Novel Use of Virtual Reality and Augmented Reality in Temporomandibular Total Joint Replacement Using Stock Prosthesis.
J Oral Maxillofac Surg
; 82(6): 632-640, 2024 Jun.
Article
en En
| MEDLINE
| ID: mdl-38442876
ABSTRACT
This technical innovation demonstrates the use of ImmersiveTouch Virtual Reality (VR) and Augmented Reality (AR)-guided total temporomandibular joint replacement (TJR) using Biomet stock prosthesis in 2 patients with condylar degeneration. TJR VR planning includes condylar resection, prosthesis selection and positioning, and interference identification. AR provides real-time guidance for osteotomies, placement of prostheses and fixation screws, occlusion verification, and flexibility to modify the surgical course. Radiographic analysis demonstrated high correspondence between the preoperative plan and postoperative result. The average differences in the positioning of the condylar and fossa prosthesis are 1.252 ± 0.269 mm and 1.393 ± 0.335 mm, respectively. The main challenges include a steep learning curve, intraoperative technical difficulties, added surgical time, and additional costs. In conclusion, the case report demonstrates the advantages of implementing AR and VR technology in TJR's using stock prostheses as a pilot study. Further clinical trials are needed prior to this innovation becoming a mainstream practice.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Trastornos de la Articulación Temporomandibular
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Artroplastia de Reemplazo
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Realidad Virtual
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Realidad Aumentada
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Prótesis Articulares
Límite:
Humans
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Middle aged
Idioma:
En
Revista:
J Oral Maxillofac Surg
Año:
2024
Tipo del documento:
Article