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Orthognathic Examination and Treatment Planning

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Craniomaxillofacial Reconstructive and Corrective Bone Surgery

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Abstract

This chapter covers evaluation and treatment planning for patients needing orthognathic surgery. Evaluation and treatment planning are two processes that are part of the approach used to care for patients. This approach has four sequential processes: evaluation, assessment, treatment planning, and treatment (Fig. 39.1). Evaluation is a structured process used to appraise patients; it begins with the patient encounter and ends with an assessment. It has three steps: history, physical examination, and evaluation of diagnostic test. Treatment planning is a process used to determine the details of treatment. It begins after the assessment and ends before the treatment.

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References

  1. Zelditch M. Geometric morphometrics for biologist: a primer. Amsterdam: Elsevier; 2012.

    Google Scholar 

  2. Gateno J, Xia JJ, Teichgraeber JF. New methods to evaluate craniofacial deformity and to plan surgical correction. Semin Orthod. 2011;17:225–34.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Gateno J, Xia JJ, Teichgraeber JF. New 3-dimensional cephalometric analysis for orthognathic surgery. J Oral Maxillofac Surg. 2011;69:606–22.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Xia JJ, Gateno J, Teichgraeber JF. New clinical protocol to evaluate craniomaxillofacial deformity and plan surgical correction. J Oral Maxillofac Surg. 2009;67:2093–106.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Schatz EC, Xia JJ, Gateno J, English JD, Teichgraeber JF, Garrett FA. Development of a technique for recording and transferring natural head position in 3 dimensions. J Craniofac Surg. 2010;21:1452–5.

    Article  PubMed  Google Scholar 

  6. Xia JJ, McGrory JK, Gateno J, et al. A new method to orient 3-dimensional computed tomography models to the natural head position: a clinical feasibility study. J Oral Maxillofac Surg. 2011;69:584–91.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Proffit WR, Fields HW Jr, Ackerman JL, Bailey LJ, Tulloch JFC. Contemporary Orthodontics. 3rd ed. St. Louis: Mosby; 2000.

    Google Scholar 

  8. Epker BN, Stella JP, Fish LC. Dentofacial Deformities. St. Louis: Mosby; 1995.

    Google Scholar 

  9. Bell WH, editor. Surgical Correction of Dentofacial Deformities. Philadelphia: W.B. Saunders; 1980.

    Google Scholar 

  10. Bell WH, editor. Modern Practice in Orthognathic and Reconstructive Surgery. Philadelphia: W.B. Saunders; 1992.

    Google Scholar 

  11. Vig RG, Brundo GC. The kinetics of anterior tooth display. J Prosthet Dent. 1978;39:502–4.

    Article  CAS  PubMed  Google Scholar 

  12. Van der Geld P, Oosterveld P, Kuijpers-Jagtman AM. Age-related changes of the dental aesthetic zone at rest and during spontaneous smiling and speech. Eur J Orthod. 2008;30:366–73.

    Article  PubMed  Google Scholar 

  13. Tjan AH, Miller GD, The JG. Some esthetic factors in a smile. J Prosthet Dent. 1984;51:24–8.

    Article  CAS  PubMed  Google Scholar 

  14. Sarver DM. The importance of incisor positioning in the esthetic smile: the smile arc. Am J Orthod Dentofac Orthop. 2001;120:98–111.

    Article  CAS  Google Scholar 

  15. Sarver DM, Ackerman MB. Dynamic smile visualization and quantification: part 2. Smile analysis and treatment strategies. Am J Orthod Dentofac Orthop. 2003;124:116–27.

    Article  Google Scholar 

  16. Sarver DM, Ackerman MB. Dynamic smile visualization and quantification: part 1. Evolution of the concept and dynamic records for smile capture. Am J Orthod Dentofac Orthop. 2003;124:4–12.

    Article  Google Scholar 

  17. Coslet JG, Vanarsdall R, Weisgold A. Diagnosis and classification of delayed passive eruption of the dentogingival junction in the adult. Alpha Omegan. 1977;70:24–8.

