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Αλέξανδρος Γ. Σφακιανάκης

Monday, September 27, 2021

What is the accuracy of the surgical guide in the planning of orthognathic surgeries? A systematic review

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Med Oral Patol Oral Cir Bucal. 2021 Sep 25:25042. doi: 10.4317/medoral.25042. Online ahead of print.

ABSTRACT

BACKGROUND: To investigate the true accuracy of the surgical guide in the planning of orthognathic surgeries, which are performed worldwide.

MATERIAL AND METHODS: A systematic search was conducted in the PubMed database, Web of science, Scopus and Embase, covering August 2020 to January 2021. Studies that included patients with dentofacial deformity including anteroposterior, vertical and asymmetry problems who were undergoing an orthognathic surgery procedure were included; QUADAS-2 was used to determine the risk of bias by analyzing the quality of the studies. A PRISMA (flowchart) was created to show the study selection, keywords, nomination processes, and inclusion and exclusion criteria.

RESULTS: Eleven studies were selected for qualitative and quantitative synthesis. All studies evaluated described high precisi on of the surgical guide, where the lowest error values were represented by the CAD/CAM technique.

CONCLUSIONS: The planning and printing errors related to the guide were all less than 2 mm, and the absolute averages of the errors related to virtual planning in the analysis of the different plans were less than 1 mm. Finally, the measurement of the ANB angle obtained equivalent results between the virtual planning and the traditional.

PMID:34564681 | DOI:10.4317/medoral.25042

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