A multidisciplinary approach is essential in orthognathic surgery to achieve stable and successful outcomes. The model surgery planning is an important aspect in achieving the desired aims. An occlusal wafer used at the time of surgery aids the surgeon during correct placement of the jaws. When dealing with partially dentate patients, the design of the occlusal wafer requires modification to appropriately position the jaw. Two cases with partially dentate jaws are presented in which the occlusal wafer has been modified to provide stability at the time of surgery.
Aboul-Hosn CenteneroS, Hernández-AlfaroF.3D planning in orthognathic surgery: CAD/CAM surgical splints and prediction of the soft and hard tissues results — our experience in 16 cases. J Craniomaxillofac Surg2012; 40: 162–168.
2.
BamberMA, HarrisM.The role of the occlusal wafer in orthognathic surgery; a comparison of thick and thin intermediate osteotomy wafers. J Craniomaxillofac Surg1995; 23: 396–400.
3.
BaxterWDJr, KincerTC. A modification of the interim splint for large maxillomandibular discrepancies. J Oral Maxillofac Surg1993; 51: 1404–1405.
4.
BoccaAP, KitturMA, GibbonsAJ, SugarAW. A new type of occlusal wafer for orthognathic surgery. Br J Oral Maxillofac Surg2002; 40: 151–152.
5.
DaneshG, LippoldC, JoosU, MeyerU.Technical and clinical assessment of the use of a new material-based splint in orthognathic surgery. Int J Oral Maxillofac Surg2006; 35: 796–799.
6.
EllisE3rd. Bimaxillary surgery using an intermediate splint to position the maxilla. J Oral Maxillofac Surg1999; 57: 53–56.
GilJN, ClausJD, ManfroR, LimaSMJr., Predictability of maxillary repositioning during bimaxillary surgery: accuracy of a new technique. Int J Oral Maxillofac Surg2007; 36: 296–300.
9.
LeeRT. A splint for immediate surgical orthognathic fixation and release during orthodontic treatment. Eur J Orthod1991; 13: 209–211.
10.
LindorfHH, SteinhäuserEW. Correction of jaw deformities involving simultaneous osteotomy of the mandible and maxilla. J Maxillofac Surg1978; 6: 239–244.
MetzgerMC, Hohlweg-MajertB, SchwarzU, TeschnerM, HammerB, SchmelzeisenR.Manufacturing splints for orthognathic surgery using a three-dimensional printer. Oral Surg Oral Med Oral Pathol Oral Radiol Endod2008; 105: e1–e7.
13.
MilesBA, HansenBJ, StellaJP. Polyvinylsiloxane as an alternative material for the intermediate orthognathic occlusal splint. J Oral Maxillofac Surg2006; 64: 1318–1321.
14.
MyersD, WiesenfeldD.‘Hydroplastic’ — a new material for orthognathic surgical splints. Br J Oral Maxillofac Surg1995; 33: 110–111.
15.
OkumuraH, ChenLH, YokoeY, TsutsumiS, OkaM.CAD/CAM fabrication of occlusal splints for orthognathic surgery. J Clin Orthod1999; 33: 231–235.
16.
RipleyJF, SteedDL, FlanaryCM. A composite surgical splint for dual arch orthognathic surgery. J Oral Maxillofac Surg1982; 40: 687–688.
17.
StefanovaN, StellaJP. The predictability of inferior medial canthus as a stable external vertical reference point in maxillary repositioning surgery. Int J Adult Orthodon Orthognath Surg2000; 15: 305–308.
18.
SunderlandT, BaintonR.A new technique for the construction of interocclusal wafers in orthognathic surgery. Br J Oral Maxillofac Surg1995; 33: 321–322.