    CAS  PubMed  Google Scholar 

  18. Lele S. An Invariant Approach to Statistical Analysis of Shape. Boca Raton: Chapman & Hall/CRC; 2001.

    Google Scholar 

  19. Kumar KP, Tamizharasi S. Significance of curve of Spee: an orthodontic review. J Pharm Bioallied Sci. 2012;4:S323–8.

    Google Scholar 

  20. Ash MM, Ramfjord SP. Occlusion. 4th ed. Philadelphia: W.B. Saunders; 1995.

    Google Scholar 

  21. Gateno J, Xia JJ, Teichgraeber JF. Effect of facial asymmetry on 2-dimensional and 3-dimensional cephalometric measurements. J Oral Maxillofac Surg. 2011;69:655–62.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Swennen GR, Mollemans W, Schutyser F. Three-dimensional treatment planning of orthognathic surgery in the era of virtual imaging. J Oral Maxillofac Surg. 2009;67:2080–92.

    Article  PubMed  Google Scholar 

  23. Swennen GR, Schutyser F, Barth EL, De Groeve P, De Mey A. A new method of 3-D cephalometry part I: the anatomic Cartesian 3-D reference system. J Craniofac Surg. 2006;17:314–25.

    Article  PubMed  Google Scholar 

  24. Xia JJ, Shevchenko L, Gateno J, et al. Outcome study of computer-aided surgical simulation in the treatment of patients with craniomaxillofacial deformities. J Oral Maxillofac Surg. 2011;69:2014–24.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Xia JJ, Gateno J, Teichgraeber JF. Three-dimensional computer-aided surgical simulation for maxillofacial surgery. Atlas Oral Maxillofac Surg Clin North Am. 2005;13:25–39.

    Article  PubMed  Google Scholar 

  26. Hsu SS, Gateno J, Bell RB, et al. Accuracy of a computer-aided surgical simulation protocol for orthognathic surgery: a prospective multicenter study. J Oral Maxillofac Surg. 2013;71:128–42.

    Article  PubMed  Google Scholar 

  27. Nadjmi N, Mommaerts MY, Abeloos JV, De Clercq CA. Prediction of mandibular autorotation. J Oral Maxillofac Surg. 1998;56:1241–7. discussion 7-8

    Article  CAS  PubMed  Google Scholar 

  28. Lemoine JJ, Xia JJ, Andersen CR, Gateno J, Buford W Jr, Liebschner MA. Geometry-based algorithm for the prediction of nonpathologic mandibular movement. J Oral Maxillofac Surg. 2007;65:2411–7.

    Article  PubMed  Google Scholar 

  29. Lemoine JJ, Xia JJ, Gateno J, Liebschner MA. Radiographic analysis for jaw motion normalization. J Oral Maxillofac Surg. 2005;63(7):961.

    Article  PubMed  Google Scholar 

  30. Perez D, Ellis E 3rd. Sequencing bimaxillary surgery: mandible first. J Oral Maxillofac Surg. 2011;69:2217–24.

    Article  PubMed  Google Scholar 

  31. Gateno J, Xia J, Teichgraeber JF, Rosen A. A new technique for the creation of a computerized composite skull model. J Oral Maxillofac Surg. 2003;61:222–7.

    Article  PubMed  Google Scholar 

  32. Santler G. 3-D COSMOS: a new 3-D model based computerised operation simulation and navigation system. J Craniomaxillofac Surg. 2000;28:287–93.

    Article  CAS  PubMed  Google Scholar 

  33. Santler G, Karcher H, Gaggl A, Kern R. Stereolithography versus milled three-dimensional models: comparison of production method, indication, and accuracy. Comput Aided Surg. 1998;3:248–56.

    Article  CAS  PubMed  Google Scholar 

  34. Krishnan R, Hermann E, Wolff R, Zimmermann M, Seifert V, Raabe A. Automated fiducial marker detection for patient registration in image-guided neurosurgery. Comput Aided Surg. 2003;8:17–23.

    Article  PubMed  Google Scholar 

  35. Chang YB, Xia JJ, Gateno J, Xiong Z, Zhou X, Wong ST. An automatic and robust algorithm of reestablishment of digital dental occlusion. IEEE Trans Med Imaging. 2010;29:1652–63.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Swennen GR, Barth EL, Eulzer C, Schutyser F. The use of a new 3D splint and double CT scan procedure to obtain an accurate anatomic virtual augmented model of the skull. Int J Oral Maxillofac Surg. 2007;36:146–52.

