Redefining precision and efficiency in orthognathic surgery through virtual surgical planning and 3D printing: a narrative review.
3D printing
Computer-aided design (CAD)
Computer-aided manufacturing (CAM)
Orthognathic surgery
Virtual surgical planning (VSP)
Journal
Maxillofacial plastic and reconstructive surgery
ISSN: 2288-8586
Titre abrégé: Maxillofac Plast Reconstr Surg
Pays: England
ID NLM: 101633100
Informations de publication
Date de publication:
18 Dec 2023
18 Dec 2023
Historique:
received:
13
09
2023
accepted:
11
12
2023
medline:
18
12
2023
pubmed:
18
12
2023
entrez:
18
12
2023
Statut:
epublish
Résumé
Orthognathic surgery, essential for addressing jaw and facial skeletal irregularities, has historically relied on traditional surgical planning (TSP) involving a series of time-consuming steps including two-dimensional radiographs. The advent of virtual surgical planning (VSP) and 3D printing technologies has revolutionized this field, bringing unprecedented precision and customization to surgical processes. VSP facilitates 3D visualization of the surgical site, allowing for real-time adjustments and improving preoperative stress for patients by reducing planning time. 3D printing dovetails with VSP, offering the creation of anatomical models and surgical guides, enhancing the predictability of surgical outcomes despite higher initial setup and material costs. The integration of VSP and 3D printing promises innovative and effective solutions in orthognathic surgery, surpassing the limitations of traditional methods. Patient-reported outcomes show a positive post-surgery impact on the quality of life, underlining the significant role of these technologies in enhancing self-esteem and reducing anxiety. Economic analyses depict a promising long-term fiscal advantage with these modern technologies, notwithstanding the higher initial costs. The review emphasizes the need for large-scale randomized controlled trials to address existing research gaps and calls for a deeper exploration into the long-term impacts and ethical considerations of these technologies. In conclusion, while standing on the cusp of a technological renaissance in orthognathic surgery, it is incumbent upon the medical fraternity to foster a collaborative approach, balancing innovation with scrutiny to enhance patient care. The narrative review encourages the leveraging of VSP and 3D printing technologies for more efficient and patient-centric orthognathic surgery, urging the community to navigate uncharted territories in pursuit of precision and efficiency in the surgical landscape.
Identifiants
pubmed: 38108939
doi: 10.1186/s40902-023-00409-2
pii: 10.1186/s40902-023-00409-2
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
42Informations de copyright
© 2023. The Author(s).
Références
Helal MS, Gaber RM, El-Kassaby M (2022) A rare complication of hemolacria after LeFort I osteotomy: a case presentation. Maxillofac Plast Reconstr Surg 44:29
pubmed: 36115900
pmcid: 9482558
doi: 10.1186/s40902-022-00359-1
Khaghaninejad MS, Khojastehpour L, Danesteh H, Changizi M, Ahrari F (2022) Changes in the pharyngeal airway after different orthognathic procedures for correction of class III dysplasia. Maxillofac Plast Reconstr Surg 44:23
pubmed: 35678935
pmcid: 9184694
doi: 10.1186/s40902-022-00352-8
Tabrizi R, Sarrafzadeh A, Shafiei S, Moslemi H, Dastgir R (2022) Does maxillomandibular fixation affect skeletal stability following mandibular advancement? A single-blind clinical trial. Maxillofac Plast Reconstr Surg 44:19
