Contemporary Correction of Dentofacial Anomalies: A Clinical Assessment.

Contemporary computer-assisted technologies can support the surgical team in the treatment of patients affected by dentofacial deformities. Based on own experiences of 350 patients that received orthognathic surgery by the same team from 2007 to 2015, this clinical review is intended to give an overview of the results and risks related to the surgical correction of dentofacial anomalies. Different clinical and technological innovations that can contribute to improve the planning and transfer of corrective dentofacial surgery are discussed as well.

RapidSplint: virtual splint generation for orthognathic surgery - results of a pilot series.

Background: Within the domain of craniomaxillofacial surgery, orthognathic surgery is a special field dedicated to the correction of dentofacial anomalies resulting from skeletal malocclusion. Generally, in such cases, an interdisciplinary orthodontic and surgical treatment approach is required. After initial orthodontic alignment of the dental arches, skeletal discrepancies of the jaws can be corrected by distinct surgical strategies and procedures in order to achieve correct occlusal relations, as well as facial balance and harmony within individualized treatment concepts.

Virtual planning for craniomaxillofacial surgery--7 years of experience.

Contemporary computer-assisted surgery systems more and more allow for virtual simulation of even complex surgical procedures with increasingly realistic predictions. Preoperative workflows are established and different commercially software solutions are available. Potential and feasibility of virtual craniomaxillofacial surgery as an additional planning tool was assessed retrospectively by comparing predictions and surgical results.

Craniomaxillofacial surgery planning based on 3D models derived from Cone-Beam CT data.

Introduction: Individual planning of complex maxillofacial corrections may require 3D models which can be manufactured based on DICOM datasets. The gold standard for image acquisition is still high-resolution multi-slice computed tomography (MSCT). However, appropriate datasets for model fabrication can be acquired by modern Cone-Beam CT (CBCT) devices that have been developed specifically for maxillofacial imaging.

A noncontact laser-guided system for endoscopic computer-assisted sinus surgery.

The limited size of the nose leads to frequent instrument changes in navigated endonasal sinus surgery. Tracked instruments provide limited accuracy, and the pointer gives no navigation information during tissue removal. To overcome information loss, laser triangulation was integrated into navigation information.

Overlay visualization in endoscopic ENT surgery.

Purpose: In endoscopic ENT surgery, the identification and localization of target structures is challenging-depth information is missing, relevant tissues could be hidden behind opaque material and image distortion affects the instrument handling. In this paper, a novel overlay visualization is presented that supports the surgeon by superimposing planning and navigation information on the endoscopic image.

Method: Target regions, which have been identified in preoperative CT data, are superimposed on the endoscopic image, allowing the use of guiding lines for distance visualization.

Computer-aided manufacturing technologies for guided implant placement.

Implant treatment increasingly focuses on the reduction of treatment time and postoperative impairment. The improvement of 3D dental diagnosis by ConeBeam computed tomography allows detailed preparation for the surgical placement of dental implants under prosthetic considerations. While the first generation of implant planning software used high-contrast multislice computed tomography, software that has been specifically designed for ConeBeam computed tomography is now available.

The influence of body mass index, age, implants, and dental restorations on image quality of cone beam computed tomography.

Objective: The aim was to determine the influence of patient age, gender, body mass index (BMI), amount of dental restorations, and implants on image quality of cone-beam computerized tomography (CBCT).

Methods: Fifty CBCT scans of a preretail version of Galileos (Sirona, Germany) were investigated retrospectively by 4 observers regarding image quality of 6 anatomic structures, pathologic findings detection, subjective exposure quality, and artifacts. Patient age, BMI, gender, amount of dental restorations, and implants were recorded and statistically tested for correlations to image quality.

Comparison of cone-beam volumetric imaging and combined plain radiographs for localization of the mandibular canal before removal of impacted lower third molars.

Objective: The removal of third molars requires information about the relative position of the root tips and the mandibular nerve. The diagnostic value of conventional radiologic procedures using a panoramic radiograph and symmetrical PA cephalometric radiograph (PAN&PA) was compared with that of a cone-beam volumetric imaging (CBVI) device (Galileos; Sirona, Bensheim, Germany).

Study Design: Six observers evaluated 30 PAN&PA and 30 CBVI for the position of root tips.

Diagnostic quality of panoramic views obtained by a newly developed digital volume tomography device for maxillofacial imaging.

Objective: To compare the diagnostic quality of 2-dimensional panoramic views generated from imaging data acquired by a newly developed cone beam machine with the diagnostic quality of conventional digital orthopantomograms (OPTs).

Method And Materials: Thirty panoramic views reconstructed from digital volume tomograms (DVT) obtained by the pre-retail version of Galileos (Sirona Dental Systems), a newly developed compact cone beam device, were compared with 30 OPT images acquired by Orthophos XG Plus (Sirona Dental Systems). Diagnostic quality was assessed by 3 observers on criteria regarding detection of diagnosis-related findings, image quality, and visualization of anatomic structures in the maxillomandibular area.

Geometric accuracy of a newly developed cone-beam device for maxillofacial imaging.

Objective: The aim of this study was to determine the geometric accuracy of scans obtained with a newly developed cone-beam computed tomography (CBCT) device in comparison with a multidetector row computed tomography (MDCT) scanner.

Study Design: Cone-beam scans were obtained with the preretail version of a newly developed compact size device with a scan volume of 15 x 15 x 15 cm. Conventional CT scans for comparison were performed with a 6-detector row CT scanner.

Range of curvilinear distraction devices required for treatment of mandibular deformities.

Purpose: The purpose of this study was to determine the range of fixed trajectory curvilinear distraction devices required to correct a variety of severe mandibular deformities.

Materials And Methods: Preoperative computed tomography (CT) scans from 18 patients with mandibular deformities were imported into a CT-based software program (Osteoplan). Three-dimensional virtual models of the individual skulls were made with landmarks to track movements.