Orthognathic Positioning System: Intraoperative System to Transfer Virtual Surgical Plan to Operating Field During Orthognathic Surgery
Purpose To introduce the concept and use of an occlusal-based "orthognathic positioning system" (OPS) to be used during orthognathic surgery. Materials and Methods The OPS consists of intraoperative occlusal-based devices that transfer virtual surgical planning to the operating field for r...
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| Published in: | Journal of oral and maxillofacial surgery Vol. 71; no. 5; pp. 911 - 920 |
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| Main Authors: | , |
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| Language: | English |
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Elsevier Inc
01-05-2013
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| Abstract | Purpose To introduce the concept and use of an occlusal-based "orthognathic positioning system" (OPS) to be used during orthognathic surgery. Materials and Methods The OPS consists of intraoperative occlusal-based devices that transfer virtual surgical planning to the operating field for repositioning of the osteotomized dentoskeletal segments. The system uses detachable guides connected to an occlusal splint. An initial drilling guide is used to establish stable references or landmarks. These are drilled on the bone that will not be repositioned adjacent to the osteotomy line. After mobilization of the skeletal segment, a final positioning guide, referenced to the drilled landmarks, is used to transfer the skeletal segment according to the virtual surgical planning. The OPS is digitally designed using 3-dimensional computer-aided design/computer-aided manufacturing technology and manufactured with stereolithographic techniques. Conclusions Virtual surgical planning has improved the preoperative assessment and, in conjunction with the OPS, the execution of orthognathic surgery. The OPS has the possibility to eliminate the inaccuracies commonly associated with traditional orthognathic surgery planning and to simplify the execution by eliminating surgical steps such as intraoperative measuring, determining the condylar position, the use of bulky intermediate splints, and the use of intermaxillary wire fixation. The OPS attempts precise translation of the virtual plan to the operating field, bridging the gap between virtual and actual surgery. |
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| AbstractList | Purpose To introduce the concept and use of an occlusal-based "orthognathic positioning system" (OPS) to be used during orthognathic surgery. Materials and Methods The OPS consists of intraoperative occlusal-based devices that transfer virtual surgical planning to the operating field for repositioning of the osteotomized dentoskeletal segments. The system uses detachable guides connected to an occlusal splint. An initial drilling guide is used to establish stable references or landmarks. These are drilled on the bone that will not be repositioned adjacent to the osteotomy line. After mobilization of the skeletal segment, a final positioning guide, referenced to the drilled landmarks, is used to transfer the skeletal segment according to the virtual surgical planning. The OPS is digitally designed using 3-dimensional computer-aided design/computer-aided manufacturing technology and manufactured with stereolithographic techniques. Conclusions Virtual surgical planning has improved the preoperative assessment and, in conjunction with the OPS, the execution of orthognathic surgery. The OPS has the possibility to eliminate the inaccuracies commonly associated with traditional orthognathic surgery planning and to simplify the execution by eliminating surgical steps such as intraoperative measuring, determining the condylar position, the use of bulky intermediate splints, and the use of intermaxillary wire fixation. The OPS attempts precise translation of the virtual plan to the operating field, bridging the gap between virtual and actual surgery. PURPOSETo introduce the concept and use of an occlusal-based "orthognathic positioning system" (OPS) to be used during orthognathic surgery.MATERIALS AND METHODSThe OPS consists of intraoperative occlusal-based devices that transfer virtual surgical planning to the operating field for repositioning of the osteotomized dentoskeletal segments. The system uses detachable guides connected to an occlusal splint. An initial drilling guide is used to establish stable references or landmarks. These are drilled on the bone that will not be repositioned adjacent to the osteotomy line. After mobilization of the skeletal segment, a final positioning guide, referenced to the drilled landmarks, is used