pubmed: 35522330
pmcid: 9076785
doi: 10.1186/s40902-022-00350-w
Kang SH, Kang MJ, Kim MJ, Kim MK (2022) Changes in facial width according to the ostectomy level of the proximal bone segment in intraoral vertical ramus osteotomy for mandibular prognathism. Maxillofac Plast Reconstr Surg 44:16
pubmed: 35435520
pmcid: 9016097
doi: 10.1186/s40902-022-00347-5
Xiao X, Cheng Y, Zou S, Chen J (2022) Computer-aided surgical workflow in a surgery - first orthognathic approach to correct anterior open bite in a young adult with temporomandibular disorders. Int Orthod 20:100600
pubmed: 34838488
doi: 10.1016/j.ortho.2021.10.007
Leck R, Paul N, Rolland S, Birnie D (2022) The consequences of living with a severe malocclusion: a review of the literature. J Orthod 49(2):228–239
pubmed: 34488471
doi: 10.1177/14653125211042891
Hammoudeh JA, Howell LK, Boutros S, Scott MA, Urata MM (2015) Current status of surgical planning for orthognathic surgery: traditional methods versus 3D surgical planning. Plast Reconstr Surg Glob Open 3(2):e307
pubmed: 25750846
pmcid: 4350313
doi: 10.1097/GOX.0000000000000184
Lin LO, Kalmar CL, Vu GH, Zimmerman CE, Humphries LS, Swanson JW, Bartlett SP, Taylor JA (2020) Value-based analysis of virtual versus traditional surgical planning for orthognathic surgery. J Craniofac Surg 31(5):1238–1242
pubmed: 32282685
doi: 10.1097/SCS.0000000000006426
Chen Z, Mo S, Fan X, You Y, Ye G, Zhou N (2021) A meta-analysis and systematic review comparing the effectiveness of traditional and virtual surgical planning for orthognathic surgery: based on randomized clinical trials. J Oral Maxillofac Surg 79(2):471.e1-471.e19
pubmed: 33031773
doi: 10.1016/j.joms.2020.09.005
Kim JY, Lee YC, Kim SG, Garagiola U (2023) Advancements in oral maxillofacial surgery: a comprehensive review on 3D printing and virtual surgical planning. Appl Sci 13:9907
doi: 10.3390/app13179907
Alkaabi S, Maningky M, Helder MN, Alsabri G (2022) Virtual and traditional surgical planning in orthognathic surgery - systematic review and meta-analysis. Br J Oral Maxillofac Surg 60(9):1184–1191
pubmed: 36030091
doi: 10.1016/j.bjoms.2022.07.007
Alkhayer A, Piffkó J, Lippold C, Segatto E (2020) Accuracy of virtual planning in orthognathic surgery: a systematic review. Head Face Med 16:34
pubmed: 33272289
pmcid: 7716456
doi: 10.1186/s13005-020-00250-2
Wrzosek MK, Peacock ZS, Laviv A et al (2016) Comparison of time required for traditional versus virtual orthognathic surgery treatment planning. Int J Oral Maxillofac Surg 45(9):1065–1069
pubmed: 27102289
doi: 10.1016/j.ijom.2016.03.012
Steinhuber T, Brunold S, Gärtner C et al (2018) Is virtual surgical planning in orthognathic surgery faster than conventional planning? A time and workflow analysis of an office-based workflow for single- and double-jaw surgery. J Oral Maxillofac Surg 76(2):397–407
pubmed: 28826783
doi: 10.1016/j.joms.2017.07.162
Lee YC, Sohn HB, Park YW, Oh JH (2022) Evaluation of postoperative changes in condylar positions after orthognathic surgery using balanced orthognathic surgery system. Maxillofac Plast Reconstr Surg 44:11
pubmed: 35298724
pmcid: 8931136
doi: 10.1186/s40902-022-00341-x
Vranckx JJ, Desmet O, Bila M, Wittesaele W, Wilssens N, Poorten VV (2023) Maxillomandibular reconstruction using insourced virtual surgical planning and homemade CAD/CAM: a single-center evolution in 75 patients. Plast Reconstr Surg 152(1):143e–154e
pubmed: 36728691
doi: 10.1097/PRS.0000000000010142
