Combined orthodontic and orthognathic treatment with 3D-printing technique offers a precise outcome: A case report of two years followup.
Int J Surg Case Rep 2021;
84:105934. [PMID:
34175680 PMCID:
PMC8253947 DOI:
10.1016/j.ijscr.2021.105934]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 04/22/2021] [Accepted: 04/24/2021] [Indexed: 11/21/2022] Open
Abstract
Introduction and importance
Precision Medicine and evidence-based clinical treatment approach are proposed worldwide in medical science nowadays. Orthodontic first approach (OFA) and Computer-aided surgical simulation (CASS) combined 3D-printing technique offered more chances for the doctors to obey the principle of Precision Medicine in the orthodontic and orthognathic approach.
Case presentation
We reported a 20-year-old patient, with skeletal Class III relationship and asymmetric mandible, was treated by OFA. And with the CASS combined 3D-Printing Technique, the presurgery simulation and 3D-printed surgery guiding splint and stable splint offered the Combined Orthodontic and Orthognathic Treatment (COOT) a powerful and accurate guiding. The results exhibited that the patient had a perfect maxilla and mandible relationship and significant improvement in profile.
Clinical discussion
There is still a debate between “surgery first” (SF) and conventional OFA. In this study, we analyzed the trend of different approaches in the COOT, which was a team work and required mainly the collaboration of orthodontist and Orthognathic surgeon. This study showed the precision of the CASS could offer for the OFA to evoke people immersing in saving time in COOT.
Conclusion
All of these indicated that CASS was a powerful and precise method for COOT, which could offer the patient an esthetic and stable result.
OFA and CASS combined 3D-Printing Technique Obey the Principle of Precision Medicine in Combined Orthodontic and Orthognathic Treatment (COOT).
Our protocol was presurgical orthodontic decompensation,CASS combined 3D-printing technique, orthognathic surgery, and postsurgical orthodontic adjustment.
With the CASS combined 3D-Printing Technique, the CASS, 3D-printed surgery guiding splint and stable splint offered COOT an accurate guide.
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