Combined orthodontic and orthognathic treatment with 3D-printing technique offers a precise outcome: A case report of two years followup.

Combined orthodontic and orthognathic treatment with 3D-printing technique offers a precise outcome: A case report of two years followup.
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正畸和正颌治疗与 3D 打印技术相结合可提供精确的结果:两年随访的病例报告

DOI:
10.1016/j.ijscr.2021.105934
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发表时间:
2021-07
影响因子:
0.6
通讯作者:
Wu X
Wu X
中科院分区:
其他
文献类型:
--
作者:
Hu X;Ji P;Wang T;Wu X

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当今世界医学界都在提倡精准医学和循证临床治疗方法。正畸第一入路(OFA)和计算机辅助手术模拟(CASS)结合3d打印技术为医生在正畸和正颌入路中遵循精准医学原则提供了更多的机会。我们报告了一名20岁的患者,骨骼关系为III类,下颌骨不对称,采用OFA治疗。通过CASS联合3d打印技术,手术模拟和3d打印手术引导夹板和稳定夹板为联合正畸治疗(combined Orthodontic And Orthognathic Treatment, COOT)提供了强大而准确的指导。结果显示,患者上下颌骨关系良好,外形有明显改善。在“手术优先”(SF)和传统OFA之间仍然存在争议。在本研究中,我们分析了COOT中不同入路的趋势,这是一个团队工作,主要需要正畸医生和正颌外科医生的合作。本研究表明,CASS的准确性可以为OFA提供唤起人们沉浸在COOT中节省时间的机会。这些都表明CASS是一种有效而精确的方法,可以为患者提供美观且稳定的结果。OFA和CASS联合3d打印技术在正畸与正颌联合治疗(COOT)中遵循精准医学原则:我们的方案是术前正畸失代偿,CASS联合3d打印技术,正颌手术,术后正畸调整。OFA与CASS联合3d打印技术在正畸与正颌联合治疗(COOT)中遵循精准医学原则。我们的方案是术前正畸失代偿,CASS结合3d打印技术,正颌手术和术后正畸调整。结合CASS 3d打印技术,CASS、3d打印手术导向夹板和稳定夹板为COOT提供了准确的导向。
Precision Medicine and evidence-based clinical treatment approach are proposed worldwide in medical science nowadays. Orthodontic first approach (OFA) and Computer-aided surgical simulation (CASS) combined 3D-printing technique offered more chances for the doctors to obey the principle of Precision Medicine in the orthodontic and orthognathic approach. We reported a 20-year-old patient, with skeletal Class III relationship and asymmetric mandible, was treated by OFA. And with the CASS combined 3D-Printing Technique, the presurgery simulation and 3D-printed surgery guiding splint and stable splint offered the Combined Orthodontic and Orthognathic Treatment (COOT) a powerful and accurate guiding. The results exhibited that the patient had a perfect maxilla and mandible relationship and significant improvement in profile. There is still a debate between “surgery first” (SF) and conventional OFA. In this study, we analyzed the trend of different approaches in the COOT, which was a team work and required mainly the collaboration of orthodontist and Orthognathic surgeon. This study showed the precision of the CASS could offer for the OFA to evoke people immersing in saving time in COOT. All of these indicated that CASS was a powerful and precise method for COOT, which could offer the patient an esthetic and stable result. OFA and CASS combined 3D-Printing Technique Obey the Principle of Precision Medicine in Combined Orthodontic and Orthognathic Treatment (COOT): Our protocol was presurgical orthodontic decompensation, CASS combined 3D-printing technique, orthognathic surgery, and postsurgical orthodontic adjustment. OFA and CASS combined 3D-Printing Technique Obey the Principle of Precision Medicine in Combined Orthodontic and Orthognathic Treatment (COOT). Our protocol was presurgical orthodontic decompensation,CASS combined 3D-printing technique, orthognathic surgery, and postsurgical orthodontic adjustment. With the CASS combined 3D-Printing Technique, the CASS, 3D-printed surgery guiding splint and stable splint offered COOT an accurate guide.
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