Surgery-first Approach Using Virtual Setup for the Treatment of Dentoskeletal Deformities

Authors

Yara Qadry, PhD candidate, Department of Oral and Maxillofacial surgery, Faculty of Dental Medicine for Girls,Al-Azhar University, Cairo, Egypt.Follow
Suzan Hassan, Professor of oral and Maxillofacial surgery, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt.Follow
Fahmy Mobarak, Professor of Oral and Maxillofacial surgery, Faculty of Dentistry, Cairo University, Cairo, Egypt.Follow
Moustapha Abdelrahman, Researcher of Oro-Dental Genetics, Oro-Dental Genetics Department, Division of Human Genetics and Genome Research, National Research Center, Cairo, Egypt.Follow

Corresponding Author

Qadry, Yara

Document Type

Original Study

Abstract

Purpose: to evaluate the accuracy of Computer-Assisted Surgical Simulation (CASS) in the surgery-first treatment of Dentoskeletal Deformities. Materials and methods: Ten patients with different dentoskeletal deformities, were involved in this study. Preoperative clinical evaluation, photographs, study models, and 2D lateral cephalometry were adopted for orthodontic evaluation if the case is eligible for the surgery- first approach. MSCT (in DICOM format), and optical scanning of the study model (in STL format) were adopted and imported to MIMICS software for construction of virtual 3D composite model. The virtual surgical simulation was performed on the light of the preclinical evaluation and preoperative records, then the occlusal splints and surgical guides were designed to transfer the planned surgery to the reality. For evaluation of the virtual surgical simulation 3D cephalometric analysis for the planned and postoperative readings. Result: No significant difference between the planned and postoperative 3D cephalometric analysis. Conclusion: Surgery First cases needed thorough orthodontic and surgical planning. Virtual surgical planning with subsequent designed occlusal splints and cutting guides allow for accurate transfer of the virtual planning into reality.

Keywords

Computer assisted surgery; surgery first approach; Orthognathic surgery

How to Cite This Article

Qadry, Yara; Hassan, Suzan; Mobarak, Fahmy; and Abdelrahman, Moustapha (2021) "Surgery-first Approach Using Virtual Setup for the Treatment of Dentoskeletal Deformities," Al-Azhar Journal of Dentistry: Vol. 8: Iss. 1, Article 12.
DOI: https://doi.org/10.21608/adjg.2021.22987.1221

Subject Area

Oral Medicine and Surgical Sciences Issue (Oral Medicine, Oral and Maxillofacial Surgery, Oral Pathology, Oral Biology)