3D virtual planning in orthognathic surgery and CAD/CAM surgical splints generation in one patient with craniofacial microsomia: a case report

Detalhes bibliográficos
Autor(a) principal: Vale, Francisco
Data de Publicação: 2016
Outros Autores: Scherzberg, Jessica, Cavaleiro, João, Sanz, David, Caramelo, Francisco, Maló, Luísa, Marcelino, João Pedro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10316/108525
https://doi.org/10.1590/2177-6709.21.1.089-100.oar
Resumo: Objective: In this case report, the feasibility and precision of tridimensional (3D) virtual planning in one patient with craniofacial microsomia is tested using Nemoceph 3D-OS software (Software Nemotec SL, Madrid, Spain) to predict postoperative outcomes on hard tissue and produce CAD/CAM (Computer Aided Design/Computer Aided Manufacturing) surgical splints. Methods: The clinical protocol consists of 3D data acquisition of the craniofacial complex by cone-beam computed tomography (CBCT) and surface scanning of the plaster dental casts. The ‘‘virtual patient’’ created underwent virtual surgery and a simulation of postoperative results on hard tissues. Surgical splints were manufactured using CAD/CAM technology in order to transfer the virtual surgical plan to the operating room. Intraoperatively, both CAD/CAM and conventional surgical splints are comparable. A second set of 3D images was obtained after surgery to acquire linear measurements and compare them with measurements obtained when predicting postoperative results virtually. Results: It was found a high similarity between both types of surgical splints with equal fitting on the dental arches. The linear measurements presented some discrepancies between the actual surgical outcomes and the predicted results from the 3D virtual simulation, but caution must be taken in the analysis of these results due to several variables. Conclusions: The reported case confirms the clinical feasibility of the described computer-assisted orthognathic surgical protocol. Further progress in the development of technologies for 3D image acquisition and improvements on software programs to simulate postoperative changes on soft tissue are required.
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spelling 3D virtual planning in orthognathic surgery and CAD/CAM surgical splints generation in one patient with craniofacial microsomia: a case reportOrthognathic surgeryCAD/CAM3D surgical splintCirurgia ortognáticaCAD/CAMSplint cirúrgico 3DComputer-Aided DesignHumansImaging, Three-DimensionalOrthognathic Surgical ProceduresPatient Care PlanningSurgery, Computer-AssistedGoldenhar SyndromeOrthognathic SurgerySplintsObjective: In this case report, the feasibility and precision of tridimensional (3D) virtual planning in one patient with craniofacial microsomia is tested using Nemoceph 3D-OS software (Software Nemotec SL, Madrid, Spain) to predict postoperative outcomes on hard tissue and produce CAD/CAM (Computer Aided Design/Computer Aided Manufacturing) surgical splints. Methods: The clinical protocol consists of 3D data acquisition of the craniofacial complex by cone-beam computed tomography (CBCT) and surface scanning of the plaster dental casts. The ‘‘virtual patient’’ created underwent virtual surgery and a simulation of postoperative results on hard tissues. Surgical splints were manufactured using CAD/CAM technology in order to transfer the virtual surgical plan to the operating room. Intraoperatively, both CAD/CAM and conventional surgical splints are comparable. A second set of 3D images was obtained after surgery to acquire linear measurements and compare them with measurements obtained when predicting postoperative results virtually. Results: It was found a high similarity between both types of surgical splints with equal fitting on the dental arches. The linear measurements presented some discrepancies between the actual surgical outcomes and the predicted results from the 3D virtual simulation, but caution must be taken in the analysis of these results due to several variables. Conclusions: The reported case confirms the clinical feasibility of the described computer-assisted orthognathic surgical protocol. Further progress in the development of technologies for 3D image acquisition and improvements on software programs to simulate postoperative changes on soft tissue are required.Objetivo: neste relato de caso, de um paciente com microssomia craniofacial, testou-se a viabilidade e a precisão do planejamento virtual tridimensional (3D) utilizando o software Nemoceph 3D-OS (Software Nemotec SL, Madri, Espanha) para prever os resultados pós-operatórios em tecidos duros e produzir splints cirúrgicos CAD/CAM. Métodos: o protocolo clínico usado consistiu na aquisição de dados 3D do complexo craniofacial por meio de tomografia computadorizada de feixe cônico (TCFC) e digitalização dos modelos de gesso. O “paciente” criado virtualmente foi submetido à cirurgia virtual e obteve-se uma simulação dos resultados pós-operatórios nos tecidos duros. Os splints cirúrgicos foram confeccionados usando-se a tecnologia CAD/CAM, e permitiram que o planejamento cirúrgico virtual fosse transferido para a sala cirúrgica. No transoperatório, tanto os splints CAD/CAM quanto os splints cirúrgicos convencionais mostraram-se similares. Um segundo conjunto de imagens 3D foi obtido após a cirurgia, para que medidas lineares pudessem ser obtidas e comparadas com as medidas feitas na simulação virtual dos resultados pós-operatórios. Resultados: foi encontrada uma forte semelhança entre os dois tipos de splints cirúrgicos, que se adaptaram da mesma forma nas arcadas dentárias. As medidas lineares mostraram algumas discrepâncias entre os resultados cirúrgicos reais e os resultados previstos na simulação virtual 3D; porém, a análise desses resultados requer