    Article  CAS  PubMed  Google Scholar 

  37. Besl PJ, McKay ND. A method for registration of 3-D shapes. IEEE Trans Pattern Anal Mach Intell. 1993;14:239–56.

    Article  Google Scholar 

  38. Damstra J, Fourie Z, Ren Y. Simple technique to achieve a natural position of the head for cone beam computed tomography. Br J Oral Maxillofac Surg. 2010;48:236–8.

    Article  PubMed  Google Scholar 

  39. Xia J, Samman N, Yeung RW, et al. Three-dimensional virtual reality surgical planning and simulation workbench for orthognathic surgery. Int J Adult Orthodon Orthognath Surg. 2000;15:265–82.

    CAS  PubMed  Google Scholar 

  40. Xia J, Ip HH, Samman N, et al. Computer-assisted three-dimensional surgical planning and simulation: 3D virtual osteotomy. Int J Oral Maxillofac Surg. 2000;29:11–7.

    Article  CAS  PubMed  Google Scholar 

  41. Chang YB, Xia JJ, Gateno J, et al. In vitro evaluation of new approach to digital dental model articulation. J Oral Maxillofac Surg. 2012;70:952–62.

    Article  PubMed  Google Scholar 

  42. Xia JJ, Chang YB, Gateno J, Xiong Z, Zho X. Automated digital dental articulation. Med Image Comput Comput Assist Interv. 2010;13:278–86.

    PubMed  PubMed Central  Google Scholar 

  43. Hiew LT, Ong SH, Foong KWC. Optimal occlusion of teeth. In: 9th International Conference on Control, Automation, Robotics and Vision, ICARCV’06 2006. IEEE; 2006. p. 1–5.

    Google Scholar 

  44. DeLong R, Ko CC, Anderson GC, Hodges JS, Douglas WH. Comparing maximum intercuspal contacts of virtual dental patients and mounted dental casts. J Prosthet Dent. 2002;88:622–30.

    Article  PubMed  Google Scholar 

  45. Nadjmi N, Mollemans W, Daelemans A, Van Hemelen G, Schutyser F, Berge S. Virtual occlusion in planning orthognathic surgical procedures. Int J Oral Maxillofac Surg. 2010;39:457–62.

    Article  CAS  PubMed  Google Scholar 

  46. Rubin MB, Bodner SR. A three-dimensional non-linear model for dissipative response of soft tissue. Int J Solids Struct. 2002;39:5981–99.

    Article  Google Scholar 

  47. Barbarino GG, Jabareen M, Trzewik J, Nkengne A, Stamatas G, Mazza E. Development and validation of a three-dimensional finite element model of the face. J Biomech Eng. 2009;131:041006.

    Article  CAS  PubMed  Google Scholar 

  48. Meller S, Nkenke E, Kalender WA. Statistical face models for the prediction of soft-tissue deformations after orthognathic osteotomies. In: MICCAI 2005. Lecture notes in computer science, vol. 3750. Berlin: Springer; 2005. p. 443–450.

    Google Scholar 

  49. Keeve E, Girod S, Kikinis R, Girod B. Deformable modeling of facial tissue for craniofacial surgery simulation. Comput Aided Surg. 1998;3:228–38.

    Article  CAS  PubMed  Google Scholar 

  50. Xia J, Ip HH, Samman N, et al. Three-dimensional virtual-reality surgical planning and soft-tissue prediction for orthognathic surgery. IEEE Trans Inf Technol Biomed. 2001;5:97–107.

    Article  CAS  PubMed  Google Scholar 

  51. Xia J, Samman N, Yeung RW, et al. Computer-assisted three-dimensional surgical planing and simulation. 3D soft tissue planning and prediction. Int J Oral Maxillofac Surg. 2000;29:250–8.

    Article  CAS  PubMed  Google Scholar 

  52. Nedel LP, Thalmann D. Real time muscle deformations using mass-spring systems. In: Proceedings of the computer graphics international, Hannover, Germany. IEEE; 1998. p. 156–166.

    Google Scholar 

  53. Chen F, Gu L, Huang P, Zhang J, Xu J. Soft tissue modeling using nonlinear mass spring and simplified medial representation. Conf Proc IEEE Eng Med Biol Soc. 2007;2007:5083–6.

