Surgical Splint Design Influences Transverse Expansion in Segmental Maxillary Osteotomies

Stokbro, Kasper; Aagaard, Esben; Torkov, Peter; Marcussen, Lillian; Bell, R. Bryan; Thygesen, Torben

doi:10.1016/j.joms.2016.12.042

Cited by 11 publications

(12 citation statements)

References 16 publications

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“…When groups 1 and 2 were compared, it was observed that the addition of a palatal splint to the surgical protocol of multi-segment maxillary osteotomies improved transverse stability in all posterior teeth. In 2017, Stokbro et al 22 found that not all the planned The posterior transverse stability in this study was also improved compared to previously reported in the literature. 6,8 In fact, Group 1 experienced no significant dental (centroids or gingival landmarks) instability at first or second molars regions, while Group 2 showed significant inter-gingival (−2.2 ± 2.8 mm) and inter-centroids (−1.9 ± 3.0 mm) transverse constriction at second molars.…”

Section: Discussionsupporting

confidence: 52%

“…When groups 1 and 2 were compared, it was observed that the addition of a palatal splint to the surgical protocol of multi‐segment maxillary osteotomies improved transverse stability in all posterior teeth. In 2017, Stokbro et al 22 found that not all the planned expansion is achieved during segmental bimaxillary surgery and that a palatal reinforcement of surgical splint added 0.8 mm to the planned expansion compared with a conventional splint measured one week after surgery. Yao et al 13 and Kretschmer et al 23 found a relapse of 0.8‐1.3 mm from 1‐week to 1‐year follow‐up.…”

Section: Discussionmentioning

confidence: 99%

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Can palatal splint improve stability of segmental Le Fort I osteotomies?

Parizotto

Borsato

Peixoto

et al. 2020

Orthod Craniofacial Res

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Adults presenting skeletal malocclusion frequently require three-dimensional approaches for comprehensive surgical treatment in order to correct the sagittal, vertical and transverse discrepancies. The surgically assisted rapid palatal expansion (SARPE), 1,2 multi-segment maxillary osteotomies 3 and the microimplant-assisted rapid palatal expansion (MARPE) are the main approaches for correction of the transversal deficiency in adults. 4,5 Multi-segment maxillary osteotomies surgery allows great versatility in three-dimensional treatments in a single surgery. The advantages of multiple piece maxillary osteotomies include the capacity to expand the maxilla, correct the dentoalveolar inclination in the anterior segment, compensate dental size discrepancies and level of the dentoalveolar segments. However, its stability is still a concern among surgeons, 3,6-9 and the maxillary widening through this procedure has been reported to be the most unpredictable procedure among all orthognathic surgical modalities. 7,9

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Can palatal splint improve stability of segmental Le Fort I osteotomies?

Parizotto

Borsato

Peixoto

et al. 2020

Orthod Craniofacial Res

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“…The introduction of three dimensional (3D) technology in orthognathic surgery enabled new methods for evaluating planning accuracy and assessing stability [6][7][8]. Multiple authors have reported accuracy and stability of segmented Le Fort I osteotomy, often not differentiating the assessment method for segmented and non-segmented Le Fort I osteotomy [5,[9][10][11][12][13]. Furthermore, registrationfree 3D cephalometry or landmark based registration was frequently applied introducing human error in the reported outcome.…”

Section: Introductionmentioning

confidence: 99%

Three dimensional assessment of segmented Le Fort I osteotomy planning and follow-up: A validation study

Senior

Vaes

Mulier

et al. 2021

Journal of Dentistry

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“…3 With the advent of these fixation systems, maintaining the SS in position started to be indicated only as an adjunct tool in elastic therapy or in cases of segmental maxilla surgery. [3][4][5][6] Technological advances in the field of computing and the generation of three-dimensional (3D) images have Bibliometrics of Surgical Splints and Orthognathic Surgery Carvalho et al…”

Section: Introductionmentioning

confidence: 99%

The Use of Surgical Splints in Orthognathic Surgery: A Bibliometric Study

Carvalho

Barbosa

Torquato

et al. 2021

Indian J Plast Surg

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Introduction Orthognathic surgeries require the use of surgical splints (SS) to stabilize the occlusion and the segments fixed with plates and screws. Technological advances in the field of computing and the possibility of generating three-dimensional (3D) images have brought different possibilities for making SS, which has generated greater predictability and customization of surgical plans. The bibliometric study can have a qualitative character through the scope of articles in a certain area of knowledge. It is a selection process that can track a topic or scientific production. Methods The present study aimed to carry out a bibliometric literature review, in order to assess the evolution of the use of SS and the different planning protocols in orthognathic surgery. The Scopus database was used, with the terms “splint” and “orthognathic surgery.” Results A total of 331 articles were found. These were exported to Rayyan for application of the inclusion and exclusion criteria and selection of articles. A total of 76 references were selected and exported to the VOSviewer application for the analysis of bibliometric data. Conclusions Orthognathic surgery was initially not associated with any computerized technological resource; however, it underwent updates between the years 2010 to 2012. These advances allowed surgical planning to become faster, cheaper, and more accurate.

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Surgical Splint Design Influences Transverse Expansion in Segmental Maxillary Osteotomies

Cited by 11 publications

References 16 publications

Can palatal splint improve stability of segmental Le Fort I osteotomies?

Can palatal splint improve stability of segmental Le Fort I osteotomies?

Three dimensional assessment of segmented Le Fort I osteotomy planning and follow-up: A validation study

The Use of Surgical Splints in Orthognathic Surgery: A Bibliometric Study

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