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Updated: Jun 23, 2026

Pioneering Patient-Specific Approaches for Precision Surgery Using Imaging and Virtual Reality
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Published on: April 5, 2024

Simulation of osteotomy and support for surgery using VR haptic device.

Taiji Sohmura1, Seiji Iida, Tomonao Aikawa

  • 1Department of Biomaterials Science, Osaka University, Japan.

Studies in Health Technology and Informatics
|April 21, 2009
PubMed
Summary

This study introduces a 3D simulation for osteotomy and surgical splint fabrication, enhancing jaw positioning accuracy. The novel computer-assisted method improves surgical planning and outcomes for bone displacement procedures.

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Area of Science:

  • Biomedical Engineering
  • Oral and Maxillofacial Surgery
  • Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM)

Background:

  • Accurate surgical planning is crucial for osteotomy and bone repositioning.
  • Traditional methods for fabricating surgical splints can be time-consuming and may lack precision.
  • Virtual reality and 3D simulation offer potential advancements in surgical planning and device fabrication.

Purpose of the Study:

  • To develop and evaluate a novel computer-assisted 3D simulation system for osteotomy.
  • To integrate CAD/CAM technology for the precise fabrication of surgical splints.
  • To assess the effectiveness of the fabricated splints in determining jaw position after bone translation.

Main Methods:

  • Utilized CT imaging for patient-specific osteotomy simulation.

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  • Employed a virtual reality haptic device (PHANTOM) for simulating bone deformation, segmentation, and displacement.
  • Designed dental bite splints using CAD software before and after simulated bone displacement.
  • Fabricated resin bite splints using a Rapid Prototyping CAM machine.
  • Main Results:

    • The 3D simulation effectively processed bone deformation, segmentation, and displacement.
    • CAD/CAM fabrication resulted in precise resin bite splints.
    • The fabricated splints accurately determined jaw position following simulated bone translation.

    Conclusions:

    • The developed computer-assisted 3D simulation and CAD/CAM fabrication system is effective for osteotomy planning.
    • This integrated approach enhances the precision of surgical splint fabrication.
    • The system shows promise for improving the accuracy of jaw positioning in surgical procedures.