The Role of Custom Cutting Guides and Plates in Orthognathic Surgery
摘要
Success of orthognathic surgery relies on accurate planning, precise execution, and the prevention of complications and relapse. Three-dimensional Virtual Surgical Planning (VSP) has been shown to increase the accuracy and improve the occlusion (Kaipatur and Flores-Mir, J Oral Maxillofac Surg 67:751–759, 2009). Temporomandibular joint position, nerve trajectory and tooth roots can also be accurately predicted with VSP (Pagotto, Br J Oral Maxillofac Surg 62:340–348, 2024). Translating virtual planning into accurate on-table outcomes is a challenge which can be overcome by custom 3D printed cutting guides/templates and plates. A case example of orthognathic surgery using custom cutting guides and plates is presented here.