New protocols for the manufacture of surgical splints in surgical-orthodontic treatment

Dahan, Serge; Gall, Michel Le; Julie, D; Salvadori, André

doi:10.1016/j.ortho.2010.12.009

International Orthodontics

2011

DOI: 10.1016/j.ortho.2010.12.009

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New protocols for the manufacture of surgical splints in surgical-orthodontic treatment

Serge Dahan

Michel Le Gall

D Julie³

et al.

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2021

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“…and Shqaidef et al. reported comparative studies of the accuracy between CAD/CAM and conventional surgical wafers [ [16] , [17] , [18] ]. Hernández-Alfaro et al.…”

mentioning

confidence: 99%

A novel CAD/CAM composite occlusal splint for intraoperative verification in single-splint two-jaw orthognathic surgery

Niu

Liao

et al. 2021

Biomedical Journal

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Background Previous computer-generated splints were designed and produced without modification than the traditional occlusal splints, which did not facilitate surgeon's intraoperative judgment in the single-splint two-jaw orthognathic surgery. Modifications of the digital occlusal splint can be achieved using computer-aided design and computer-aided manufacturing (CAD/CAM) software. This study reported the design, clinical application and validation of a novel CAD/CAM occlusal splint. Methods The maxillary and mandibular segments were fixed into the final occlusal splint and moved to the planned position according to the 3-dimensional simulation. The composite occlusal splint has 4 orthogonal bars to facilitate intraoperative assessment of the dental and skeletal midline, facial soft tissue midline, occlusal plane, upper tooth show, facial symmetry and facial bone position. To validate the surgical outcome, 5 parameters including pitch, roll and yaw rotations, midline deviation and chin position were measured on the virtual plan and the postoperative cone-beam computed tomography images to quantify the difference. Results The results showed no significant differences in the 5 parameters between the simulation and postoperative images. The root-mean-square difference between the conventional splints and CAD/CAM surgical splint ranged from 0.18 to 0.31 mm by superimposition of the two image models. All patients were satisfied with the treatment outcomes. Overall, this novel occlusal splint is ideal for verification of the maxillomandibular position during surgery. Conclusion The novel composite occlusal splint provided useful and informative check to verify the maxillomandibular complex (MMC) position and facial appearance in single-splint two-jaw orthognathic surgery.

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“…and Shqaidef et al. reported comparative studies of the accuracy between CAD/CAM and conventional surgical wafers [ [16] , [17] , [18] ]. Hernández-Alfaro et al.…”

mentioning

confidence: 99%

A novel CAD/CAM composite occlusal splint for intraoperative verification in single-splint two-jaw orthognathic surgery

Niu

Liao

et al. 2021

Biomedical Journal

View full text Add to dashboard Cite

show abstract

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New protocols for the manufacture of surgical splints in surgical-orthodontic treatment

Cited by 1 publication

References 12 publications

A novel CAD/CAM composite occlusal splint for intraoperative verification in single-splint two-jaw orthognathic surgery

A novel CAD/CAM composite occlusal splint for intraoperative verification in single-splint two-jaw orthognathic surgery

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