed no significant difference between the planned and actual movements in
both the vertical and horizontal measurements (P ≤ .05). The difference between the planned and actual horizontal movements in 4 (66.7%)
of the 6 patients was 1 mm or less. For the vertical movements, 5 (83.3%) of the 6
patients showed a difference equal to or less than 1 mm.
Conclusions
The 2-piece surgical stent showed accurate control on the osteotomized maxilla and
succeeded its repositioning to the preplanned positions.
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References
- Postoperative skeletal stability and accuracy of a new combined Le Fort I and horseshoe osteotomy for superior repositioning of the maxilla.Int J Oral Maxillofac Surg. 2009; 38: 1250-1255
- Orthognathic surgery effects on maxillary growth in patients with vertical maxillary excess.Am J Orthod Dentofacial Orthop. 1997; 111: 288-296
- Skeletal stability following maxillary impaction and mandibular advancement.Int J Oral Maxillofac Surg. 2004; 33: 656-663
- Incidence of complications and problems related to orthognathic surgery.J Oral Maxillofac Surg. 2007; 65: 2438-2444
- Characteristics and corrective outcome of face asymmetry by orthognathic surgery.J Oral Maxillofac Surg. 2009; 67: 2201-2209
- Orthognathic surgery in the young cleft patient: preliminary study on subsequent facial growth.J Oral Maxillofac Surg. 2008; 66: 2524-2536
- Model surgery for orthognathic planning.Br J Oral Maxillofac Surg. 1990; 28: 393-397
- The role of the occlusal wafer in orthognathic surgery; a comparison of thick and thin intermediate osteotomy wafers.J Craniomaxillofac Surg. 1995; 23: 396-400
- Surgical accuracy in orthognathic surgery.Br J Oral Maxillofac Surg. 1993; 31 (Discussion 9-50): 343-349
- Measuring changes in maxillary height during osteotomy surgery.Br J Oral Maxillofac Surg. 1994; 32: 257-259
- Computerized cephalometric evaluation of orthognathic surgical precision and stability in relation to maxillary superior repositioning combined with mandibular advancement or setback.J Oral Maxillofac Surg. 1997; 55 (Discussion 9-80): 1071-1079
- Control of vertical dimension during maxillary orthognathic surgery.J Craniomaxillofac Surg. 1992; 20: 333-336
- Precision of orthognathic surgery.Int J Oral Maxillofac Surg. 1994; 23: 255-261
- Planning and control of vertical dimension in Le Fort I osteotomies.J Craniomaxillofac Surg. 1990; 18: 267-270
- Le Fort I maxillary osteotomy: is it possible to accurately produce planned pre-operative movements?.Br J Oral Maxillofac Surg. 1992; 30: 369-376
- Mandibular autorotation in orthognathic surgery: a new method of locating the centre of mandibular rotation and determining its consequence in orthognathic surgery.J Craniomaxillofac Surg. 1992; 20: 163-170
- The significance of an erroneous recording of the centre of mandibular rotation in orthognathic surgery.J Craniomaxillofac Surg. 1991; 19: 254-259
- A modified Boley gauge for accurate measurement during maxillary osteotomies.J Oral Maxillofac Surg. 1992; 50: 1018-1019
- An assessment of the predictability of maxillary repositioning.Int J Oral Maxillofac Surg. 1991; 20: 349-352
- Control of vertical position of the maxilla in orthognathic surgery: clinical application of the sandwich splint.Int J Adult Orthodon Orthognath Surg. 1990; 5: 133-136
- How accurate is model planning for orthognathic surgery?.Int J Oral Maxillofac Surg. 2008; 37: 1089-1093
- Value of three-dimensional computed tomography in craniomaxillofacial surgery.J Craniofac Surg. 1994; 5: 282-288
- Treatment prediction with three-dimensional computer tomographic skull models.Am J Orthod Dentofacial Orthop. 1994; 106: 156-160
- Orthognathic surgery and aesthetics: planning treatment to achieve functional and aesthetic goals.Br J Orthod. 1993; 20: 93-100
- A three-dimensional system for planning orthognathic surgery.J Am Dent Assoc. 1994; 125: 452-460
- Computer-aided surgery in distraction osteogenesis of the maxilla and mandible.Int J Oral Maxillofac Surg. 1999; 28: 171-175
- Computer-assisted three-dimensional surgical planning and simulation: 3D virtual osteotomy.Int J Oral Maxillofac Surg. 2000; 29: 11-17
- Three-dimensional treatment planning of orthognathic surgery in the era of virtual imaging.J Oral Maxillofac Surg. 2009; 67: 2080-2092
- The precision of computer-generated surgical splints.J Oral Maxillofac Surg. 2003; 61: 814-817
- Manufacturing splints for orthognathic surgery using a three-dimensional printer.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 105: e1-e7
- Virtual model surgery and wafer fabrication for orthognathic surgery.Int J Oral Maxillofac Surg. 2009; 38: 1306-1310
- A new method for computer-aided operation planning for extensive mandibular reconstruction.Plast Reconstr Surg. 2006; 117: 2431-2437
- Surgical correction of dentofacial deformities.W. B. Saunders, Philadelphia1980
- Three-dimensional craniofacial surgery: transfer from a three-dimensional model (endoplan) to clinical surgery: a new technique (Graz).J Craniomaxillofac Surg. 1992; 20: 125-131
- 3-D COSMOS: a new 3-D model based computerised operation simulation and navigation system.J Craniomaxillofac Surg. 2000; 28: 287-293
- Computerised three-dimensional surgical simulator.Mund Kiefer Gesichtschir. 2000; 4 (German): 39-44
- Accuracy of integration of dental casts in three-dimensional models.J Oral Maxillofac Surg. 1999; 57 (Discussion 6): 662-665
- Rapid prototyping in tissue engineering: challenges and potential.Trends Biotechnol. 2004; 22: 643-652
- Predictability of maxillary repositioning during bimaxillary surgery: accuracy of a new technique.Int J Oral Maxillofac Surg. 2007; 36: 296-300
- Stability after rigid fixation of simultaneous maxillary impaction and mandibular advancement osteotomies.Int J Oral Maxillofac Surg. 2003; 32: 137-142
- The use of a new 3D splint and double CT scan procedure to obtain an accurate anatomic virtual augmented model of the skull.Int J Oral Maxillofac Surg. 2007; 36: 146-152
- A cone-beam CT based technique to augment the 3D virtual skull model with a detailed dental surface.Int J Oral Maxillofac Surg. 2009; 38: 48-57
- Predictability of maxillary surgery: a comparison of internal and external reference marks.Oral Surg Oral Med Oral Pathol. 1986; 61: 542-545
- Reproducibility of maxillary positioning in Le Fort I osteotomy: a 3-dimensional evaluation.J Oral Maxillofac Surg. 2002; 60: 287-293
- A new technique for the creation of a computerized composite skull model.J Oral Maxillofac Surg. 2003; 61: 222-227
- A novel method for the 3-dimensional simulation of orthognathic surgery by using a multimodal image-fusion technique.Am J Orthod Dentofacial Orthop. 2006; 130: 786-798
- Three-dimensional computer-aided surgical simulation for maxillofacial surgery.Atlas Oral Maxillofac Surg Clin North Am. 2005; 13: 25-39
Article info
Publication history
Published online: May 24, 2012
Accepted:
September 30,
2011
Received in revised form:
September 22,
2011
Received:
July 28,
2011
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.