Integrating aligners with surgery first: A novel case report on single-jaw, multi-segmented maxillary osteotomy

Q3 Dentistry

Oral and Maxillofacial Surgery Cases Pub Date : 2025-02-26 DOI:10.1016/j.omsc.2025.100392

Inleel Lundgård Shino , Mohammedreza Sefidroodi , Stratos Vassis , Kasper Dahl Kristensen , Thomas Klit Pedersen , Jytte Buhl , Sven Erik Nørholt

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引用次数: 0

Abstract

Technological advancements have made the integration of clear aligner therapy (CAT) with orthognathic surgery a reality. This case report outlines an innovative, patient-specific workflow that merges CAT with the surgery first orthognathic approach (SFOA), developed in collaboration with engineers to facilitate in-house production of surgical guides and pre-adapted titanium plates. Objective evaluation was performed using the peer assessment rating (PAR) index. The patient achieved the intended occlusal relationship without discomfort in the temporomandibular joint (TMJ) and experienced no surgical complications. The surgical and occlusal outcomes have remained stable with reduced scores in the PAR index, reflecting improved objective assessment post treatment. This case report is the first of its kind to describe a single-jaw, multi-segmented maxillary osteotomy in SFOA using CAT. It demonstrates precise individualized planning in a multidisciplinary approach integrating CAT with SFOA making it feasible in cases involving a single jaw segmented Le Fort 1 osteotomy.

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先将矫正器与手术结合：单颌多节段上颌截骨术一例新报告

技术的进步使得清晰对准器治疗（CAT）与正颌手术的整合成为现实。本病例报告概述了一种创新的、针对患者的工作流程，该流程将CAT与手术第一正颌入路（SFOA）结合起来，与工程师合作开发，以促进手术指南和预适应钛板的内部生产。采用同行评价评分（PAR）指标进行客观评价。患者达到预期的咬合关系，颞下颌关节（TMJ）无不适，无手术并发症。手术和咬合结果保持稳定，PAR指数得分降低，反映了治疗后客观评估的改善。本病例报告是首次使用CAT描述SFOA的单颌多节段上颌截骨术。它展示了在多学科方法中精确的个性化规划，将CAT与SFOA相结合，使其在涉及单颚分段Le Fort 1截骨的病例中可行。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral and Maxillofacial Surgery Cases Medicine-Otorhinolaryngology

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

69 days

期刊介绍： Oral and Maxillofacial Surgery Cases is a surgical journal dedicated to publishing case reports and case series only which must be original, educational, rare conditions or findings, or clinically interesting to an international audience of surgeons and clinicians. Case series can be prospective or retrospective and examine the outcomes of management or mechanisms in more than one patient. Case reports may include new or modified methodology and treatment, uncommon findings, and mechanisms. All case reports and case series will be peer reviewed for acceptance for publication in the Journal.