Integration of 3-dimensional surgical and orthodontic technologies with orthognathic "surgery-first" approach in the management of unilateral condylar hyperplasia

Nandakumar Janakiraman; Mark Feinberg; Meenakshi Vishwanath; Yasas Shri Nalaka Jayaratne; Derek M Steinbacher; Ravindra Nanda; Flavio Uribe

doi:10.1016/j.ajodo.2015.08.012

Integration of 3-dimensional surgical and orthodontic technologies with orthognathic "surgery-first" approach in the management of unilateral condylar hyperplasia

Am J Orthod Dentofacial Orthop. 2015 Dec;148(6):1054-66. doi: 10.1016/j.ajodo.2015.08.012.

Authors

Nandakumar Janakiraman¹, Mark Feinberg², Meenakshi Vishwanath³, Yasas Shri Nalaka Jayaratne³, Derek M Steinbacher⁴, Ravindra Nanda⁵, Flavio Uribe⁶

Affiliations

¹ Assistant professor, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn. Electronic address: Janakiraman@uchc.edu.
² Clinical instructor, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn; private practice, Shelton, Conn.
³ Postgraduate resident, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn.
⁴ Associate professor of surgery (plastic); assistant professor of pediatrics; director of Dental Services, Oral Maxillofacial and Craniofacial surgery, School of Medicine, Yale University, New Haven, Conn.
⁵ Professor and head, Department of Craniofacial Sciences, Alumni Endowed Chair, School of Dental Medicine, University of Connecticut, Farmington, Conn.
⁶ Associate professor and program director, Division of Orthodontics, Department of Craniofacial Sciences, Charles Burstone Professor, School of Dental Medicine, University of Connecticut, Farmington, Conn.

PMID: 26672712
DOI: 10.1016/j.ajodo.2015.08.012

Abstract

Recent innovations in technology and techniques in both surgical and orthodontic fields can be integrated, especially when treating subjects with facial asymmetry. In this article, we present a treatment method consisting of 3-dimensional computer-aided surgical and orthodontic planning, which was implemented with the orthognathic surgery-first approach. Virtual surgical planning, fabrication of surgical splints using the computer-aided design/computer-aided manufacturing technique, and prediction of final orthodontic occlusion using virtual planning with robotically assisted customized archwires were integrated for this patient. Excellent esthetic and occlusal outcomes were obtained in a short period of 5.5 months.

Publication types

Case Reports

MeSH terms

Cephalometry / methods
Computer-Aided Design
Cone-Beam Computed Tomography / methods
Facial Asymmetry / surgery*
Facial Asymmetry / therapy
Female
Humans
Hyperplasia
Imaging, Three-Dimensional / methods*
Mandibular Condyle / surgery*
Orthodontic Appliance Design
Orthodontic Wires
Orthodontics, Corrective / methods*
Orthognathic Surgical Procedures / methods*
Osteotomy, Le Fort / methods
Osteotomy, Sagittal Split Ramus / methods
Patient Care Planning*
Photography / methods
Robotics
Splints
Surgery, Computer-Assisted / methods*
Treatment Outcome
User-Computer Interface
Young Adult