By Gwen Swennen
This colour atlas and handbook presents clinicians with systematic, standardized, but in addition individualized step by step counsel on 3D digital prognosis, therapy making plans, and final result review in sufferers present process orthognathic surgical procedure for maxillofacial deformities. Drawing on twenty years of expertise, the authors elucidate the medical strength of the strategy whereas additionally highlighting present pitfalls and obstacles. the outlet chapters talk about the 3D imaging workflow and its integration into day-by-day medical regimen and comprehensively describe cone-beam CT digital analysis. The stepwise 3D digital making plans of orthognathic surgical procedure and move of the 3D digital therapy plan to the sufferer within the working room are then completely defined, and the unheard of capability of 3D digital assessment of therapy consequence, documented. ultimately, after provision of all this crucial history details, the final bankruptcy illustrates the appliance of the 3D digital technique in several forms of maxillofacial deformity. Orthodontists and orthognathic and orthofacial surgeons will locate 3D digital therapy making plans of Orthognathic Surgery to be a good advisor and source.
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Extra info for 3D Virtual Treatment Planning of Orthognathic Surgery: A Step-by-Step Approach for Orthodontists and Surgeons
Fig. 12 ) that is used for scanning of the patient’s head or by laser surface scanning. Moreover, the actual occlusion of the patient can be scanned (. Fig. 13 ). c d . Fig. 2 mm, at 120 kV according to DICOM ﬁeld, 0018,0060 KVP, and 47 mA according to DICOM ﬁeld, 0018,1151 XRayTubeCurrent) and their 3D “surface-rendered” representations (b, d) (Maxilim v. ) a b c e f d . Fig. 2 mm, at 120 kV according to DICOM ﬁeld, 0018,0060 KVP, and 47 mA according to DICOM ﬁeld, 0018,1151 XRayTubeCurrent) and their 3D “surface-rendered” representations (b, d, f) (Maxilim v.
J. Swennen and M. Gaboury 3. Intra-oral scanning of the patient’s dentition Intra-oral scanning allows scanning of the patient’s upper and lower dental arches with an accuracy of a few microns (7 Fig. 14a, c). The a b scanning process is currently still rather slow compared to direct scanning of impressions or indirect scanning of plaster dental models. More- c d . Fig. 14 Additional image acquisition of the patient’s dentition with direct intra-oral optical scanning (3MTM LavaTM Chairside Oral Scanner) of the upper and lower dental arches.
The clinician, however, is usually not present at the time of image acquisition. Therefore, it is crucial that the nursing imaging staff is well trained and aware of all potential pitfalls during CBCT image acquisition as in conventional treatment planning. Unfortunately, distortion of an aesthetic unit of the facial mask of the patient can occur in the daily clinical routine. In such a case, the clinician needs to be aware since this will have its implications on soft tissue simulation and patient communication.