title: Integration of 3-dimensional surgical and orthodontic technologies with orthognathic "surgery-first" approach in the management of unilateral condylar hyperplasia.
abstract: Recent innovations in technology and techniques in both surgical and orthodontic fields can be integrated, especially when treating subjects with facial asymmetry. In this article, we present a treatment method consisting of 3-dimensional computer-aided surgical and orthodontic planning, which was implemented with the orthognathic surgery-first approach. Virtual surgical planning, fabrication of surgical splints using the computer-aided design/computer-aided manufacturing technique, and prediction of final orthodontic occlusion using virtual planning with robotically assisted customized archwires were integrated for this patient. Excellent esthetic and occlusal outcomes were obtained in a short period of 5.5 months.
authors.affiliation: Assistant professor, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn. Electronic address: Janakiraman@uchc.edu.
authors.forename: Nandakumar
authors.initials: N
authors.lastname: Janakiraman
authors.affiliation: Clinical instructor, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn; private practice, Shelton, Conn.
authors.forename: Mark
authors.initials: M
authors.lastname: Feinberg
authors.affiliation: Postgraduate resident, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn.
authors.forename: Meenakshi
authors.initials: M
authors.lastname: Vishwanath
authors.affiliation: Postgraduate resident, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn.
authors.forename: Yasas Shri
authors.initials: YS
authors.lastname: Nalaka Jayaratne
authors.affiliation: Associate professor of surgery (plastic); assistant professor of pediatrics; director of Dental Services, Oral Maxillofacial and Craniofacial surgery, School of Medicine, Yale University, New Haven, Conn.
authors.forename: Derek M
authors.initials: DM
authors.lastname: Steinbacher
authors.affiliation: Professor and head, Department of Craniofacial Sciences, Alumni Endowed Chair, School of Dental Medicine, University of Connecticut, Farmington, Conn.
authors.forename: Ravindra
authors.initials: R
authors.lastname: Nanda
authors.affiliation: Associate professor and program director, Division of Orthodontics, Department of Craniofacial Sciences, Charles Burstone Professor, School of Dental Medicine, University of Connecticut, Farmington, Conn.
authors.forename: Flavio
authors.initials: F
authors.lastname: Uribe
mesh_terms: D002508:Cephalometry / Q000379:methods; D017076:Computer-Aided Design; D054893:Cone-Beam Computed Tomography / Q000379:methods; D005146:Facial Asymmetry / Q000601:surgery* / Q000628:therapy; D005260:Female; D006801:Humans; D006965:Hyperplasia; D021621:Imaging, Three-Dimensional / Q000379:methods*; D008335:Mandibular Condyle / Q000601:surgery*; D016382:Orthodontic Appliance Design; D009969:Orthodontic Wires; D009971:Orthodontics, Corrective / Q000379:methods*; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D019340:Osteotomy, Le Fort / Q000379:methods; D059229:Osteotomy, Sagittal Split Ramus / Q000379:methods; D010347:Patient Care Planning; D010781:Photography / Q000379:methods; D012371:Robotics; D013165:Splints; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome; D014584:User-Computer Interface; D055815:Young Adult