Digital planning and decision making for severe congenital oligodontia with Angle class-III malocclusion

Omri Emodi; Nidal Zeineh; Adi Katz Biton; Andrei Krasovsky; Tal Capucha; Amir Bilder; Dekel Shilo; Ori Blanc; Chaim Ohayon; Amin Boukhari; Shiran Barsheshet-Karif; Adi Rachmiel

doi:10.1016/j.jcms.2024.12.003

Digital planning and decision making for severe congenital oligodontia with Angle class-III malocclusion

J Craniomaxillofac Surg. 2024 Dec 28:S1010-5182(24)00335-4. doi: 10.1016/j.jcms.2024.12.003. Online ahead of print.

Authors

Affiliations

¹ Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel; Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. Electronic address: [email protected].
² Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel.
³ Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel. Electronic address: [email protected].
⁴ Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel; Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
⁵ Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel; Department of Oral and Maxillofacial rehabilitation, Rambam Health Care Campus, Haifa, Israel.
⁶ Department of Oral and Maxillofacial rehabilitation, Rambam Health Care Campus, Haifa, Israel.
⁷ Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel; Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel; Department of Oral and Maxillofacial rehabilitation, Rambam Health Care Campus, Haifa, Israel.

PMID: 39734132
DOI: 10.1016/j.jcms.2024.12.003

Abstract

As maxillofacial surgery becomes increasingly digitized and the transformative impact of pre-surgical scanning and computer simulation is recognized, this clinical paper presents an algorithm for the selection of interventions in severe congenital oligodontia with Angle class-III malocclusion (OCIII) utilizing such technologies. A complex, multifactorial condition with varying degrees of craniofacial involvement, OCIII is associated with edentulous facial appearance, mandibular prognathism and deep underbite, as well as malocclusion. Our methodology involves the integration of CBCT imaging, intra- and extra- oral scanning, and 3D planning with the assessment of bone volume, number of missing teeth, skeletal discrepancies, and patient compliance in the selection of suitable treatments. This approach accounts for unique patient characteristics by promoting personalized medicine and facilitating the development of predictable treatment modality results by offering a decision-tree for standardized treatment selection in cases of OCIII. This study unequivocally establishes the importance of digital treatment planning for OCIII, enabling the adaptation of surgical protocol for specific concerns and underlying limitations, thereby orchestrating successful treatments, improving patient satisfaction, and surpassing conventional methods.

Keywords: Dental implants; Malocclusion; Oligodontia; Orthognathic surgery; Personalized medicine; Virtual surgical planning.