Surgery-first approach with 3D customized passive self-ligating brackets and 3D surgical planning: Case report

Abstract

It is possible to unify three-dimensional customized orthodontic techniques and three-dimensional surgical technology. In this case report, it is introduced a treatment scheme consisting of passive self-ligation customized brackets and virtual surgical planning combined with the orthognathic surgery-first approach in a Class III malocclusion patient. Excellent facial and occlusal outcomes were obtained in a reduced treatment time of five months.

Application of Three-Dimensional Digital Technology in Orthodontics: The State of the Art

“…Computer technologies have improved these techniques making the capture and building systems faster, simpler and more precise [6]. Conventional orthognathic surgery planning relies on computer assisted twodimensional surgical simulation systems, which integrate photographs and cephalograms as a guide [36,37]. Along with these systems, a facial arch is used in order to adequately A B C Studies have validated the accuracy of the superimposition of stereophotogrammetry images with CBCT images to create 3D virtual models of the patient for diagnosis and development of craniomaxillofacial treatment plans.…”

“…Conventional orthognathic surgery planning relies on computer assisted two-dimensional surgical simulation systems, which integrate photographs and cephalograms as a guide [ 36 , 37 ]. Along with these systems, a facial arch is used in order to adequately register the patients’ bite in a semi-adjustable articulator.…”

“…Three-dimensional simulation systems with CBCT have arisen as a solution to some of the issues previously mentioned with two-dimensional planning [ 36 , 37 , 38 ]. These techniques require a CBCT, and, to perform this exam, the patient must have the head and muscles in a natural position with a relaxed expression while biting in centric relation [ 36 , 39 ].…”

Alternative Craniofacial Orthodontics Treatment Approaches for Differential Severity in Patients with Unilateral Cleft Lip with/without Palate

“…In 2019, the same group published its extensive follow-up on Temporo-Mandibular Symptoms and Function in Class III malocclusion using SFEA compared with Orthodontics-First Approach (OFA) patients, without significant differences between groups [99]. CES University, in conjunction with the mentioned consortium [100], and with the Universidad del Valle [101] have applied SFEA schemes in Latin-American patients. SFEA rely on performing orthognathic surgery at the beginning of treatment with minimal preoperative orthodontics [102].…”

Surgery-first orthognathic approach: A “scoping review” for mapping outcomes and plausible recommendations to develop core outcome sets

“…Nagasaka et al 2009 [13] Case report Yu et al 2010 [52] Case report Liou et al 2011 [20] Technique article Villegas et al 2012 [53] Case report Kim et al 2013 [54] Presurgical phase duration unclear or more than 1 month before surgery Joh et al 2013 [55] Presurgical phase duration unclear or more than 1 month before surgery Park et al 2013 [27] Case report Uribe et al 2013 [56] Case report Teng and Liou 2014 [57] Animal study Aristizábal et al 2015 [58] Case report Huang et al 2015 [59] Opinion article Uribe et al 2015 [60] Case report Pelo et al 2016 [61] Opinion article Zhou et al 2016 [62] Case report Zhou et al 2016 [63] Pre surgical phase more than 1 month before surgery Gandedkar et al 2016 [15] Case series Larson et al 2017 [64] Presurgical phase duration unclear or more than 1 month before surgery Choi and Bradley 2017 [65] Opinion article Aristizábal et al 2018 [66] Case report…”