Virtual Planning of a Complex Three-Part Bimaxillary Osteotomy

In maxillofacial surgery, every patient presents special problems requiring careful evaluation. Conventional methods to study the deformities are still reliable, but the advent of tridimensional (3D) imaging, especially computed tomography (CT) scan and laser scanning of casts, created the opportuni...

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Main Authors: Chiara Di Blasio, Marilena Laura Anghinoni, Alberto Di Blasio
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2017/8013874
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author Chiara Di Blasio
Marilena Laura Anghinoni
Alberto Di Blasio
author_facet Chiara Di Blasio
Marilena Laura Anghinoni
Alberto Di Blasio
author_sort Chiara Di Blasio
collection DOAJ
description In maxillofacial surgery, every patient presents special problems requiring careful evaluation. Conventional methods to study the deformities are still reliable, but the advent of tridimensional (3D) imaging, especially computed tomography (CT) scan and laser scanning of casts, created the opportunity to better understanding the skeletal support and the soft tissue structures. Nowadays, virtual technologies are increasingly employed in maxillofacial surgery and demonstrated precision and reliability. However, in complex surgical procedures, these new technologies are still controversial. Especially in the less frequent cases of three-part maxillary surgery, the experience is limited, and scientific literature cannot give a clear support. This paper presents the case of a young patient affected by a complex long face dentofacial deformity treated by a bimaxillary surgery with three-part segmentation of the maxilla. The operator performed the surgical study completely with a virtual workflow. Pre- and postoperative CT scan and optical scanning of plaster models were collected and compared. Every postoperatory maxillary piece was superimposed with the presurgical one, and the differences were examined in a color-coded map. Only mild differences were found near the osteotomy lines, when the bony surface and the teeth demonstrated an excellent coincidence.
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spelling doaj-art-20273c7bc0514df3aece739831fb4be62025-02-03T01:00:41ZengWileyCase Reports in Dentistry2090-64472090-64552017-01-01201710.1155/2017/80138748013874Virtual Planning of a Complex Three-Part Bimaxillary OsteotomyChiara Di Blasio0Marilena Laura Anghinoni1Alberto Di Blasio2University of Parma, Parma, ItalyUniversity of Parma, Parma, ItalyUniversity of Parma, Parma, ItalyIn maxillofacial surgery, every patient presents special problems requiring careful evaluation. Conventional methods to study the deformities are still reliable, but the advent of tridimensional (3D) imaging, especially computed tomography (CT) scan and laser scanning of casts, created the opportunity to better understanding the skeletal support and the soft tissue structures. Nowadays, virtual technologies are increasingly employed in maxillofacial surgery and demonstrated precision and reliability. However, in complex surgical procedures, these new technologies are still controversial. Especially in the less frequent cases of three-part maxillary surgery, the experience is limited, and scientific literature cannot give a clear support. This paper presents the case of a young patient affected by a complex long face dentofacial deformity treated by a bimaxillary surgery with three-part segmentation of the maxilla. The operator performed the surgical study completely with a virtual workflow. Pre- and postoperative CT scan and optical scanning of plaster models were collected and compared. Every postoperatory maxillary piece was superimposed with the presurgical one, and the differences were examined in a color-coded map. Only mild differences were found near the osteotomy lines, when the bony surface and the teeth demonstrated an excellent coincidence.http://dx.doi.org/10.1155/2017/8013874
spellingShingle Chiara Di Blasio
Marilena Laura Anghinoni
Alberto Di Blasio
Virtual Planning of a Complex Three-Part Bimaxillary Osteotomy
Case Reports in Dentistry
title Virtual Planning of a Complex Three-Part Bimaxillary Osteotomy
title_full Virtual Planning of a Complex Three-Part Bimaxillary Osteotomy
title_fullStr Virtual Planning of a Complex Three-Part Bimaxillary Osteotomy
title_full_unstemmed Virtual Planning of a Complex Three-Part Bimaxillary Osteotomy
title_short Virtual Planning of a Complex Three-Part Bimaxillary Osteotomy
title_sort virtual planning of a complex three part bimaxillary osteotomy
url http://dx.doi.org/10.1155/2017/8013874
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