Sohmura T, Hojo H, Nakajima M et al (2004) Prototype of simulation of orthognathic surgery using a virtual reality haptic device. Int J Oral Maxillofac Surg 33(8):740–750
pubmed: 15556320
doi: 10.1016/j.ijom.2004.03.003
Piombino P, Abbate V, Sani L et al (2022) Virtual surgical planning in orthognathic surgery: two software platforms compared. Appl Sci 12:9364
doi: 10.3390/app12189364
Oh HJ, Moon JH, Ha H et al (2021) Virtually-planned orthognathic surgery achieves an accurate condylar position. J Oral Maxillofac Surg 79(5):1146.e1-1146.e25
pubmed: 33539812
doi: 10.1016/j.joms.2020.12.048
Apostolakis D, Michelinakis G, Kamposiora P, Papavasiliou G (2022) The current state of computer assisted orthognathic surgery: a narrative review. J Dent 119:104052
pubmed: 35085684
doi: 10.1016/j.jdent.2022.104052
Tian Y, Chen C, Xu X et al (2021) A review of 3D printing in dentistry: technologies, affecting factors, and applications. Scanning 2021:9950131
pubmed: 34367410
pmcid: 8313360
doi: 10.1155/2021/9950131
Kamio T, Onda T (2022) Fused deposition modeling 3D printing in oral and maxillofacial surgery: problems and solutions. Cureus 14(9):e28906
pubmed: 36105906
pmcid: 9451925
Etemad-Shahidi Y, Qallandar OB, Evenden J et al (2020) Accuracy of 3-dimensionally printed full-arch dental models: a systematic review. J Clin Med 9(10):3357
pubmed: 33092047
pmcid: 7589154
doi: 10.3390/jcm9103357
Yang J, Li H, Xu L, Wang Y (2022) Selective laser sintering versus conventional lost-wax casting for single metal copings: a systematic review and meta-analysis. J Prosthet Dent 128(5):897–904
pubmed: 33789799
doi: 10.1016/j.prosdent.2021.02.011
Wu P, Hu L, Li H et al (2021) Clinical application and accuracy analysis of 3D printing guide plate based on polylactic acid in mandible reconstruction with fibula flap. Ann Transl Med 9(6):460
pubmed: 33850857
pmcid: 8039666
doi: 10.21037/atm-20-6781
Keßler A, Dosch M, Reymus M, Folwaczny M (2022) Influence of 3D-printing method, resin material, and sterilization on the accuracy of virtually designed surgical implant guides. J Prosthet Dent 128(2):196–204
pubmed: 33573833
doi: 10.1016/j.prosdent.2020.08.038
Javan R, Schickel M, Zhao Y et al (2020) Using 3D-printed mesh-like brain cortex with deep structures for planning intracranial EEG electrode placement. J Digit Imaging 33(2):324–333
pubmed: 31512018
doi: 10.1007/s10278-019-00275-3
Xia JJ, Gateno J, Teichgraeber JF et al (2007) Accuracy of the computer-aided surgical simulation (CASS) system in the treatment of patients with complex craniomaxillofacial deformity: a pilot study. J Oral Maxillofac Surg 65(2):248–254
pubmed: 17236929
doi: 10.1016/j.joms.2006.10.005
Tng TT, Chan TC, Hägg U, Cooke MS (1994) Validity of cephalometric landmarks. An experimental study on human skulls. Eur J Orthod 16(2):110–120
pubmed: 8005198
doi: 10.1093/ejo/16.2.110
Susarla SM, Dodson TB, Kaban LB (2008) Measurement and interpretation of a maxillary occlusal cant in the frontal plane. J Oral Maxillofac Surg 66(12):2498–2502
pubmed: 19022130
doi: 10.1016/j.joms.2008.06.072
Liebregts JH, Timmermans M, De Koning MJ et al (2015) Three-dimensional facial simulation in bilateral sagittal split osteotomy: a validation study of 100 patients. J Oral Maxillofac Surg 73(5):961–970
pubmed: 25795178
doi: 10.1016/j.joms.2014.11.006
Van Hemelen G, Van Genechten M, Renier L et al (2015) Three-dimensional virtual planning in orthognathic surgery enhances the accuracy of soft tissue prediction. J Craniomaxillofac Surg 43(6):918–925
