Managing Predicted Post-Orthognathic Surgical Defects Using Combined Digital Software: A Case Report

Author:

Onică Neculai1,Onică Cezara Andreea2,Tatarciuc Monica3,Baciu Elena-Raluca3,Vlasie Georgiana-Lena4,Ciofu Mihai5,Balan Mihail5,Gelețu Gabriela Luminița5

Affiliation:

1. Specialist Oral and Maxillofacial Surgery, Private Practice, 700612 Iasi, Romania

2. Specialist Oral Surgery, Private Practice, 700612 Iasi, Romania

3. Department of Implantology, Removable Dentures, Dental Technology, Faculty of Dental Medicine, University of Medicine and Pharmacy, “Grigore T. Popa”, 700115 Iasi, Romania

4. Specialist Orthodontics, Private Practice, 700612 Iasi, Romania

5. Department of Surgery, Faculty of Dental Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania

Abstract

For facial abnormalities, recent developments in virtual surgical planning (VSP) and the virtual design of surgical splints are accessible. Software companies have worked closely with surgical teams for accurate outcomes, but they are only as reliable as the data provided to them. The current case’s aim was to show a fully digitized workflow using a combination of three digital software to correct predicted post–upward sliding genioplasty defects. To reach our goal, we presented a 28-year-old man with long-face syndrome for orthodontic treatment. Before orthognathic surgery, a clinical and paraclinical examination was performed. For a virtual surgical plan, we used the dedicated surgical planning software NemoFab (Nemotec, Madrid, Spain) and Autodesk MeshMixer (Autodesk Inc., San Rafael, CA, USA). To create the design of the digital guides, DentalCAD 3.0 Galway (exocad GmbH, Darmstadt, Germany) and Autodesk MeshMixer (Autodesk Inc., San Rafael, CA, USA) were used. The patient had undergone bilateral sagittal split osteotomy in addition to Le Fort 1 osteotomy and genioplasty, followed by mandible base recontouring ostectomy. Stable fixation was used for each osteotomy. Based on our case, the current orthognathic surgery planning software was not able to perform all the necessary operations autonomously; therefore, future updates are eagerly awaited.

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

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