Digitale Fortschritte in der kombiniert kieferorthopädisch-kieferchirurgischen Therapie erwachsener Patienten

Zusammenfassung

Im Zuge der Digitalisierung hat sich auch die Fallplanung im Rahmen kieferorthopädisch-kieferchirurgischer Therapien verändert. Dabei wird die klassische Modelloperation auf Basis von 2-dimensionalen Röntgenbildern und einartikulierten Gipsmodellen zunehmend durch eine digitale Planung mittels digitaler Volumentomografie, Stereofotogrammetrie und 3-dimensionalen Druckverfahren ersetzt. Als Vorteile werden eine Reduktion von Laborschritten, die damit einhergehende Zeitersparnis und Eliminierung potenzieller Fehlerquellen sowie die verbesserte Visualisierung präoperativer Asymmetrien und des postoperativen Ergebnisses beschrieben. Der Artikel stellt die digitalen Fortschritte und einen möglichen Workflow für die klinische Praxis exemplarisch dar.

Abstract

Digitization has also led to major changes in treatment planning in the context of combined orthodontic-surgical therapies. The conventional model surgery based on 2-dimensional X-rays and plaster casts in the articulator is increasingly being replaced by virtual planning procedures including cone-beam CTs, stereophotogrammetry and 3-dimensional printing. Advantages like the reduction in laboratory steps, the associated time savings and elimination of potential sources of error as well as the improved visualization of preoperative asymmetries and the postoperative result are discussed. This article provides an overview of the virtual opportunities and presents a workflow, which is easy to implement in the clinical routine.

Schlüsselwörter

orthognathe Chirurgie - Erwachsenenkieferorthopädie - Dysgnathietherapie - Umstellungsosteotomie - 3-dimensionale Planung

Key words

orthognathic surgery - adult orthodontics - treatment of malocclusion - bilateral sagittal split osteotomy - 3-dimensional planning

Publication History

Article published online:
07 July 2021

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