pubmed: 26027866
doi: 10.1016/j.jcms.2015.04.006
Kim SH, Lee SM, Park JH et al (2023) Effectiveness of individualized 3D titanium-printed orthognathic osteotomy guides and custom plates. BMC Oral Health 23:255
pubmed: 37138237
pmcid: 10155400
doi: 10.1186/s12903-023-03000-3
Bryan DC, Hunt NP (1993) Surgical accuracy in orthognathic surgery. Br J Oral Maxillofac Surg 31(6):343–345
pubmed: 8286286
doi: 10.1016/0266-4356(93)90187-2
Salmen FS, de Oliveira TFM, Gabrielli MAC et al (2018) Sequencing of bimaxillary surgery in the correction of vertical maxillary excess: retrospective study. Int J Oral Maxillofac Surg 47(6):708–714
pubmed: 29246423
doi: 10.1016/j.ijom.2017.11.007
Ellis E 3rd, Tharanon W, Gambrell K (1992) Accuracy of face-bow transfer: effect on surgical prediction and postsurgical result. J Oral Maxillofac Surg 50(6):562–567
pubmed: 1593315
doi: 10.1016/0278-2391(92)90434-2
Silva I, Cardemil C, Kashani H et al (2016) Quality of life in patients undergoing orthognathic surgery - a two-centered Swedish study. J Craniomaxillofac Surg 44(8):973–978
pubmed: 27240820
doi: 10.1016/j.jcms.2016.04.005
Soh CL, Narayanan V (2013) Quality of life assessment in patients with dentofacial deformity undergoing orthognathic surgery–a systematic review. Int J Oral Maxillofac Surg 42(8):974–980
pubmed: 23702370
doi: 10.1016/j.ijom.2013.03.023
Choi WS, Lee S, McGrath C, Samman N (2010) Change in quality of life after combined orthodontic-surgical treatment of dentofacial deformities. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 109(1):46–51
pubmed: 20123378
doi: 10.1016/j.tripleo.2009.08.019
Sun H, Shang HT, He LS et al (2018) Assessing the quality of life in patients with dentofacial deformities before and after orthognathic surgery. J Oral Maxillofac Surg 76(10):2192–2201
pubmed: 29684310
doi: 10.1016/j.joms.2018.03.026
Ryan FS, Barnard M, Cunningham SJ (2012) Impact of dentofacial deformity and motivation for treatment: a qualitative study. Am J Orthod Dentofacial Orthop 141(6):734–742
pubmed: 22640675
doi: 10.1016/j.ajodo.2011.12.026
Liddle MJ, Baker SR, Smith KG, Thompson AR (2015) Psychosocial outcomes in orthognathic surgery: a review of the literature. Cleft Palate Craniofac J 52(4):458–470
pubmed: 25191866
doi: 10.1597/14-021
Hanafy M, Abou-Elfetouh A, Mounir RM (2019) Quality of life after different approaches of orthognathic surgery: a randomized controlled study. Minerva Stomatol 68(3):112–117
pubmed: 31014060
doi: 10.23736/S0026-4970.19.04227-4
Bengtsson M, Wall G, Becktor JP, Rasmusson L (2019) A comparison of cost-effectiveness of computer-assisted 2-and 3-dimensional planning techniques in orthognathic surgery. Br J Oral Maxillofac Surg 57(4):352–358
pubmed: 30962030
doi: 10.1016/j.bjoms.2019.03.012
Schneider D, Kämmerer PW, Hennig M et al (2019) Customized virtual surgical planning in bimaxillary orthognathic surgery: a prospective randomized trial. Clin Oral Investig 23(7):3115–3122
pubmed: 30443778
doi: 10.1007/s00784-018-2732-3
Resnick CM, Inverso G, Wrzosek M et al (2016) Is there a difference in cost between standard and virtual surgical planning for orthognathic surgery? J Oral Maxillofac Surg 74(9):1827–1833
pubmed: 27181623
doi: 10.1016/j.joms.2016.03.035
Park SY, Hwang DS, Song JM, Kim UK (2021) Comparison of time and cost between conventional surgical planning and virtual surgical planning in orthognathic surgery in Korea. Maxillofac Plast Reconstr Surg 43:18
pubmed: 34152473
pmcid: 8217346
doi: 10.1186/s40902-019-0220-6