Parameswaran A, Panneerselvam E, Koka K
… +1 more, Menon RG
Oral Maxillofac Surg Clin North Am
· 2025 Aug · PMID 40399226
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Adopting digital workflows in orbital reconstruction enhances surgical precision, minimizes complications, and improves patient outcomes postoperatively. Personalized orbital implants (POIs), tailored to each patient's s...Adopting digital workflows in orbital reconstruction enhances surgical precision, minimizes complications, and improves patient outcomes postoperatively. Personalized orbital implants (POIs), tailored to each patient's specific anatomy, offer superior functional and esthetic restoration compared with traditional stock implants. However, widespread adoption of POI is limited by high costs, low-resource settings, untrained personnel, and regulatory concerns, underscoring the continued necessity of traditional methods. This article provides insight into POI in orbital reconstruction, covering key advancements in digital planning, biomaterials, surgical techniques, and strategies for balancing technological innovations with clinical validation.
Oral Maxillofac Surg Clin North Am
· 2025 Aug · PMID 40393888
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Jaw reconstruction after ablative surgeries poses significant challenges for maxillofacial reconstructive surgeons. Offering maximum functional rehabilitation, osseous free flaps have become the standard of care. The con...Jaw reconstruction after ablative surgeries poses significant challenges for maxillofacial reconstructive surgeons. Offering maximum functional rehabilitation, osseous free flaps have become the standard of care. The conventional approach involves shaping donor bone segments into the jaw configuration in a free-hand fashion, which can lead to unpredictable and suboptimal outcomes. Recent advancements in computer-assisted surgery, virtual surgical planning (VSP), and 3-dimensional printing technologies offer promising solutions to these challenges, enabling the fabrication of patient-specific surgical guides and patient-specific surgical plates. This article outlines the workflow of VSP and the clinical application of patient-specific devices in jaw reconstruction.
Oral Maxillofac Surg Clin North Am
· 2025 Aug · PMID 40393887
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Minimally invasive surgery is becoming the standard approach for many surgical treatments, and robots are no exception. Robotic surgery has been extensively used in both malignant and benign conditions. This article prov...Minimally invasive surgery is becoming the standard approach for many surgical treatments, and robots are no exception. Robotic surgery has been extensively used in both malignant and benign conditions. This article provides an overview of the most recent robotic applications in craniomaxillofacial surgery, including clinical indications for their use and the future implications of robotic surgery in this rapidly advancing technological era.
Oral Maxillofac Surg Clin North Am
· 2025 Aug · PMID 40393886
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Microsurgical reconstruction has evolved with virtual reality, augmented reality, and mixed reality, transforming surgical planning, execution, and training. Initially developed for military applications, these technolog...Microsurgical reconstruction has evolved with virtual reality, augmented reality, and mixed reality, transforming surgical planning, execution, and training. Initially developed for military applications, these technologies now play a crucial role in bone and soft tissue free flap reconstruction, enabling precise preoperative planning, flap selection, flap design, accurate osteotomies, and improved outcomes. As new applications emerge and imaging technologies continue to advance, these innovations redefine the future of microsurgery. This article explores the latest developments and how they bridge the gap between digital technology and real-world surgical practice.
Daoud S, Shhadeh A, Zoabi A
… +2 more, Redenski I, Srouji S
Oral Maxillofac Surg Clin North Am
· 2025 Aug · PMID 40383697
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Craniomaxillofacial (CMF) surgery addresses complex challenges, balancing aesthetic and functional restoration. Digital technologies, including advanced imaging, virtual surgical planning, computer-aided design, and 3D p...Craniomaxillofacial (CMF) surgery addresses complex challenges, balancing aesthetic and functional restoration. Digital technologies, including advanced imaging, virtual surgical planning, computer-aided design, and 3D printing, have revolutionized this field. These tools improve accuracy and optimize processes across all surgical phases, from diagnosis to postoperative evaluation. CMF's unique demands are met through patient-specific solutions that optimize outcomes. Emerging technologies like artificial intelligence, extended reality, robotics, and bioprinting promise to overcome limitations, driving the future of personalized, technology-driven CMF care.
Oral Maxillofac Surg Clin North Am
· 2025 Aug · PMID 40383696
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Virtual surgical planning (VSP) in craniofacial trauma features unique challenges due to the complexity of fracture patterns and anatomic considerations. Among the most challenging tasks are segmenting trauma models, per...Virtual surgical planning (VSP) in craniofacial trauma features unique challenges due to the complexity of fracture patterns and anatomic considerations. Among the most challenging tasks are segmenting trauma models, performing complex virtual reductions to restore anatomic integrity and functional occlusion, and utilizing technology to enhance surgical accuracy. The authors propose a classification model categorizing craniofacial trauma into 2 main classes: occlusion-impairing (eg, mandibular and Le Fort fractures) and occlusion-nonimpairing (eg, zygomaticomaxillary complex and orbital fractures). A general workflow for VSP, including advanced imaging and 3 dimensional printing, is outlined to address these challenges, particularly in panfacial trauma.
