By Gwen Swennen
This colour atlas and guide offers clinicians with systematic, standardized, but additionally individualized step by step assistance on 3D digital prognosis, therapy making plans, and end result evaluate in sufferers present process orthognathic surgical procedure for maxillofacial deformities. Drawing on two decades of expertise, the authors elucidate the medical power of the process whereas additionally highlighting present pitfalls and barriers. the outlet chapters talk about the 3D imaging workflow and its integration into day-by-day scientific regimen and comprehensively describe cone-beam CT digital prognosis. The stepwise 3D digital making plans of orthognathic surgical procedure and move of the 3D digital therapy plan to the sufferer within the working room are then completely defined, and the unparalleled power of 3D digital review of remedy consequence, documented. ultimately, after provision of all this crucial history details, the last bankruptcy illustrates the appliance of the 3D digital technique in several different types of maxillofacial deformity. Orthodontists and orthognathic and orthofacial surgeons will locate 3D digital remedy making plans of Orthognathic Surgery to be an outstanding consultant and source.
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Extra info for 3D Virtual Treatment Planning of Orthognathic Surgery: A Step-by-Step Approach for Orthodontists and Surgeons
Note that triple voxel-based registration according to the “Triple Scan Protocol” (7 see also Sect. 2) was used to register the CBCT scanned all-in-one impression of the dental arches with the CBCT scan of the patient’s head 33 Chapter 1 · Imaging Workﬂow for 3D Virtual Treatment Planning of Orthognathic Surgery Veriﬁcation of the Accuracy of Registration of the Upper and Lower Dental Arch e . Fig. J. Swennen and M. Gaboury Veriﬁcation of the Accuracy of Registration of the Upper and Lower Dental Arch a c b d .
The clinician, however, is usually not present at the time of image acquisition. Therefore, it is crucial that the nursing imaging staff is well trained and aware of all potential pitfalls during CBCT image acquisition as in conventional treatment planning. Unfortunately, distortion of an aesthetic unit of the facial mask of the patient can occur in the daily clinical routine. In such a case, the clinician needs to be aware since this will have its implications on soft tissue simulation and patient communication.
Fig. 17a) 27 Chapter 1 · Imaging Workﬂow for 3D Virtual Treatment Planning of Orthognathic Surgery 3D Virtual Augmented Model (AUM) of the Patient’s Head “with the Use of Plaster Dental Models” z a b . Fig. 2 mm at 120 kV according to DICOM ﬁeld, 0018,0060 KVP, and 48 mA according to DICOM ﬁeld, 0018,1151 TubeCurrent. ). J. Swennen and M. Gaboury 3D Virtual Augmented Model (AUM) of the Patient’s Head “with the Use of Plaster Dental Models” a b c d e f g h i j k l . Fig. 24 Pre-surgical 3D “surface-rendered” AUM of the head following “CBCT to image registration” (a, b, c, d, e, f).