Accuracy of patient-specific soft-tissue prediction algorithms for maxillomandibular surgery in class III patients
Context: Improved esthetics is an important factor for most patients undergoing orthognathic surgery. Thus, a treatment simulation that can provide patients with a realistic view of the esthetic outcome after surgery is important in clinical practice. Aims: To evaluate the accuracy of simulations ge...
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| Veröffentlicht in: | Contemporary clinical dentistry Jg. 13; H. 3; S. 242 - 248 |
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| Sprache: | Englisch |
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Mumbai
Wolters Kluwer India Pvt. Ltd
01.07.2022
Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd Medknow Publications & Media Pvt Ltd Wolters Kluwer Medknow Publications |
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| ISSN: | 0976-237X, 0976-2361 |
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| Abstract | Context: Improved esthetics is an important factor for most patients undergoing orthognathic surgery. Thus, a treatment simulation that can provide patients with a realistic view of the esthetic outcome after surgery is important in clinical practice. Aims: To evaluate the accuracy of simulations generated using algorithms specific for patient's type of malocclusion and surgical procedure compared to nonspecific algorithms. Settings and Design: A total of 36 patients (average age 18.41 years) who had undergone maxillary advancement and mandibular setback for Class III malocclusion were included. Subjects and Methods: The presurgical and postsurgical cone-beam computed tomography scans were used to generate the lateral cephalograms and the surgical simulations were created with the patient-specific algorithm (specific for Class III patients) and the nonspecific algorithm (default algorithm not specific for any particular malocclusion or type of surgery) using the treatment simulation feature in Dolphin Imaging software. The accuracy of the simulations was examined by comparing the soft-tissue changes in the surgical simulations with the postsurgical result. Statistical Analysis Used: Statistical analyses were performed with SPSS-software at 0.05 significance level. For the mean difference between the postsurgical and surgical-simulation landmarks, a paired sample t-test (Student's t-test) was performed. Results: Patient-specific algorithms were accurate in vertical prediction of lower lip, B', tip of nose, upper lip, and horizontal prediction of pogonion'. Whereas the nonspecific algorithm was accurate in the horizontal prediction of the lower lip, pogonion', and menton'. Conclusions: Patient-specific and nonspecific algorithms for generating surgical simulations showed different accuracy for vertical and horizontal predictions of the parameters. |
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| AbstractList | Context: Improved esthetics is an important factor for most patients undergoing orthognathic surgery. Thus, a treatment simulation that can provide patients with a realistic view of the esthetic outcome after surgery is important in clinical practice. Aims: To evaluate the accuracy of simulations generated using algorithms specific for patient's type of malocclusion and surgical procedure compared to nonspecific algorithms. Settings and Design: A total of 36 patients (average age 18.41 years) who had undergone maxillary advancement and mandibular setback for Class III malocclusion were included. Subjects and Methods: The presurgical and postsurgical cone-beam computed tomography scans were used to generate the lateral cephalograms and the surgical simulations were created with the patient-specific algorithm (specific for Class III patients) and the nonspecific algorithm (default algorithm not specific for any particular malocclusion or type of surgery) using the treatment simulation feature in Dolphin Imaging software. The accuracy of the simulations was examined by comparing the soft-tissue changes in the surgical simulations with the postsurgical result. Statistical Analysis Used: Statistical analyses were performed with SPSS-software at 0.05 significance level. For the mean difference between the postsurgical and surgical-simulation landmarks, a paired sample t-test (Student's t-test) was performed. Results: Patient-specific algorithms were accurate in vertical prediction of lower lip, B', tip of nose, upper lip, and horizontal prediction of pogonion'. Whereas the nonspecific algorithm was accurate in the horizontal prediction of the lower lip, pogonion', and menton'. Conclusions: Patient-specific and nonspecific algorithms for generating surgical simulations showed different accuracy for vertical and horizontal predictions of the parameters. Improved esthetics is an important factor for most patients undergoing orthognathic surgery. Thus, a treatment simulation that can provide patients with a realistic view of the esthetic outcome after surgery is important in clinical practice.ContextImproved esthetics is an important factor for most patients undergoing orthognathic surgery. Thus, a treatment simulation that can provide patients with a realistic view of the esthetic outcome after surgery is important in clinical practice.To evaluate the accuracy of simulations generated using algorithms specific for patient's type of malocclusion and surgical procedure compared to nonspecific algorithms.AimsTo evaluate the accuracy of simulations generated using algorithms specific for patient's type of