Enhancing skeletal stability and Class III correction through active orthodontist engagement in virtual surgical planning: A voxel-based 3-dimensional analysis

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorMagna Graecia University of Catanzaro-
Autor(es): dc.contributorUniversity of Michigan-
Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.contributorChemistry and Chemical Engineering School - Digital Sciences School Lyon-
Autor(es): dc.contributorUniversity of the Pacific-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.creatorBarone, Selene-
Autor(es): dc.creatorCevidanes, Lucia-
Autor(es): dc.creatorMiranda, Felicia-
Autor(es): dc.creatorGurgel, Marcela Lima-
Autor(es): dc.creatorAnchling, Luc-
Autor(es): dc.creatorHutin, Nathan-
Autor(es): dc.creatorBianchi, Jonas-
Autor(es): dc.creatorGoncalves, Joao Roberto-
Autor(es): dc.creatorGiudice, Amerigo-
Data de aceite: dc.date.accessioned2025-08-21T17:25:46Z-
Data de disponibilização: dc.date.available2025-08-21T17:25:46Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2024-03-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/j.ajodo.2023.09.016-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/306233-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/306233-
Descrição: dc.descriptionIntroduction: Skeletal stability after bimaxillary surgical correction of Class III malocclusion was investigated through a qualitative and quantitative analysis of the maxilla and the distal and proximal mandibular segments using a 3-dimensional voxel-based superimposition among virtual surgical predictions performed by the orthodontist in close communication with the maxillofacial surgeon and 12-18 months postoperative outcomes. Methods: A comprehensive secondary data analysis was conducted on deidentified preoperative (1 month before surgery [T1]) and 12-18 months postoperative (midterm [T2]) cone-beam computed tomography scans, along with virtual surgical planning (VSP) data obtained by Dolphin Imaging software. The sample for the study consisted of 17 patients (mean age, 24.8 ± 3.5 years). Using 3D Slicer software, automated tools based on deep-learning approaches were used for cone-beam computed tomography orientation, registration, bone segmentation, and landmark identification. Colormaps were generated for qualitative analysis, whereas linear and angular differences between the planned (T1-VSP) and observed (T1-T2) outcomes were calculated for quantitative assessments. Statistical analysis was conducted with a significance level of α = 0.05. Results: The midterm surgical outcomes revealed a slight but significantly less maxillary advancement compared with the planned position (mean difference, 1.84 ± 1.50 mm; P = 0.004). The repositioning of the mandibular distal segment was stable, with insignificant differences in linear (T1-VSP, 1.01 ± 3.66 mm; T1-T2, 0.32 ± 4.17 mm) and angular (T1-VSP, 1.53° ± 1.60°; T1-T2, 1.54° ± 1.50°) displacements (P >0.05). The proximal segments exhibited lateral displacement within 1.5° for both the mandibular right and left ramus at T1-VSP and T1-T2 (P >0.05). Conclusions: The analysis of fully digital planned and surgically repositioned maxilla and mandible revealed excellent precision. In the midterm surgical outcomes of maxillary advancement, a minor deviation from the planned anterior movement was observed.-
Descrição: dc.descriptionDepartment of Health Sciences School of Dentistry Magna Graecia University of Catanzaro-
Descrição: dc.descriptionDepartment of Orthodontics and Pediatric Dentistry School of Dentistry University of Michigan-
Descrição: dc.descriptionDepartment of Orthodontics Bauru Dental School University of São Paulo, São Paulo-
Descrição: dc.descriptionChemistry and Chemical Engineering School - Digital Sciences School Lyon-
Descrição: dc.descriptionDepartment of Orthodontics Arthur A. Dugoni School of Dentistry University of the Pacific-
Descrição: dc.descriptionDepartment of Pediatric Dentistry School of Dentist São Paulo State University, São Paulo-
Descrição: dc.descriptionDepartment of Pediatric Dentistry School of Dentist São Paulo State University, São Paulo-
Formato: dc.format321-331-
Idioma: dc.languageen-
Relação: dc.relationAmerican Journal of Orthodontics and Dentofacial Orthopedics-
???dc.source???: dc.sourceScopus-
Título: dc.titleEnhancing skeletal stability and Class III correction through active orthodontist engagement in virtual surgical planning: A voxel-based 3-dimensional analysis-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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