TY - JOUR
T1 - Surgery First and Aligners
T2 - A Case Report Combining In-House Surgical Guides and Pre-Adapted Titanium Plates
AU - Sefidroodi, Mohammedreza
AU - Shino, Inleel Lundgård
AU - Vassis, Stratos
AU - Hammer, Karen Eich
AU - Kristensen, Kasper Dahl
AU - Pedersen, Thomas Klit
AU - Nørholt, Sven Erik
AU - Buhl, Jytte
N1 - Publisher Copyright:
© 2024 by the authors.
PY - 2024/11
Y1 - 2024/11
N2 - Continuous advancements in technology have made it possible to integrate clear aligner therapy (CAT) with orthognathic surgery. This case report presents a novel, individually-planned workflow, combining CAT with a surgery-first orthognathic approach (SFOA) in collaborating with engineers for an in-house production of surgical guides and customized titanium plates. The patient was evaluated subjectively, using the Oral Health-Related Quality of Life-14 (OHIP-14) questionnaire and Orthognathic Quality of Life questionnaire (OQLQ), and objectively with the Peer Assessment Rating (PAR) index. The patient displayed the planned occlusal relationship with no report of discomfort in the temporomandibular joint (TMJ) or post-surgical complications. The surgical and occlusal outcomes have remained consistent and stable after debonding. A decreased score was reported in both questionnaires and the PAR after treatment, thereby indicating improvements in both subjective and objective evaluations. This case report demonstrates that with proper individual planning, satisfactory subjective and objective outcomes can be achieved when combining SFOA with CAT.
AB - Continuous advancements in technology have made it possible to integrate clear aligner therapy (CAT) with orthognathic surgery. This case report presents a novel, individually-planned workflow, combining CAT with a surgery-first orthognathic approach (SFOA) in collaborating with engineers for an in-house production of surgical guides and customized titanium plates. The patient was evaluated subjectively, using the Oral Health-Related Quality of Life-14 (OHIP-14) questionnaire and Orthognathic Quality of Life questionnaire (OQLQ), and objectively with the Peer Assessment Rating (PAR) index. The patient displayed the planned occlusal relationship with no report of discomfort in the temporomandibular joint (TMJ) or post-surgical complications. The surgical and occlusal outcomes have remained consistent and stable after debonding. A decreased score was reported in both questionnaires and the PAR after treatment, thereby indicating improvements in both subjective and objective evaluations. This case report demonstrates that with proper individual planning, satisfactory subjective and objective outcomes can be achieved when combining SFOA with CAT.
KW - aligners
KW - clear aligner therapy
KW - invisalign
KW - orthognathic surgery
KW - quality of life
KW - surgery-first orthognathic approach
KW - surgical guides
U2 - 10.3390/app142210374
DO - 10.3390/app142210374
M3 - Journal article
AN - SCOPUS:85210223944
SN - 2076-3417
VL - 14
JO - Applied Sciences (Switzerland)
JF - Applied Sciences (Switzerland)
IS - 22
M1 - 10374
ER -