    PubMed  Google Scholar 

  54. Maal TJ, Plooij JM, Rangel FA, Mollemans W, Schutyser FA, Berge SJ. The accuracy of matching three-dimensional photographs with skin surfaces derived from cone-beam computed tomography. Int J Oral Maxillofac Surg. 2008;37:641–6.

    Article  CAS  PubMed  Google Scholar 

  55. Cover SA, Ezquerra NF, O’Brien JF. Interactively deformable models for surgery simulation. IEEE Comput Graph Appl. 1993;13:68–75.

    Article  Google Scholar 

  56. Marchetti C, Bianchi A, Bassi M, Gori R, Lamberti C, Sarti A. Mathematical modeling and numerical simulation in maxillo-facial virtual surgery (VISU). J Craniofac Surg. 2006;17:661–7. discussion 668

    Article  PubMed  Google Scholar 

  57. Marchetti C, Bianchi A, Bassi M, Gori R, Lamberti C, Sarti A. Mathematical modeling and numerical simulation in maxillofacial virtual surgery. J Craniofac Surg. 2007;18:826–32.

    Article  PubMed  Google Scholar 

  58. Gori R, Sarti A, Lamberti C, Fares JE, Marchetti C. Maxillo-facial virtual surgery from 3D CT images. Bioengineering Science and Supercomputing at CINECA report. 2001.

    Google Scholar 

  59. Binucci MM, Lamberti C, Gori R, Montagna L, Sarti A. An integrated system for maxillo-facial surgery simulation. In: CARS 2002 Computer Assisted Radiology and Surgery. Berlin: Springer; 2002.

    Google Scholar 

  60. Koch RM, Gross MH, Carls FR, von Buren DF, Frankhauser G, Parish YIH. Simulating facial surgery using finite element models. In: SIGGRAPH. New York: ACM; 1996. p. 421–428.

    Google Scholar 

  61. Mollemans W, Schutyser F, Nadjmi N, Maes F, Suetens P. Predicting soft tissue deformations for a maxillofacial surgery planning system: from computational strategies to a complete clinical validation. Med Image Anal. 2007;11:282–301.

    Article  CAS  PubMed  Google Scholar 

  62. Mollemans W, Schutyser F, Van Cleynenbreugel J, Suetens P. Tetrahedral mass spring model for fast soft tissue deformation. In: 2003 international conference on surgery simulation and soft tissue modeling. Berlin: Springer; 2003. p. 145–154.

    Google Scholar 

  63. Bhatia SN, Leighton BC. A Manual of Facial Growth - A Computer Analysis of Longitudinal Cephalometric Growth Data. 1st ed. New York: Oxford University Press; 1993.

    Google Scholar 

  64. Downs WB. The role of cephalometrics in orthodontic case analysis and diagnosis. Am J Orthod. 1952;38:162–82.

    Article  Google Scholar 

  65. Gateno J, Xia J, Teichgraeber JF, Rosen A, Hultgren B, Vadnais T. The precision of computer-generated surgical splints. J Oral Maxillofac Surg. 2003;61(7):814.

    Article  PubMed  Google Scholar 

  66. Xia JJ, Gateno J, Teichgraeber JF, et al. Accuracy of the computer-aided surgical simulation (CASS) system in the treatment of patients with complex craniomaxillofacial deformity: a pilot study. J Oral Maxillofac Surg. 2007;65:248–54.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Oral and Maxillofacial Surgery, Houston Methodist Hospital, Houston, TX, USA

    Jaime Gateño, James J. Xia & David Alfi

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  1. Jaime Gateño
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  2. James J. Xia
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  3. David Alfi
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Correspondence to Jaime Gateño .

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Editors and Affiliations

  1. Division of Oral and Maxillofacial Surgery, Columbia University College of Dental Medicine and New York Presbyterian Hospital, New York, NY, USA

    Alex M. Greenberg

  2. Department of Oral and Maxillofacial Surgery, Regional Plastic Surgery, Center for Dental Medicine, Medical Center – University of Freiburg Faculty of Medicine, University of Freiburg, Freiburg, Germany

    Rainer Schmelzeisen

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Gateño, J., Xia, J.J., Alfi, D. (2019). Orthognathic Examination and Treatment Planning. In: Greenberg, A., Schmelzeisen, R. (eds) Craniomaxillofacial Reconstructive and Corrective Bone Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1529-3_37

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  • DOI: https://doi.org/10.1007/978-1-4939-1529-3_37

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