title: Three-dimensional cone-beam computed tomography-based virtual treatment planning and fabrication of a surgical splint for asymmetric patients: surgery first approach.
abstract: Virtual 3-dimensional planning in orthognathic surgery allows for a detailed visualization and analysis of skeletal and dental deformities, especially in patients with asymmetries. This approach also eliminates conventional stone model surgery through computer-aided fabrication of surgical stents. This article presents a new approach with 3-dimensional cone-beam computed tomography-based treatment planning for the surgical correction of facial asymmetry in conjunction with the surgery first approach. Good esthetic and occlusal outcomes were obtained for 2 patients after orthognathic surgery and orthodontic treatment with a short total treatment time.
authors.affiliation: Associate professor and program director, Division of Orthodontics, Charles Burstone Professor, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn. Electronic address: Furibe@uchc.edu.
authors.forename: Flavio
authors.initials: F
authors.lastname: Uribe
authors.forename: Nandakumar
authors.initials: N
authors.lastname: Janakiraman
authors.forename: David
authors.initials: D
authors.lastname: Shafer
authors.forename: Ravindra
authors.initials: R
authors.lastname: Nanda
mesh_terms: D000328:Adult; D002508:Cephalometry / Q000379:methods; D017076:Computer-Aided Design; D054893:Cone-Beam Computed Tomography / Q000379:methods*; D003766:Dental Occlusion; D004955:Esthetics, Dental; D005146:Facial Asymmetry / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D008297:Male; D008312:Malocclusion, Angle Class II / Q000601:surgery / Q000628:therapy; D008313:Malocclusion, Angle Class III / Q000601:surgery / Q000628:therapy; D008437:Maxilla / Q000002:abnormalities; D024343:Open Bite / Q000601:surgery / Q000628:therapy; D056948:Orthognathic Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D019340:Osteotomy, Le Fort / Q000295:instrumentation / Q000379:methods; D059229:Osteotomy, Sagittal Split Ramus / Q000295:instrumentation / Q000379:methods; D010347:Patient Care Planning; D011378:Prognathism / Q000601:surgery / Q000628:therapy; D063173:Retrognathia / Q000601:surgery / Q000628:therapy; D013165:Splints; D025321:Surgery, Computer-Assisted / Q000295:instrumentation / Q000379:methods; D014087:Tooth Movement Techniques / Q000295:instrumentation / Q000379:methods; D014584:User-Computer Interface; D055815:Young Adult