Our Summary
This paper discusses the use of digital technology in the treatment that combines orthodontics and orthognathic surgery. It starts with collecting three-dimensional (3D) data of the patient’s head through scanning and computed tomography. This data is then processed to create a 3D virtual model of the head. This model is used to accurately diagnose and measure any deformities in the patient’s teeth and face.
The virtual model is also used to plan out the surgical treatment in 3D, which includes the creation of a surgical splint. This splint is created through 3D printing and helps to transfer the virtual treatment plan to the actual patient during surgery.
In simpler terms, this paper is about how doctors are using advanced 3D technology to plan and perform surgeries to correct deformities in the teeth and face.
FAQs
- What is the process of combined orthodontics and orthognathic surgery treatment?
- How is a 3D diagnostic model used in quantifying dentofacial deformity?
- What is the purpose of a surgical splint in 3D orthognathic surgery?
Doctor’s Tip
One helpful tip a doctor might tell a patient about jaw surgery is to follow post-operative instructions carefully to ensure proper healing and optimal results. This may include taking prescribed medications, attending follow-up appointments, maintaining a soft diet, practicing good oral hygiene, and avoiding certain activities that could disrupt the healing process. It is important to communicate any concerns or complications to the healthcare provider promptly for appropriate management.
Suitable For
Patients who may be recommended for jaw surgery, also known as orthognathic surgery, typically have severe malocclusion (misalignment of the teeth), facial asymmetry, difficulty chewing or speaking, sleep apnea, or temporomandibular joint (TMJ) disorder. These patients may have undergone orthodontic treatment in the past, but the underlying skeletal discrepancy cannot be corrected with orthodontics alone. Orthognathic surgery is often recommended in combination with orthodontic treatment to correct the underlying skeletal discrepancy and achieve optimal facial aesthetics and function.
Timeline
Before jaw surgery:
- Initial consultation with orthodontist and maxillofacial surgeon to discuss treatment options.
- Orthodontic treatment to align teeth and prepare for surgery.
- 3D scanning and cone-beam computed tomography to create virtual model of the head and diagnose dentofacial deformity.
- 3D virtual orthognathic surgical treatment planning to determine the optimal surgical approach.
- Creation of surgical splint using 3D printing to guide the surgery.
After jaw surgery:
- Orthognathic surgery to correct the jaw deformity.
- Post-operative care and monitoring by the orthodontist and maxillofacial surgeon.
- Orthodontic adjustments to fine-tune the bite and alignment of the teeth.
- Follow-up appointments to track progress and ensure proper healing.
- Long-term maintenance of results through continued orthodontic treatment and regular check-ups.
What to Ask Your Doctor
- What specific type of jaw surgery do I need and why?
- What are the potential risks and complications associated with jaw surgery?
- How long will the recovery process be and what can I expect during that time?
- Will I need to follow any specific post-operative care instructions?
- How will jaw surgery improve my overall oral health and function?
- Will I need orthodontic treatment before or after jaw surgery?
- What is the success rate of jaw surgery in correcting my specific condition?
- Can you provide me with a visual representation of the proposed treatment plan using 3D virtual models?
- How will you ensure that the surgical outcome meets my aesthetic goals?
- Are there any alternative treatment options to jaw surgery that I should consider?
Reference
Authors: Elnagar MH, Aronovich S, Kusnoto B. Journal: Oral Maxillofac Surg Clin North Am. 2020 Feb;32(1):1-14. doi: 10.1016/j.coms.2019.08.004. Epub 2019 Nov 4. PMID: 31699582