Our Summary

The research paper is about developing a computer system that can help surgeons plan for orthognathic surgery, which is a procedure to correct conditions of the jaw and face. The system can automatically determine the best positions for different parts of the jaw in the skull, which saves surgeons a lot of time and effort. The researchers tested the system using images taken from four patients who needed the surgery. The results showed that the system was able to correct the jaw and face problems of the patients. This suggests that the system could be used regularly in clinics to help surgeons plan for orthognathic surgeries.

FAQs

  1. What is the purpose of the computer system developed in this research for orthognathic surgery?
  2. How does the computer system assist surgeons in planning for orthognathic surgery?
  3. What were the results when the system was tested on patients who needed orthognathic surgery?

Doctor’s Tip

A doctor might tell a patient undergoing jaw surgery to follow post-operative instructions carefully, including maintaining a soft diet, avoiding strenuous activities, and keeping the surgical site clean to promote proper healing. Additionally, the doctor may recommend attending follow-up appointments to monitor progress and address any concerns. It is important for the patient to communicate openly with their healthcare provider throughout the recovery process.

Suitable For

Patients who are typically recommended for jaw surgery include those with:

  1. Severe malocclusion or misalignment of the teeth
  2. Facial asymmetry or imbalance
  3. Difficulty chewing or speaking due to jaw abnormalities
  4. Sleep apnea or other breathing problems caused by a small or recessed jaw
  5. Temporomandibular joint (TMJ) disorders
  6. Cleft lip and palate deformities
  7. Skeletal abnormalities of the jaw and face

These conditions can affect a patient’s quality of life and may require surgical intervention to correct. Orthognathic surgery is often recommended to improve the function and appearance of the jaw and face, and to alleviate symptoms associated with these conditions.

Timeline

Before Jaw Surgery:

  1. Initial consultation with a maxillofacial surgeon to discuss the need for jaw surgery and assess the patient’s condition.
  2. Pre-surgical orthodontic treatment to align the teeth and prepare the jaws for surgery.
  3. Dental impressions and imaging tests such as X-rays, CT scans, and 3D scans to create a detailed map of the jaw and facial structure.
  4. Virtual planning of the surgery using computer software to determine the optimal positioning of the jaw bones.
  5. Discussion of the surgery plan with the patient and obtaining informed consent.

After Jaw Surgery:

  1. Hospitalization for the surgery and post-operative care.
  2. Recovery period with pain management, swelling reduction, and dietary restrictions.
  3. Follow-up appointments with the surgeon to monitor healing progress and adjust orthodontic treatment as needed.
  4. Physical therapy and rehabilitation exercises to regain jaw function and strength.
  5. Long-term follow-up to monitor the stability of the jaw position and address any complications that may arise.

What to Ask Your Doctor

  1. What specific jaw and face problems do I have that require orthognathic surgery?
  2. How will orthognathic surgery improve my overall oral health and appearance?
  3. What are the potential risks and complications associated with orthognathic surgery?
  4. How long is the recovery process after orthognathic surgery?
  5. Will I need to follow a special diet or make any lifestyle changes after surgery?
  6. How often will I need to follow up with you after the surgery?
  7. Can you explain how the computer system works and how it will help plan my surgery?
  8. How accurate and reliable is the computer system in determining the best positions for my jaw in the skull?
  9. Are there any limitations or drawbacks to using the computer system for planning orthognathic surgeries?
  10. What are the expected outcomes and success rates of orthognathic surgery using the computer system?

Reference

Authors: Santos RMGD, De Martino JM, Passeri LA, Attux RRF, Haiter Neto F. Journal: J Craniomaxillofac Surg. 2017 Sep;45(9):1399-1407. doi: 10.1016/j.jcms.2017.06.017. Epub 2017 Jul 4. PMID: 28739094