Skip to main content
Top
Published in: Head & Face Medicine 1/2012

Open Access 01-12-2012 | Methodology

The University Münster model surgery system for Orthognathic surgery. Part I – The idea behind

Authors: Ulrike Ehmer, Ulrich Joos, Stefanie Flieger, Dirk Wiechmann

Published in: Head & Face Medicine | Issue 1/2012

Login to get access

Abstract

Background

We describe a procedure for diagnosis and planning for orthognatic surgery based on international standards. A special 2D planning based on lateral cephalograms (Axis Orbital Marker Lines System) realize a transmission to the SAM 2P articulator (3D) by means of the Axis Orbital Plane.

Methods

Former intraoperative measurement of the average height of the LeFort I osteotomy plane relative to the molar occlusal plane allow to construct a virtual osteotomy plane in the lateral cephalogram. This is the basis for the development of the Axis Orbital Marker Lines System (AO-MLS).

Results

The AO-MLS is presented graphically, and in detail, with construction guidelines. The system could be integrated into various lateral cephalometric analysis- and surgical prediction schemes. It forms the basis for a standardized transfer of the 2D planning to the 3D planning in the articulator, and vice versa. This procedure makes it possible to generate surgical planning protocols based on the model surgery, which represent the dislocations in the proximity of the real osteotomy planes.

