Surgery First and Aligners: A Case Report Combining In-House Surgical Guides and Pre-Adapted Titanium Plates
Source abstract
Abstract
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.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Orthodontics and Dentofacial Orthopedics · Temporomandibular Joint Disorders · Dental Implant Techniques and Outcomes
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Vennelyst Blvd 9, 8000 Aarhus, Denmark
Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, 8200 Aarhus, Denmark
3D Innovation, Aarhus University Hospital, 8200 Aarhus, Denmark
Section of Oral and Maxillofacial Surgery and Oral Pathology, Aarhus University Hospital, Aarhus University, 8200 Aarhus, Denmark
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