An innovative universal protocol for orthognathic surgery three-dimensional virtual simulation

Area of Science:

• Oral and Maxillofacial Surgery
• Medical Simulation
• Digital Dentistry

Background:

• Orthognathic surgery planning requires accurate 3D virtual simulation.
• Existing protocols often necessitate specialized equipment or software.
• A simplified, accessible protocol is needed for wider clinical adoption.

Purpose of the Study:

• To describe a novel, easily implemented protocol for 3D virtual simulation of orthognathic surgery.
• To detail simplified steps for image segmentation, composite skull creation, condylar position control, and surgical sequencing.
• To provide a practical tool for bimaxillary surgery planning.

Main Methods:

• Development of a simplified protocol for 3D virtual simulation.
• Image segmentation and creation of a composite skull.
• Condylar position control and sequencing of bimaxillary surgery.
• Protocol implementation without specialized apparatus or software.

Main Results:

• The protocol was successfully applied in approximately 2000 cases (2015-2022).
• The method has gained popularity among local surgeons.
• Preliminary studies indicate accuracy standards suitable for clinical use.

Conclusions:

• The described protocol offers a simplified and accessible approach to 3D virtual simulation for orthognathic surgery.
• The protocol demonstrates potential for widespread clinical application and further validation.
• This technique facilitates accurate planning and sequencing of bimaxillary procedures.