Conclusions

The Axis Orbital Marker Lines System (software component) in conjunction with the University Münster Model Surgery System (hardware system) increases the predictability of model operations in orthognathic surgery.
Appendix
Available only for authorised users
Literature
1.
go back to reference Arnett GW, Mc Laughlin RP: Facial and Dental Planning for Orthodontists and Oral Surgeons. 2004, St. Louis: Mosby, 1-320. Arnett GW, Mc Laughlin RP: Facial and Dental Planning for Orthodontists and Oral Surgeons. 2004, St. Louis: Mosby, 1-320.
2.
go back to reference Epker BN, Stella JP, Fisch LC: Essentials of treatment planning. 1995, Mosby: Dentofacial Deformities Integrated Orthodontic and Surgical Correction, 72-139. Volume I Epker BN, Stella JP, Fisch LC: Essentials of treatment planning. 1995, Mosby: Dentofacial Deformities Integrated Orthodontic and Surgical Correction, 72-139. Volume I
3.
go back to reference Epker BN, Stella JP, Fisch LC: Class III dentofacial deformities secondary to mandibular prognathism. 1996, Mosby: Dentofacial Deformities Integrated Orthodontic and Surgical Correction, 570-1183. Volume II Epker BN, Stella JP, Fisch LC: Class III dentofacial deformities secondary to mandibular prognathism. 1996, Mosby: Dentofacial Deformities Integrated Orthodontic and Surgical Correction, 570-1183. Volume II
4.
go back to reference Epker BN, Stella JP, Fisch LC: Class III dentofacial deformities secondary to maxillary deficiency. 1996, Mosby: Dentofacial Deformities Integrated Orthodontic and Surgical Correction, 700-809. Volume II Epker BN, Stella JP, Fisch LC: Class III dentofacial deformities secondary to maxillary deficiency. 1996, Mosby: Dentofacial Deformities Integrated Orthodontic and Surgical Correction, 700-809. Volume II
5.
go back to reference Epker BN, Stella JP, Fisch LC: Class III dentofacial deformities secondary to maxillary deficiency and mandibular prognathism. 1996, Mosby: Dentofacial Deformities Integrated Orthodontic and Surgical Correction, 810-848. Volume II Epker BN, Stella JP, Fisch LC: Class III dentofacial deformities secondary to maxillary deficiency and mandibular prognathism. 1996, Mosby: Dentofacial Deformities Integrated Orthodontic and Surgical Correction, 810-848. Volume II
6.
go back to reference Bell WH, Proffit WR, White RP: Surgical correction of dentofacial deformities. 1980, Philadelphia: W. B. Saunders Company Bell WH, Proffit WR, White RP: Surgical correction of dentofacial deformities. 1980, Philadelphia: W. B. Saunders Company
7.
go back to reference Schwestka-Polly R, Kubein-Meesenburg D, Luhr HG: Results of the application of the Goettingen concept for three-dimensional repositioning of the maxilla in orthognathic surgery. Mund Kiefer Gesichtschir. 1999, 3: 123-130. 10.1007/s100060050114.CrossRefPubMed Schwestka-Polly R, Kubein-Meesenburg D, Luhr HG: Results of the application of the Goettingen concept for three-dimensional repositioning of the maxilla in orthognathic surgery. Mund Kiefer Gesichtschir. 1999, 3: 123-130. 10.1007/s100060050114.CrossRefPubMed
8.
go back to reference Proffit WR, White RP, Sarver DM: Diagnostic and Treatment Planning Approaches: Treatment Planning. 2003, Mosby: Contemporary Treatment of Dentofacial Deformity. Kapitel 6, 172-244. Proffit WR, White RP, Sarver DM: Diagnostic and Treatment Planning Approaches: Treatment Planning. 2003, Mosby: Contemporary Treatment of Dentofacial Deformity. Kapitel 6, 172-244.
9.
go back to reference Ehmer U, Austermann KH: Die Rolle des Kieferorthopäden für die Motivation zu chirurgisch-kieferorthopädischen Therapiemaßnahmen. 1987, Fortschr: Kieferorthop, 246-253. Ehmer U, Austermann KH: Die Rolle des Kieferorthopäden für die Motivation zu chirurgisch-kieferorthopädischen Therapiemaßnahmen. 1987, Fortschr: Kieferorthop, 246-253.
10.
go back to reference Illigens AM: Prospektive und retrospektive Beurteilung psychosozialer Aspekte bei Patienen mit kieferorthopädisch-kieferchirurgischerTherapie. 1996, Münster: Dissertation Illigens AM: Prospektive und retrospektive Beurteilung psychosozialer Aspekte bei Patienen mit kieferorthopädisch-kieferchirurgischerTherapie. 1996, Münster: Dissertation
11.
go back to reference Hatch JP: Psychological function in orthognatic surgical patients before and after bilateral sagittal split osteotomy with rigid and wire fixation. Am J Orthod Dentofacial Orthop. 1999, 115: 536-543. 10.1016/S0889-5406(99)70276-3.CrossRefPubMed Hatch JP: Psychological function in orthognatic surgical patients before and after bilateral sagittal split osteotomy with rigid and wire fixation. Am J Orthod Dentofacial Orthop. 1999, 115: 536-543. 10.1016/S0889-5406(99)70276-3.CrossRefPubMed
12.
go back to reference Flanary C in Bell Wh: The psychology of Appearance and the psychological Impact of surgical Alteration of the Face. 1992, Philadelphia: WB Saunders Company, 2-21. Volume I Flanary C in Bell Wh: The psychology of Appearance and the psychological Impact of surgical Alteration of the Face. 1992, Philadelphia: WB Saunders Company, 2-21. Volume I
13.
go back to reference Richmond S, Roberts CT, Andrews M: Use of the Index of Orthodontic Treatment Need (IOTN) in assessing the need for orthodontic treatment pre- and Post-appliance thrapy. Br J Orthod. 1994, 21: 175-184.CrossRefPubMed Richmond S, Roberts CT, Andrews M: Use of the Index of Orthodontic Treatment Need (IOTN) in assessing the need for orthodontic treatment pre- and Post-appliance thrapy. Br J Orthod. 1994, 21: 175-184.CrossRefPubMed
14.
go back to reference Joda TA, Ehmer U:Die Fernröntgenfrontalaufnahme. Analyse von Indikation, Häufigkeit und Relation in der kieferorthopädischen Röntgendiagnostik für den Zeitraum von 1993 bis 2001. Zahnmed Diss. 2004: 1-106. Joda TA, Ehmer U:Die Fernröntgenfrontalaufnahme. Analyse von Indikation, Häufigkeit und Relation in der kieferorthopädischen Röntgendiagnostik für den Zeitraum von 1993 bis 2001. Zahnmed Diss. 2004: 1-106.
15.
go back to reference Ehmer U, Röhling J, Dörr-Neudeck K, Becker R: A c alibrated double cast method for model simulation in surgical orthodontics. Dtsch Z Mund Kiefer Gesichtschir. 1987, 11: 59-66.PubMed Ehmer U, Röhling J, Dörr-Neudeck K, Becker R: A c alibrated double cast method for model simulation in surgical orthodontics. Dtsch Z Mund Kiefer Gesichtschir. 1987, 11: 59-66.PubMed
16.
go back to reference Ehmer U, Röhling J, Dörr-Neudeck K, Becker R: Calibrated double split cast simulations for orthognathic surgery. Int J Adult Orthod and Orthognath Surg. 1989, 4: 223-227. Ehmer U, Röhling J, Dörr-Neudeck K, Becker R: Calibrated double split cast simulations for orthognathic surgery. Int J Adult Orthod and Orthognath Surg. 1989, 4: 223-227.
17.
go back to reference Erickson KL, Bell WH, Goldsmith DH: Analytical Model Surgery. Modern Practice in Orthognathic and Reconstructive Surgery. Volume 1. 1992, W. B. Saunders Company, 155-216. Erickson KL, Bell WH, Goldsmith DH: Analytical Model Surgery. Modern Practice in Orthognathic and Reconstructive Surgery. Volume 1. 1992, W. B. Saunders Company, 155-216.
18.
go back to reference Steinhäuser E, Janson I: Behandlungsaufgaben, Therapieplanung. 1988, Quintessenz Verlags-GmbH: Kieferorthopädische Chirurgie Band I Kapitel 4, 125-188. Steinhäuser E, Janson I: Behandlungsaufgaben, Therapieplanung. 1988, Quintessenz Verlags-GmbH: Kieferorthopädische Chirurgie Band I Kapitel 4, 125-188.
19.
go back to reference Krenkel C, Lixl G: Model surgical apparatus for planning and simulation of maxillary and mandibular osteotomies. Zahnärtzl Prax. 1991, 42: 471-473. Krenkel C, Lixl G: Model surgical apparatus for planning and simulation of maxillary and mandibular osteotomies. Zahnärtzl Prax. 1991, 42: 471-473.
Metadata
Title
The University Münster model surgery system for Orthognathic surgery. Part I – The idea behind
Authors
Ulrike Ehmer
Ulrich Joos
Stefanie Flieger
Dirk Wiechmann
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Head & Face Medicine / Issue 1/2012
Electronic ISSN: 1746-160X
DOI
https://doi.org/10.1186/1746-160X-8-14

Other articles of this Issue 1/2012

Head & Face Medicine 1/2012 Go to the issue