Digital Innovations in Orthognathic Surgery: A Systematic Review of Virtual Surgical Planning, Digital Transfer, and Conventional Model Surgery

IF 1.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Orthodontics & Craniofacial Research Pub Date : 2025-04-25 DOI:10.1111/ocr.12934

Sepehr Kobravi, Aida Jafari, Mohammadhassan Lotfalizadeh, Abolfazl Azimi

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引用次数: 0

Abstract

Objectives

Orthognathic surgery has evolved due to the use of virtual surgical planning (VSP) and digital model surgery, which are technological advancements replacing conventional approaches with accurate personalised digital models made from computed tomography (CT) or magnetic resonance imaging (MRI) scans. Their integration has enhanced surgical efficiency, patient satisfaction and communication among surgeons and patients, while some challenges such as cybersecurity issues and the requirement for information technology backup have also been noted in hospitals.

Materials and Methods

From January 2013 to October 2024, this systematic review aimed at orthognathic surgery virtual planning; it was carried out on the basis of a digital library with 437 works from PubMed, Embase, Cochrane, Web of Science and Scopus searched through an initial selection of specific keywords. The final step is filtering out irrelevant studies through scrutiny, resulting in 25 original interventional studies that met inclusion criteria for quality control purposes via bias analysis.

Results

In relation to the future of orthognathic surgery, it can be advanced by improving VSP, digital transfer techniques and conventional model surgery with technical innovations that need to meet the challenges. The integration of Artificial Intelligence (AI) into VSP can be an opportunity for its development in the sphere of accuracy and visualisation during surgery with augmented reality (AR) utilisation. Among them are the real-time data integration offered by digital transfer techniques, but they are hindered in cost and standardisation. On the other hand, conventional model surgery may revolutionise with three-dimensional (3D) printing; however, there is a long way to go for conventional model surgery to address time constraints as well as ecological concerns. Compatibility issues, training needs and ethical considerations represent three major obstacles that must be tackled successfully so that surgery will have a bright future.

Conclusion

Case complexity and patient preferences are important factors that should be considered before making a decision about orthognathic surgery. VSP offers precision for complicated cases. Real-time guidance can be achieved using digital transfer techniques, whereas traditional model surgery provides a tactile, hands-on experience. Analysing digital innovations jointly will enhance orthognathic patient care and education while improving patient safety.

查看原文本刊更多论文

正颌外科的数字创新：虚拟手术计划、数字转移和传统模型手术的系统回顾。

目的：由于虚拟手术计划（VSP）和数字模型手术的使用，正颌手术已经发展起来，这是一种技术进步，用计算机断层扫描（CT）或磁共振成像（MRI）扫描制成的精确个性化数字模型取代传统方法。它们的融合提高了手术效率、患者满意度和医患之间的沟通，同时医院也注意到一些挑战，如网络安全问题和对信息技术备份的要求。材料与方法：2013年1月至2024年10月，本系统综述针对正颌手术虚拟规划；它是在一个数字图书馆的基础上进行的，其中有来自PubMed， Embase, Cochrane， Web of Science和Scopus的437个作品，通过最初选择的特定关键词进行搜索。最后一步是通过审查过滤掉不相关的研究，通过偏倚分析得出25项符合质量控制标准的原始干预性研究。结果：对于正颌外科的未来，可以通过改进VSP、数字转移技术和传统模型手术等技术创新来应对挑战。将人工智能（AI）集成到VSP中可以为其在手术期间使用增强现实（AR）的准确性和可视化领域的发展提供机会。其中，数字传输技术提供了实时数据集成，但在成本和标准化方面受到阻碍。另一方面，传统的模型手术可能会随着三维（3D）打印而发生革命性变化；然而，传统的模型手术要解决时间限制和生态问题还有很长的路要走。兼容性问题、培训需求和伦理考虑是外科手术有光明未来必须成功解决的三大障碍。结论：病例复杂性和患者偏好是决定是否进行正颌手术的重要因素。VSP为复杂的情况提供了精度。使用数字转移技术可以实现实时指导，而传统的模型手术提供触觉，动手体验。共同分析数字创新将加强正颌患者护理和教育，同时改善患者安全。

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

Orthodontics & Craniofacial Research 医学-牙科与口腔外科

CiteScore

5.30

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： Orthodontics & Craniofacial Research - Genes, Growth and Development is published to serve its readers as an international forum for the presentation and critical discussion of issues pertinent to the advancement of the specialty of orthodontics and the evidence-based knowledge of craniofacial growth and development. This forum is based on scientifically supported information, but also includes minority and conflicting opinions. The objective of the journal is to facilitate effective communication between the research community and practicing clinicians. Original papers of high scientific quality that report the findings of clinical trials, clinical epidemiology, and novel therapeutic or diagnostic approaches are appropriate submissions. Similarly, we welcome papers in genetics, developmental biology, syndromology, surgery, speech and hearing, and other biomedical disciplines related to clinical orthodontics and normal and abnormal craniofacial growth and development. In addition to original and basic research, the journal publishes concise reviews, case reports of substantial value, invited essays, letters, and announcements. The journal is published quarterly. The review of submitted papers will be coordinated by the editor and members of the editorial board. It is policy to review manuscripts within 3 to 4 weeks of receipt and to publish within 3 to 6 months of acceptance.