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J Craniomaxillofac Surg ; 45(9): 1399-1407, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28739094

RESUMO

PURPOSE: To develop a computer-based method for automating the repositioning of jaw segments in the skull during three-dimensional virtual treatment planning of orthognathic surgery. The method speeds up the planning phase of the orthognathic procedure, releasing surgeons from laborious and time-consuming tasks. MATERIALS AND METHODS: The method finds the optimal positions for the maxilla, mandibular body, and bony chin in the skull. Minimization of cephalometric differences between measured and standard values is considered. Cone-beam computed tomographic images acquired from four preoperative patients with skeletal malocclusion were used for evaluating the method. RESULTS: Dentofacial problems of the four patients were rectified, including skeletal malocclusion, facial asymmetry, and jaw discrepancies. CONCLUSIONS: The results show that the method is potentially able to be used in routine clinical practice as support for treatment-planning decisions in orthognathic surgery.


Assuntos
Tomografia Computadorizada de Feixe Cônico , Imageamento Tridimensional , Procedimentos Cirúrgicos Ortognáticos/métodos , Cirurgia Assistida por Computador/métodos , Cefalometria/métodos , Assimetria Facial/diagnóstico por imagem , Assimetria Facial/cirurgia , Humanos , Arcada Osseodentária/anatomia & histologia , Arcada Osseodentária/diagnóstico por imagem
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