Surgical planning and simulation study of orthognathic surgery based on occlusal contact

Zesong Tan, Jia You, Xianfeng Jiang, X. Shao
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Abstract

The objective of this study was to present a novel method to make a preoperative effect of surgery based on occlusal contact. This method could make preoperative prediction for the orthognathic surgery. The three-dimensional model including maxillary and mandible was reconstructed by CT data, then the finite element model of occlusion was rebuilt after simplified articular disc, The stress contour areas of the dental surface was obtained by simulations implemented by finite element software. After transforming the regional distribution of stress into the form of bite points, the predicting system of surgery based on occlusal points was set up. It is helpful for the surgeon make medical treatment program. This method assures both facial appearance change effect and the number of occlusal point, so the method has a certain practical application value.
基于咬合接触的正颌手术计划与模拟研究
本研究的目的是提出一种基于咬合接触的手术术前效果的新方法。该方法可对正颌手术进行术前预测。利用CT数据重建包括上颌和下颌骨在内的三维模型,在简化关节盘后重建咬合有限元模型,利用有限元软件进行仿真得到牙面应力轮廓区域。将应力的区域分布转化为咬合点的形式,建立了基于咬合点的手术预测系统。这有助于外科医生制定医疗方案。该方法既保证了面部外观变化效果,又保证了咬合点的数量,具有一定的实际应用价值。
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