IMPACT OF TELEMEDICINE ON VIRTUAL PLANNING FOR ORTHOGNATHIC SURGERY

Priscila Lins Aguiar, Thaisa Tamires Fortaleza Spinelli de Freitas, Thullio Gustavo Maciel de Moura, Carlos Augusto Pereira do Lago, Jose Romero Souto de Sousa Junior, Joaquim Celestino da Silva Neto

Resumo


OBJECTIVE: The aim of the present study was to assess the impact of telemedicine on virtual planning for orthognathic surgery and compare planning made through complementary exams in the absence and presence of an in-person physical examination of patients. METHODS: A prospective cohort study was conducted at Getúlio Vargas Hospital in the city of Recife, Brazil, to assess the impact of telemedicine on virtual planning for orthognathic surgery by comparing planning performed by two assessors (orthodontist and oral-maxillofacial surgeon) through complementary exams in the absence and presence of a physical examination of the patients. RESULTS: The sample was composed of ten patients with an indication for orthognathic surgery, the planning of which was conducted by two different assessors. Changes in planning were made after the physical examination of at least 50% and as much as 100% of the patients. The movements for which change were found after the physical examination were the vertical dimension, occlusal plane rotation, midline, chin rotation and advancement. CONCLUSION: The physical examination is extremely important for collecting information on soft and hard tissues to assist in the determination of surgical movements for each individual, ensuring safer and more satisfactory results.

Palavras-chave


orthognathic surgery, imaging, three-dimensional telemedicine.

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Referências


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