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Your search keyword '"Hernández-Alfaro, F."' showing total 47 results
Start Over Author "Hernández-Alfaro, F." Journal international journal of oral & maxillofacial surgery
47 results on '"Hernández-Alfaro, F."'

8. 'Puzzle' cutting guides for minimally invasive Le Fort I: technical note.

Author

Hernández-Alfaro, F., Saavedra, O., Duran-Vallès, F., and Valls-Ontañón, A.

Subjects
MINIMALLY invasive procedures, OPERATIVE surgery, COMPUTER simulation, OSTEOTOMY, MAXILLA
Abstract

There has been substantial progress in orthognathic surgery over the last 20 years, propelled by developments in 3D technology. These have led to enhanced predictability and precision, and simplified surgical planning. This transformative shift has introduced patient-specific implants (PSI) and cutting guides as viable alternatives to conventional techniques, elevating the overall effectiveness of surgical procedures. Nevertheless, the adoption of such hardware has been linked to the requirement for extensive incisions and approaches, particularly in the maxilla. Addressing this limitation, the current paper introduces an innovative cutting guide design that facilitates a minimally invasive approach to Le Fort I osteotomy. [ABSTRACT FROM AUTHOR]

Published
2024
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35. Inferior subapical osteotomy for dentoalveolar decompensation of class III malocclusion in ‘surgery-first’ and ‘surgery-early’ orthognathic treatment.

Author

Nieto, M.J., Hernández-Alfaro, F., Valls-Ontañón, A., Méndez-Manjón, I., Guijarro-Martínez, R., and Ruiz-Magaz, V.

Subjects
OSTEOTOMY, ORTHOGNATHIC surgery, INCISORS, WOUNDS & injuries
Abstract

Increasing experience with alternative timing protocols in orthognathic surgery has given way to new surgical and orthodontic techniques to shorten treatment times, reduce biological costs, and improve the final outcome. A prospective evaluation of class III patients who received an inferior segmental osteotomy (ISO) for decompensation of significantly retroclined lower incisors in the context of ‘surgery-first’ (SF) or ‘surgery-early’ (SE) timing protocols was performed. Treatment was planned virtually. A thorough periodontal assessment was performed at baseline and periodically until debonding. A minimally invasive surgical technique including selective interdental corticotomies and elective bone augmentation was used. Patient and orthodontist satisfaction with the treatment was evaluated. Eight patients (mean age 26.3 years) underwent surgery. One had isolated maxillary surgery and seven had bimaxillary surgery in combination or not with additional cosmetic procedures. The periodontal status of all patients remained stable throughout the observation period. The mean duration of orthodontic treatment was 8.7 months in the SF group and 10.5 months in the SE group. Satisfaction with treatment was extremely high. The ISO is a safe, reliable technique for dentoalveolar decompensation in timing protocols with a short or no orthodontic preparatory phase. This methodology may represent a reasonable approach in selected class III patients. [ABSTRACT FROM AUTHOR]

Published
2017
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