to transfer the skeletal segment according to the virtual surgical planning. The OPS is digitally designed using 3-dimensional computer-aided design/computer-aided manufacturing technology and manufactured with stereolithographic techniques.CONCLUSIONSVirtual surgical planning has improved the preoperative assessment and, in conjunction with the OPS, the execution of orthognathic surgery. The OPS has the possibility to eliminate the inaccuracies commonly associated with traditional orthognathic surgery planning and to simplify the execution by eliminating surgical steps such as intraoperative measuring, determining the condylar position, the use of bulky intermediate splints, and the use of intermaxillary wire fixation. The OPS attempts precise translation of the virtual plan to the operating field, bridging the gap between virtual and actual surgery. To introduce the concept and use of an occlusal-based “orthognathic positioning system” (OPS) to be used during orthognathic surgery. The OPS consists of intraoperative occlusal-based devices that transfer virtual surgical planning to the operating field for repositioning of the osteotomized dentoskeletal segments. The system uses detachable guides connected to an occlusal splint. An initial drilling guide is used to establish stable references or landmarks. These are drilled on the bone that will not be repositioned adjacent to the osteotomy line. After mobilization of the skeletal segment, a final positioning guide, referenced to the drilled landmarks, is used to transfer the skeletal segment according to the virtual surgical planning. The OPS is digitally designed using 3-dimensional computer-aided design/computer-aided manufacturing technology and manufactured with stereolithographic techniques. Virtual surgical planning has improved the preoperative assessment and, in conjunction with the OPS, the execution of orthognathic surgery. The OPS has the possibility to eliminate the inaccuracies commonly associated with traditional orthognathic surgery planning and to simplify the execution by eliminating surgical steps such as intraoperative measuring, determining the condylar position, the use of bulky intermediate splints, and the use of intermaxillary wire fixation. The OPS attempts precise translation of the virtual plan to the operating field, bridging the gap between virtual and actual surgery. |
| Author | Polley, John W., MD Figueroa, Alvaro A., DDS, MS |
| Author_xml | – sequence: 1 fullname: Polley, John W., MD – sequence: 2 fullname: Figueroa, Alvaro A., DDS, MS |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23312847$$D View this record in MEDLINE/PubMed |
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| Copyright | American Association of Oral and Maxillofacial Surgeons 2013 American Association of Oral and Maxillofacial Surgeons Copyright © 2013 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved. |
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| Snippet | Purpose To introduce the concept and use of an occlusal-based "orthognathic positioning system" (OPS) to be used during orthognathic surgery. Materials and... To introduce the concept and use of an occlusal-based “orthognathic positioning system” (OPS) to be used during orthognathic surgery. The OPS consists of... To introduce the concept and use of an occlusal-based "orthognathic positioning system" (OPS) to be used during orthognathic surgery. The OPS consists of... PURPOSETo introduce the concept and use of an occlusal-based "orthognathic positioning system" (OPS) to be used during orthognathic surgery.MATERIALS AND... |
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| SubjectTerms | Adolescent Anatomic Landmarks - anatomy & histology Centric Relation Computer-Aided Design Dental Models Dental Occlusion, Centric Dentistry Equipment Design Facial Asymmetry - surgery Female Fiducial Markers Humans Image Processing, Computer-Assisted - methods Imaging, Three-Dimensional - methods Jaw Relation Record - instrumentation Mandible - abnormalities Mandible - surgery Maxilla - surgery Occlusal Splints Orthognathic Surgical Procedures - instrumentation Orthognathic Surgical Procedures - methods Osteotomy, Le Fort - instrumentation Osteotomy, Le Fort - methods Osteotomy, Sagittal Split Ramus - instrumentation Osteotomy, Sagittal Split Ramus - methods Patient Care Planning Photography, Dental Prognathism - surgery Surgery Surgery, Computer-Assisted - instrumentation Surgery, Computer-Assisted - methods Tomography, Spiral Computed User-Computer Interface |
| Title | Orthognathic Positioning System: Intraoperative System to Transfer Virtual Surgical Plan to Operating Field During Orthognathic Surgery |
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