Do W, van Nistelrooij N, Bergé S
… +1 more, Vinayahalingam S
Oral Maxillofac Surg Clin North Am
· 2025 Aug · PMID 40382287
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Artificial intelligence (AI) can be applied in multiple subspecialties in craniomaxillofacial (CMF) surgeries. This article overviews AI fundamentals focusing on classification, object detection, and segmentation-core ta...Artificial intelligence (AI) can be applied in multiple subspecialties in craniomaxillofacial (CMF) surgeries. This article overviews AI fundamentals focusing on classification, object detection, and segmentation-core tasks used in CMF applications. The article then explores the development and integration of AI in dentoalveolar surgery, implantology, traumatology, oncology, craniofacial surgery, and orthognathic and feminization surgery. It highlights AI-driven advancements in diagnosis, pre-operative planning, intra-operative assistance, post-operative management, and outcome prediction. Finally, the challenges in AI adoption are discussed, including data limitations, algorithm validation, and clinical integration.
Oral Maxillofac Surg Clin North Am
· 2025 Aug · PMID 40379528
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This article comprehensively overviews various digital technologies used in temporomandibular joint (TMJ) surgery and their subsequent impact on surgical outcomes. It elaborates on the current techniques for integrating...This article comprehensively overviews various digital technologies used in temporomandibular joint (TMJ) surgery and their subsequent impact on surgical outcomes. It elaborates on the current techniques for integrating digital technology into TMJ procedures, supported by the evidence of its application in various clinical scenarios and ongoing debates about its effectiveness. Furthermore, the article highlights significant barriers to the global adoption of these technologies, recent notable advancements, and prospective developments that could shape the future of surgical practice in managing TMJ disorders.
Westarp E, Sharma N, Thieringer FM
… +1 more, Roethlisberger M
Oral Maxillofac Surg Clin North Am
· 2025 Aug · PMID 40368696
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Spheno-orbital (SOM) meningioma is a rare subtype of skull base tumor characterized by the proliferation of arachnoid cap cells with intradural expansion, hyperostosis of calvarial and spheno-orbital bone, and consecutiv...Spheno-orbital (SOM) meningioma is a rare subtype of skull base tumor characterized by the proliferation of arachnoid cap cells with intradural expansion, hyperostosis of calvarial and spheno-orbital bone, and consecutive infiltration of critical surrounding neurovascular structures of the frontotemporal base of the skull. Surgical resection is often challenging due to the infiltrative growth and the anatomically complex localization. In most cases, a microsurgical transcranial approach is performed, resulting in the need to reconstruct the orbit with or without a cranioplasty. This review highlights the evolution and current state-of-the-art reconstructive strategies used in SOM surgery.
Oral Maxillofac Surg Clin North Am
· 2025 May · PMID 40055098
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In recent years, the field of oral and maxillofacial surgery has witnessed a remarkable transformation resulting from advances in additive manufacturing. Better known as "3 dimensional (3D) printing," this technology off...In recent years, the field of oral and maxillofacial surgery has witnessed a remarkable transformation resulting from advances in additive manufacturing. Better known as "3 dimensional (3D) printing," this technology offers unprecedented precision and customization in implant treatment procedures. This technology has allowed providers to efficiently fabricate highly accurate dental models, surgical guides, and prosthetic components. The 3D printing in dental surgery has paved the way for more personalized and efficient full-arch implant treatment. Moreover, the ability to iterate designs quickly allows for rapid prototyping and adjustments based on patient-specific anatomic variations and preferences.
Broumand V, Merino EJ, Pero TD
… +4 more, Lee S, Portnof J, Caceres J, Gruber R
Oral Maxillofac Surg Clin North Am
· 2025 May · PMID 40044529
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This article introduces the basic principles of virtually guided dental implant restoration in complex clinical scenarios. An effective workflow for digital dentistry in full-arch reconstruction applications is discussed...This article introduces the basic principles of virtually guided dental implant restoration in complex clinical scenarios. An effective workflow for digital dentistry in full-arch reconstruction applications is discussed and highlights cases in which virtual surgical planning has enabled dental rehabilitation complex dentoalveolar defects. This study also explores challenges and future directions within the field on virtual surgical planning in dental implantology.
