Evaluation of the Predictability and Accuracy of Orthognathic Surgery in the Era of Virtual Surgical Planning

Virtual surgical planning allows orthognathic surgeons to design a surgical plan preoperatively and establish a personalized surgical protocol. This study aims to validate the predictability and accuracy of orthognathic surgery through a comparison of the three-dimensional (3D) models of the virtual...

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Main Authors: Marta María Pampín Martínez, Alessandro Gutiérrez Venturini, Jorge Guiñales Díaz de Cevallos, María Barajas Blanco, Iñigo Aragón Niño, Alvaro Moreiras Sánchez, José Luis del Castillo Pardo de Vera, José Luis Cebrián Carretero
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/12/9/4305
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author Marta María Pampín Martínez
Alessandro Gutiérrez Venturini
Jorge Guiñales Díaz de Cevallos
María Barajas Blanco
Iñigo Aragón Niño
Alvaro Moreiras Sánchez
José Luis del Castillo Pardo de Vera
José Luis Cebrián Carretero
author_facet Marta María Pampín Martínez
Alessandro Gutiérrez Venturini
Jorge Guiñales Díaz de Cevallos
María Barajas Blanco
Iñigo Aragón Niño
Alvaro Moreiras Sánchez
José Luis del Castillo Pardo de Vera
José Luis Cebrián Carretero
author_sort Marta María Pampín Martínez
collection DOAJ
description Virtual surgical planning allows orthognathic surgeons to design a surgical plan preoperatively and establish a personalized surgical protocol. This study aims to validate the predictability and accuracy of orthognathic surgery through a comparison of the three-dimensional (3D) models of the virtual planning and postoperative CBCT using free software (3D Slicer) on 40 patients who underwent bimaxillary orthognathic surgery. The distances of point A, point B, pogonion (Pog), and the first upper and lower molars, both in each axis (<i>x</i>, <i>y</i>, and <i>z</i>) and in the 3D space, were analyzed. The median of the distances in the mediolateral direction was the lowest, while the highest differences were found at point A and Pog in the anteroposterior direction (0.83 mm and 0.78 mm, respectively). Vertical differences were higher in the maxilla than in the mandible. In conclusion, we found that orthognathic bimaxillary surgery using virtual surgical planning was more accurate when positioning the bone segments in the mediolateral direction, using the information provided by the splint, as well as when positioning the mandible compared to the maxilla.
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spelling doaj.art-b808686870dc4a3580a2dd7a81ed0d7e2023-11-23T07:47:12ZengMDPI AGApplied Sciences2076-34172022-04-01129430510.3390/app12094305Evaluation of the Predictability and Accuracy of Orthognathic Surgery in the Era of Virtual Surgical PlanningMarta María Pampín Martínez0Alessandro Gutiérrez Venturini1Jorge Guiñales Díaz de Cevallos2María Barajas Blanco3Iñigo Aragón Niño4Alvaro Moreiras Sánchez5José Luis del Castillo Pardo de Vera6José Luis Cebrián Carretero7Oral and Maxillofacial Surgery Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, SpainFundación Para la Investigación Biomédica del Hospital Universitario La Paz, Calle de Pedro Rico 6, 28029 Madrid, SpainOral and Maxillofacial Surgery Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, SpainOral and Maxillofacial Surgery Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, SpainOral and Maxillofacial Surgery Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, SpainOral and Maxillofacial Surgery Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, SpainOral and Maxillofacial Surgery Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, SpainOral and Maxillofacial Surgery Department, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, SpainVirtual surgical planning allows orthognathic surgeons to design a surgical plan preoperatively and establish a personalized surgical protocol. This study aims to validate the predictability and accuracy of orthognathic surgery through a comparison of the three-dimensional (3D) models of the virtual planning and postoperative CBCT using free software (3D Slicer) on 40 patients who underwent bimaxillary orthognathic surgery. The distances of point A, point B, pogonion (Pog), and the first upper and lower molars, both in each axis (<i>x</i>, <i>y</i>, and <i>z</i>) and in the 3D space, were analyzed. The median of the distances in the mediolateral direction was the lowest, while the highest differences were found at point A and Pog in the anteroposterior direction (0.83 mm and 0.78 mm, respectively). Vertical differences were higher in the maxilla than in the mandible. In conclusion, we found that orthognathic bimaxillary surgery using virtual surgical planning was more accurate when positioning the bone segments in the mediolateral direction, using the information provided by the splint, as well as when positioning the mandible compared to the maxilla.https://www.mdpi.com/2076-3417/12/9/4305virtual surgical planningorthognatic surgerypredictability
spellingShingle Marta María Pampín Martínez
Alessandro Gutiérrez Venturini
Jorge Guiñales Díaz de Cevallos
María Barajas Blanco
Iñigo Aragón Niño
Alvaro Moreiras Sánchez
José Luis del Castillo Pardo de Vera
José Luis Cebrián Carretero
Evaluation of the Predictability and Accuracy of Orthognathic Surgery in the Era of Virtual Surgical Planning
Applied Sciences
virtual surgical planning
orthognatic surgery
predictability
title Evaluation of the Predictability and Accuracy of Orthognathic Surgery in the Era of Virtual Surgical Planning
title_full Evaluation of the Predictability and Accuracy of Orthognathic Surgery in the Era of Virtual Surgical Planning
title_fullStr Evaluation of the Predictability and Accuracy of Orthognathic Surgery in the Era of Virtual Surgical Planning
title_full_unstemmed Evaluation of the Predictability and Accuracy of Orthognathic Surgery in the Era of Virtual Surgical Planning
title_short Evaluation of the Predictability and Accuracy of Orthognathic Surgery in the Era of Virtual Surgical Planning
title_sort evaluation of the predictability and accuracy of orthognathic surgery in the era of virtual surgical planning
topic virtual surgical planning
orthognatic surgery
predictability
url https://www.mdpi.com/2076-3417/12/9/4305
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