Analysis of Mandibular Proximal Segment Position Using Virtual Orthognathic Surgical Planning, Individualized Guides, and Osteosynthesis Plates
Bezmialem Vakif University
60 participants
Oct 1, 2024
INTERVENTIONAL
Conditions
Summary
Orthognathic surgery is a surgical procedure performed to correct dentofacial deformities. In recent years, with the use of virtual surgical planning, cutting guides, and patient-specific osteosynthesis plates, highly predictable results can be achieved. While there are many positive reports regarding the use of patient-specific plates in maxillary positioning in orthognathic surgery, there is a lack of sufficient studies comparing the results obtained in mandibular positioning. Additionally, numerous designs of proximal segment positioning devices have been published, but comparative studies on their effectiveness have not been conducted. Therefore, a study comparing these approaches has been planned.
Eligibility
Inclusion Criteria3
- Healthy individuals over 18 years of age
- Patients with skeletal Class 2 and Class 3 malocclusion requiring bimaxillary orthognathic surgery
- Patients who have undergone orthodontic treatment prior to surgery
Exclusion Criteria10
- Patients with cleft lip and palate or craniofacial deformities
- Oligodontia
- Patients in whom the study protocol could not be continued due to intraoperative complications such as guide mismatch or bad split, or due to reasons such as inability to obtain postoperative CT scans
- Patients with pre-existing temporomandibular joint disorders prior to surgery
- Patients who have undergone previous orthognathic surgery
- Patients with a history of maxillary or mandibular trauma
- Patients requiring segmental maxillary surgery
- Patients with bone metabolism disorders
- Patients allergic to titanium
- Pregnant individuals
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Interventions
only intermediate and final splint will be used during the surgery
patient's specific manufacturing cutting guide and positioning guide related with orthognathic surgery
patient's specific manufacturing cutting guide and fixation plates related with orthognathic surgery
Locations(1)
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NCT06442787