Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 10 , Pages 2107-2114, October 2009

Three-Dimensional Imaging and Computer Simulation For Office-Based Surgery

  • Stephen A. Schendel, MD, DDS

      Affiliations

    • Professor Emeritus of Surgery, Stanford University Medical Center, Stanford, CA
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Schendel: 770 Welch Rd, Suite 400, Palo Alto, CA 94304
  • ,
  • Richard Jacobson, DMD, MS

      Affiliations

    • Clinical Instructor of Orthodontics, School of Dentistry, University of California, Los Angeles, CA

Purpose

Advancements in computers and imaging, especially over the last 10 years, have permitted the adoption of 3-dimensional imaging protocols in the health care field. In addition, the affordability and ease of use of these modalities allow their widespread adoption and use in diagnosis and treatment planning. This is particularly important when the deformities are complex involving both function and esthetics, such as those in the dentofacial area and with orthognathic surgery.

Materials and Methods

Image fusion involves combining images from different imaging modalities to create a virtual record of an individual called a patient-specific anatomic reconstruction (PSAR). We describe the system and show its use in 1 case.

Results

Image fusion and, more specifically, PSAR permit a more accurate analysis of deformity as an aid to diagnosis and treatment planning.

Conclusion

Three-dimensional imaging and computer simulation can be effectively used for planning office-based procedures. The PSAR can be used to perform virtual surgery and establish a definitive and objective treatment plan for correction of a facial deformity. The end result is improved patient care and decreased expense.

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PII: S0278-2391(09)00610-7

doi:10.1016/j.joms.2009.04.111

Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 10 , Pages 2107-2114, October 2009