Three-dimensional planning in craniomaxillofacial surgery.

Area of Science:

• Oral and Maxillofacial Surgery
• Medical Imaging
• Surgical Planning

Background:

• Three-dimensional (3D) planning is standard for oral and maxillofacial surgery, including dental implants and orthognathic surgery.
• Custom-made guides facilitate virtual surgery translation to the operating room, enhancing precision and outcomes.

Purpose of the Study:

• To present the experience in treating craniofacial deformities using 3D planning.
• To detail the step-by-step protocol from virtual planning to patient outcomes.

Main Methods:

• Selection of appropriate planning software (e.g., Nobel Clinician, Kodak 3DS, Mimics) based on the specific procedure.
• Step-by-step protocol encompassing virtual planning, guide design, and printing.
• Evaluation of patient outcomes post-procedure.

Main Results:

• 3D planning reduces surgical time and allows for prediction of potential difficulties.
• Increased preoperative planning time and a learning curve are associated with 3D planning.
• The cost of the procedure is a drawback, but justified by improved surgical outcomes.

Conclusions:

• 3D planning is a valuable tool in craniofacial surgery, offering risk reduction and precise results.
• The investment in 3D planning is justified by predictable outcomes and reduced surgical time.
• 3D planning is an established and evolving technology in surgical practice.