CAD/CAM splint based on soft tissue 3D simulation for treatment of facial asymmetry
Tominaga Kazuhiro, Habu Manabu, Tsurushima Hiroki, Takahashi Osamu, Yoshioka Izumi,
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( Tominaga Kazuhiro ) - Kyushu Dental University Department of Science of Physical Functions Division of Oral and Maxillofacial Surgery
( Habu Manabu ) - Kyushu Dental University Department of Science of Physical Functions Division of Oral and Maxillofacial Surgery
( Tsurushima Hiroki ) - Kyushu Dental University Department of Science of Physical Functions Division of Oral Medicine
( Takahashi Osamu ) - Kyushu Dental University Department of Science of Physical Functions Division of Oral and Maxillofacial Surgery
( Yoshioka Izumi ) - Kyushu Dental University Department of Science of Physical Functions Division of Oral Medicine
Abstract
Background: Most cases of facial asymmetry involve yaw deformity, and determination of the yaw correction level is very difficult.
Methods: We use three-dimensional soft tissue simulation to determine the yaw correction level. This three-dimensional simulation is based on the addition of cephalometric prediction to gradual yaw correction. Optimal yaw correction is determined visually, and an intermediate splint is fabricated with computer-aided design and computer-aided manufacturing. Application of positioning devices and the performance of horseshoe osteotomy are advisable.
Results: With this procedure, accurate repositioning of jaws was confirmed and patients obtained fairly good facial contour.
Conclusions: This procedure is a promising method for a widespread, predictable treatment of facial asymmetry.
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Facial asymmetry; 3D simulation; Soft tissue; CAD/CAM; Orthognathic surgery; Horseshoe osteotomy; Positioning device
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