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Artificial Intelligence Splint in Orthognathic Surgery for Skeletal Class III Malocclusion: Design and Application
Zhikai Liu1, Chunwei Xu2, Zhaokun Zhu1
1State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University.
The Journal of Craniofacial Surgery
|February 2, 2023
Summary
Artificial intelligent splints significantly improve the efficiency of orthognathic surgery splint design. This AI-driven approach saves time and maintains accuracy compared to traditional digital splints.
Area of Science:
- Biomedical Engineering
- Dental Surgery
- Artificial Intelligence
Background:
- Digital splints are crucial in orthognathic surgery but suffer from time-consuming design processes and low reproducibility.
- Current methods present challenges in efficiency and consistency for surgical planning.
Purpose of the Study:
- To develop and evaluate an artificial intelligence (AI) algorithm for the automatic design of splints in orthognathic surgery.
- To assess the efficiency, accuracy, and reproducibility of AI-driven splint design compared to traditional digital splints.
Main Methods:
- An AI algorithm and program for splint design were created.
- 54 patients with skeletal class III malocclusion underwent pre and postoperative radiographic examinations.
- Cephalometric measurements compared virtual simulations with postoperative images; time costs and differences were analyzed.
Main Results:
- AI-driven splint design significantly improved efficiency.
- The mean difference between AI splints and digital splints was <0.15 mm in model surgery.
- No significant difference in accuracy was observed between AI and digital splints in radiological image analysis.
Conclusions:
- AI splints offer a time-saving advantage for presurgical design in orthognathic surgery without compromising accuracy.
- The AI approach is considered beneficial for enhancing presurgical planning in orthognathic procedures.
- This technology promotes greater accessibility and efficiency in custom splint fabrication.

