2021
DOI: 10.1016/j.jcms.2021.03.004
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Virtual planning and CAD/CAM-assisted distraction for maxillary hypoplasia in cleft lip and palate patients: Accuracy evaluation and clinical outcome

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Cited by 7 publications
(4 citation statements)
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“…The effect of virtual surgical planning (VSP) combined with CAD/CAM splints has been demonstrated in several studies (15)(16)(17). However, the virtual footplates could not be contoured to conform to the 3D models, and the requirement of strong 3D visualization capabilities increased the difficulty of establishing the required vectors of movement during the VSP procedure (Figure 7) (18,19). On the contrary, prebending footplates and simulating distraction on the 3Dprinted patient skull phantom were more intuitive for surgeons (19)(20)(21).…”
Section: Discussionmentioning
confidence: 99%
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“…The effect of virtual surgical planning (VSP) combined with CAD/CAM splints has been demonstrated in several studies (15)(16)(17). However, the virtual footplates could not be contoured to conform to the 3D models, and the requirement of strong 3D visualization capabilities increased the difficulty of establishing the required vectors of movement during the VSP procedure (Figure 7) (18,19). On the contrary, prebending footplates and simulating distraction on the 3Dprinted patient skull phantom were more intuitive for surgeons (19)(20)(21).…”
Section: Discussionmentioning
confidence: 99%
“…However, the virtual footplates could not be contoured to conform to the 3D models, and the requirement of strong 3D visualization capabilities increased the difficulty of establishing the required vectors of movement during the VSP procedure ( Figure 7 ) ( 18 , 19 ). On the contrary, pre-bending footplates and simulating distraction on the 3D-printed patient skull phantom were more intuitive for surgeons ( 19 21 ). The CAD/CAM splint's low cost-efficient and excessive tissue dissection for its placement were another two issues that limited its clinical application ( 22 24 ).…”
Section: Discussionmentioning
confidence: 99%
“…Recently, researchers have focused on the molecular mechanism of DOME in the treatment of cleft lip and palate, suggesting that fibroblasts in the zygomatic maxillary suture transform into a vascular endothelium-like state in response to mechanical stimulation, promoting angiogenesis under tension, while secreting signal molecules to interact with other cell types and promote osteogenesis ( 46 , 47 ). Further research is needed, however, on the mechanistic immune status of craniofacial sutures and the interactions between immune cells and other cell types ( 48 ). In terms of improved technology, 3D virtual surgical planning (VSP) and CAD/CAM technology can effectively reduce the total treatment time and allow patients to obtain a class I occlusion at the conclusion of the distraction ( 48 ) and the The use of a tooth-borne intraoral device in conjunction with the Mid-Maxillary Osteodistraction (MMOD) technique has been shown to be effective ( 49 ).…”
Section: Discussionmentioning
confidence: 99%
“…Further research is needed, however, on the mechanistic immune status of craniofacial sutures and the interactions between immune cells and other cell types ( 48 ). In terms of improved technology, 3D virtual surgical planning (VSP) and CAD/CAM technology can effectively reduce the total treatment time and allow patients to obtain a class I occlusion at the conclusion of the distraction ( 48 ) and the The use of a tooth-borne intraoral device in conjunction with the Mid-Maxillary Osteodistraction (MMOD) technique has been shown to be effective ( 49 ). However, the long-term stability of these improved techniques remains to be investigated.…”
Section: Discussionmentioning
confidence: 99%