malocclusion and surgical procedure compared to nonspecific algorithms.A total of 36 patients (average age 18.41 years) who had undergone maxillary advancement and mandibular setback for Class III malocclusion were included.Settings and DesignA total of 36 patients (average age 18.41 years) who had undergone maxillary advancement and mandibular setback for Class III malocclusion were included.The presurgical and postsurgical cone-beam computed tomography scans were used to generate the lateral cephalograms and the surgical simulations were created with the patient-specific algorithm (specific for Class III patients) and the nonspecific algorithm (default algorithm not specific for any particular malocclusion or type of surgery) using the treatment simulation feature in Dolphin Imaging software. The accuracy of the simulations was examined by comparing the soft-tissue changes in the surgical simulations with the postsurgical result.Subjects and MethodsThe presurgical and postsurgical cone-beam computed tomography scans were used to generate the lateral cephalograms and the surgical simulations were created with the patient-specific algorithm (specific for Class III patients) and the nonspecific algorithm (default algorithm not specific for any particular malocclusion or type of surgery) using the treatment simulation feature in Dolphin Imaging software. The accuracy of the simulations was examined by comparing the soft-tissue changes in the surgical simulations with the postsurgical result.Statistical analyses were performed with SPSS-software at 0.05 significance level. For the mean difference between the postsurgical and surgical-simulation landmarks, a paired sample t-test (Student's t-test) was performed.Statistical Analysis UsedStatistical analyses were performed with SPSS-software at 0.05 significance level. For the mean difference between the postsurgical and surgical-simulation landmarks, a paired sample t-test (Student's t-test) was performed.Patient-specific algorithms were accurate in vertical prediction of lower lip, B', tip of nose, upper lip, and horizontal prediction of pogonion'. Whereas the nonspecific algorithm was accurate in the horizontal prediction of the lower lip, pogonion', and menton'.ResultsPatient-specific algorithms were accurate in vertical prediction of lower lip, B', tip of nose, upper lip, and horizontal prediction of pogonion'. Whereas the nonspecific algorithm was accurate in the horizontal prediction of the lower lip, pogonion', and menton'.Patient-specific and nonspecific algorithms for generating surgical simulations showed different accuracy for vertical and horizontal predictions of the parameters.ConclusionsPatient-specific and nonspecific algorithms for generating surgical simulations showed different accuracy for vertical and horizontal predictions of the parameters. |
| Audience | Academic |
| Author | Han, Michael Mehta, Shivam Tsay, T Kusnoto, Budi |
| AuthorAffiliation | 3 Department of Oral and Maxillofacial Surgery, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA 2 Department of Orthodontics, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA 1 Division of Orthodontics, UNiversity of Connnecticut Health Center, Farmington, Connecticut, USA |
| AuthorAffiliation_xml | – name: 1 Division of Orthodontics, UNiversity of Connnecticut Health Center, Farmington, Connecticut, USA – name: 2 Department of Orthodontics, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA – name: 3 Department of Oral and Maxillofacial Surgery, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA |
| Author_xml | – sequence: 1 givenname: Shivam surname: Mehta fullname: Mehta, Shivam organization: Division of Orthodontics, UNiversity of Connnecticut Health Center, Farmington, Connecticut; Department of Orthodontics, University of Illinois at Chicago College of Dentistry, Chicago, IL – sequence: 2 givenname: Michael surname: Han fullname: Han, Michael organization: Department of Oral and Maxillofacial Surgery, University of Illinois at Chicago College of Dentistry, Chicago, IL – sequence: 3 givenname: T surname: Tsay fullname: Tsay, T organization: Department of Orthodontics, University of Illinois at Chicago, College of Dentistry, Chicago, IL – sequence: 4 givenname: Budi surname: Kusnoto fullname: Kusnoto, Budi organization: Department of Orthodontics, University of Illinois at Chicago, College of Dentistry, Chicago, IL |
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| Keywords | cone-beam computed tomography orthognathic surgery patient-specific simulations Angle class III surgical simulation |
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| Snippet | Context: Improved esthetics is an important factor for most patients undergoing orthognathic surgery. Thus, a treatment simulation that can provide patients... Improved esthetics is an important factor for most patients undergoing orthognathic surgery. Thus, a treatment simulation that can provide patients with a... |
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| SubjectTerms | Accuracy Algorithms angle class iii Care and treatment Computed tomography cone-beam computed tomography Evaluation Lip Malocclusion Methods Original Orthognathic surgery patient-specific simulations Patients Predictions Simulated patients Simulation Statistical analysis Statistics Surgery surgical simulation |
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| Title | Accuracy of patient-specific soft-tissue prediction algorithms for maxillomandibular surgery in class III patients |
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