Effectiveness of digital planning-assisted orthognathic surgery combined with implantology in the treatment of severe malocclusions: a narrative review of functional and aesthetic outcomes
DOI:
https://doi.org/10.56183/plepist.v3i1.654Palavras-chave:
Digital planning, orthognathic surgery, implantology, severe malocclusions, functional outcomes, aesthetic outcomes, virtual surgical planning, 3D imagingResumo
Background: Severe malocclusions impact aesthetics, function, and quality of life, necessitating integrated treatments like orthognathic surgery and implantology. Digital planning has transformed these procedures, improving precision and patient outcomes. This narrative review evaluates the effectiveness of digital planning-assisted orthognathic surgery combined with implantology, focusing on functional and aesthetic improvements in severe malocclusion cases. Methods: A systematic search across PubMed, Scopus, and Google Scholar (2014–2024) identified studies on digital planning in orthognathic surgery and its combination with implantology. Inclusion criteria targeted studies involving human subjects that examined functional or aesthetic outcomes. Key focus areas included virtual surgical planning (VSP) and 3D printing and their role in optimising treatment. Results: Digital planning-assisted orthognathic surgery significantly improves surgical precision, functional restoration, and aesthetic outcomes. VSP enables detailed 3D simulations, enhancing condylar positioning and soft tissue predictability with millimeter-level accuracy. These technologies reduce surgical errors, optimise implant placement, and facilitate interprofessional communication and patient engagement. Integration with 3D printing supports customised surgical guides, improving workflow efficiency and reducing planning time. Additionally, incorporating transparent aligner systems like Invisalign provides a fully digital continuum of care, enhancing periodontal health, oral hygiene, and aesthetic preferences. Conclusion: Digital planning-assisted orthognathic surgery and implantology offer substantial benefits, including improved precision, functional restoration, and aesthetic outcomes. Despite challenges, their potential to enhance patient comfort and surgical success underscores their value in modern dentistry. Future research should address cost barriers and refine predictive models to broaden accessibility.
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