Abstract
Accurately establishing a desired final dental occlusion of the upper and lower teeth is a critical step in orthognathic surgical planning. Traditionally, the final occlusion is established by hand-articulating the stone dental models. However, this process is inappropriate to digitally plan the orthognathic surgery using computer-aided surgical simulation. To date, there is no effective method of digitally establishing final occlusion. We propose a 3-stage approach to digitally and automatically establish a desired final dental occlusion for 1-piece maxillary orthognathic surgery, including: (1) to automatically extract points of interest and four key teeth landmarks from the occlusal surfaces; (2) to align the upper and lower teeth to a clinically desired Midline-Canine-Molar relationship by minimization of sum of distances between them; and (3) to finely align the upper and lower teeth to a maximum contact with the constraints of collision and clinical criteria. The proposed method was evaluated qualitatively and quantitatively and proved to be effective and accurate.
H. Deng and P. Yuan—Contribute Equally.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Xia, J.J., et al.: Algorithm for planning a double-jaw orthognathic surgery using a computer-aided surgical simulation (CASS) protocol. Part 1: planning sequence. Int. J. Oral Maxillofac. Surg. 44(12), 1431–1440 (2015)
Nadjmi, N., et al.: Virtual occlusion in planning orthognathic surgical procedures. Int. J. Oral Maxillofac. Surg. 39(5), 457–462 (2010)
Wu, W., et al.: Haptic simulation framework for determining virtual dental occlusion. Int. J. Comput. Assist. Radiol. Surg. 12(4), 595–606 (2017)
Chang, Y.-B., et al.: An automatic and robust algorithm of reestablishment of digital dental occlusion. IEEE Trans. Med. Imaging 29(9), 1652–1663 (2010)
Chang, Y.-B., et al.: In vitro evaluation of new approach to digital dental model articulation. J. Oral Maxillofac. Surg.: Official J. Am. Assoc. Oral Maxillofac. Surg. 70(4), 952–962 (2012)
Xia, J.J., Chang, Y.-B., Gateno, J., Xiong, Z., Zhou, X.: Automated digital dental articulation. In: Jiang, T., Navab, N., Pluim, J.P.W., Viergever, M.A. (eds.) MICCAI 2010. LNCS, vol. 6363, pp. 278–286. Springer, Heidelberg (2010). https://doi.org/10.1007/978-3-642-15711-0_35
Li, J., et al.: New approach to establish an object reference frame for dental arch in computer-aided surgical simulation. Int. J. Oral Maxillofac. Surg. 46(9), 1193–1200 (2017)
Xia, J.J., et al.: Algorithm for planning a double-jaw orthognathic surgery using a computer-aided surgical simulation (CASS) protocol. Part 2: three-dimensional cephalometry. Int. J. Oral Maxillofac. Surg. 44(12), 1441–1450 (2015)
Acknowledgment
This work was supported in part by NIH grants (R01 DE022676 and R01 DE027251).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this paper
Cite this paper
Deng, H. et al. (2019). An Automatic Approach to Reestablish Final Dental Occlusion for 1-Piece Maxillary Orthognathic Surgery. In: Shen, D., et al. Medical Image Computing and Computer Assisted Intervention – MICCAI 2019. MICCAI 2019. Lecture Notes in Computer Science(), vol 11768. Springer, Cham. https://doi.org/10.1007/978-3-030-32254-0_39
Download citation
DOI: https://doi.org/10.1007/978-3-030-32254-0_39
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-32253-3
Online ISBN: 978-3-030-32254-0
eBook Packages: Computer ScienceComputer Science (R0)