cautela, em virtude da presença de inúmeras variáveis que podem neles interferir. Conclusões: o caso relatado no presente estudo confirma a viabilidade clínica do protocolo descrito de cirúrgica ortognática assistida por computador. Porém, ainda se faz necessária uma maior evolução no desenvolvimento de tecnologias para a aquisição de imagens 3D e nos softwares que simulam as alterações pós-operatórias nos tecidos moles.Dental Press International2016info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/108525http://hdl.handle.net/10316/108525https://doi.org/10.1590/2177-6709.21.1.089-100.oareng2176-9451Vale, FranciscoScherzberg, JessicaCavaleiro, JoãoSanz, DavidCaramelo, FranciscoMaló, LuísaMarcelino, João Pedroinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-08-31T10:14:18Zoai:estudogeral.uc.pt:10316/108525Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:24:49.841720Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv 3D virtual planning in orthognathic surgery and CAD/CAM surgical splints generation in one patient with craniofacial microsomia: a case report
title 3D virtual planning in orthognathic surgery and CAD/CAM surgical splints generation in one patient with craniofacial microsomia: a case report
spellingShingle 3D virtual planning in orthognathic surgery and CAD/CAM surgical splints generation in one patient with craniofacial microsomia: a case report
Vale, Francisco
Orthognathic surgery
CAD/CAM
3D surgical splint
Cirurgia ortognática
CAD/CAM
Splint cirúrgico 3D
Computer-Aided Design
Humans
Imaging, Three-Dimensional
Orthognathic Surgical Procedures
Patient Care Planning
Surgery, Computer-Assisted
Goldenhar Syndrome
Orthognathic Surgery
Splints
title_short 3D virtual planning in orthognathic surgery and CAD/CAM surgical splints generation in one patient with craniofacial microsomia: a case report
title_full 3D virtual planning in orthognathic surgery and CAD/CAM surgical splints generation in one patient with craniofacial microsomia: a case report
title_fullStr 3D virtual planning in orthognathic surgery and CAD/CAM surgical splints generation in one patient with craniofacial microsomia: a case report
title_full_unstemmed 3D virtual planning in orthognathic surgery and CAD/CAM surgical splints generation in one patient with craniofacial microsomia: a case report
title_sort 3D virtual planning in orthognathic surgery and CAD/CAM surgical splints generation in one patient with craniofacial microsomia: a case report
author Vale, Francisco
author_facet Vale, Francisco
Scherzberg, Jessica
Cavaleiro, João
Sanz, David
Caramelo, Francisco
Maló, Luísa
Marcelino, João Pedro
author_role author
author2 Scherzberg, Jessica
Cavaleiro, João
Sanz, David
Caramelo, Francisco
Maló, Luísa
Marcelino, João Pedro
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Vale, Francisco
Scherzberg, Jessica
Cavaleiro, João
Sanz, David
Caramelo, Francisco
Maló, Luísa
Marcelino, João Pedro
dc.subject.por.fl_str_mv Orthognathic surgery
CAD/CAM
3D surgical splint
Cirurgia ortognática
CAD/CAM
Splint cirúrgico 3D
Computer-Aided Design
Humans
Imaging, Three-Dimensional
Orthognathic Surgical Procedures
Patient Care Planning
Surgery, Computer-Assisted
Goldenhar Syndrome
Orthognathic Surgery
Splints
topic Orthognathic surgery
CAD/CAM
3D surgical splint
Cirurgia ortognática
CAD/CAM
Splint cirúrgico 3D
Computer-Aided Design
Humans
Imaging, Three-Dimensional
Orthognathic Surgical Procedures
Patient Care Planning
Surgery, Computer-Assisted
Goldenhar Syndrome
Orthognathic Surgery
Splints
description Objective: In this case report, the feasibility and precision of tridimensional (3D) virtual planning in one patient with craniofacial microsomia is tested using Nemoceph 3D-OS software (Software Nemotec SL, Madrid, Spain) to predict postoperative outcomes on hard tissue and produce CAD/CAM (Computer Aided Design/Computer Aided Manufacturing) surgical splints. Methods: The clinical protocol consists of 3D data acquisition of the craniofacial complex by cone-beam computed tomography (CBCT) and surface scanning of the plaster dental casts. The ‘‘virtual patient’’ created underwent virtual surgery and a simulation of postoperative results on hard tissues. Surgical splints were manufactured using CAD/CAM technology in order to transfer the virtual surgical plan to the operating room. Intraoperatively, both CAD/CAM and conventional surgical splints are comparable. A second set of 3D images was obtained after surgery to acquire linear measurements and compare them with measurements obtained when predicting postoperative results virtually. Results: It was found a high similarity between both types of surgical splints with equal fitting on the dental arches. The linear measurements presented some discrepancies between the actual surgical outcomes and the predicted results from the 3D virtual simulation, but caution must be taken in the analysis of these results due to several variables. Conclusions: The reported case confirms the clinical feasibility of the described computer-assisted orthognathic surgical protocol. Further progress in the development of technologies for 3D image acquisition and improvements on software programs to simulate postoperative changes on soft tissue are required.
publishDate 2016
dc.date.none.fl_str_mv 2016
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10316/108525
http://hdl.handle.net/10316/108525
https://doi.org/10.1590/2177-6709.21.1.089-100.oar
url http://hdl.handle.net/10316/108525
https://doi.org/10.1590/2177-6709.21.1.089-100.oar
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2176-9451
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Dental Press International
publisher.none.fl_str_mv Dental Press International
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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