Oral Maxillofac Surg Clin North Am
· 2025 May · PMID 40021368
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Terminal dentitions often have missing teeth and altered landmarks, making the rehabilitation of such dentitions challenging. The use of facial analysis can assist in the diagnostic phase of treatment in determining the...Terminal dentitions often have missing teeth and altered landmarks, making the rehabilitation of such dentitions challenging. The use of facial analysis can assist in the diagnostic phase of treatment in determining the ideal anticipated incisal edge position. An understanding of facial parameters from a quantitative aspect is essential for creating youthful smiles which can in turn provide proper hard tissue support to enhance facial esthetics.
Broumand V, Lee S, Pero TD
… +3 more, Jirik S, Golub B, Hilton L
Oral Maxillofac Surg Clin North Am
· 2025 May · PMID 40021367
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Classic subperiosteal implants (CSI) have been around for decades in the implant dentistry helping patients and surgeons especially with atrophic ridges. Since its introduction, there has been significant amount of devel...Classic subperiosteal implants (CSI) have been around for decades in the implant dentistry helping patients and surgeons especially with atrophic ridges. Since its introduction, there has been significant amount of development and researches around this technique. With the implementation of digital technology in oral surgery, there has been growing interest in revisiting CSI and developing patient-specific implants (PSI). Our goal is to provide a comprehensive overview of the evolution of subperiosteal implants and to address the treatment planning, design principles, and the fundamentals required for successful practice of PSI placement and restoration.
Oral Maxillofac Surg Clin North Am
· 2025 May · PMID 39986973
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New digital dental technologies have and will continue to become available to dentists. To evaluate them properly, we must understand that for technology to be a benefit, it must provide measurable value for the patient....New digital dental technologies have and will continue to become available to dentists. To evaluate them properly, we must understand that for technology to be a benefit, it must provide measurable value for the patient. Beyond this, it is critical to realize that most improvement in a process comes from eliminating waste from the process. In full-arch implant treatment, utilizing and coordinating the right digital technologies can eliminate waste from all phases of the treatment process. Selecting the right face-scanning, intraoral scanning, photogrammetry, 3-dimensional printing, milling, and finishing equipment and techniques can dramatically improve the patient experience.
Oral Maxillofac Surg Clin North Am
· 2025 May · PMID 39799051
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Guided zygomatic implant placement surgery has emerged as a promising solution for patients with severe maxillary bone loss, offering precise implant placement and predictable outcomes. This article provides a comprehens...Guided zygomatic implant placement surgery has emerged as a promising solution for patients with severe maxillary bone loss, offering precise implant placement and predictable outcomes. This article provides a comprehensive review of the current state-of-the-art techniques, advantages, challenges, and future directions in guided zygomatic implant surgery.
Oral Maxillofac Surg Clin North Am
· 2025 May · PMID 39779409
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This article highlights the critical role of digital technologies, particularly photogrammetry, in full-arch dental implant practices. By replacing traditional analog methods, digital tools enhance the precision of impla...This article highlights the critical role of digital technologies, particularly photogrammetry, in full-arch dental implant practices. By replacing traditional analog methods, digital tools enhance the precision of implant placement and prosthetic design, leading to better functional and esthetic outcomes. The seamless integration of photogrammetry with a computer-aided design /computer-aided manufacturing system not only streamlines the workflow but also improves patient satisfaction by reducing treatment times and increasing comfort. As technology advances, the importance of digital tools in implantology will continue to grow, offering clinicians more effective ways to deliver high-quality, predictable results.
Odette J, Andersen M, Hammer D
… +1 more, Andersen MR
Oral Maxillofac Surg Clin North Am
· 2025 May · PMID 39779408
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Computer-guided full-arch dental rehabilitation, which is highly technique-sensitive, benefits from advancements in 3-dimensional-printed guides and open-source software. Critical pre-surgical planning includes patient s...Computer-guided full-arch dental rehabilitation, which is highly technique-sensitive, benefits from advancements in 3-dimensional-printed guides and open-source software. Critical pre-surgical planning includes patient selection, health history evaluations, and detailed imaging like cone beam computed tomography scans. Various surgical guides-freehand, static, dynamic, stackable, and interchangeable-are used based on case complexity, with stackable guides improving workflow efficiency. Post-operative care involves verifying prosthesis occlusion and clear patient instructions, focusing on mitigating complications through thorough planning. Future enhancements in implant planning and guide design are expected with the integration of artificial intelligence into digital workflows.
Oral Maxillofac Surg Clin North Am
· 2025 May · PMID 39732610
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Complete arch oral implant treatment using photogrammetry was studied in 77 patients with 111 arches focusing on digitization of clinical records and optimization of the provisional. The aim of the study was to test the...Complete arch oral implant treatment using photogrammetry was studied in 77 patients with 111 arches focusing on digitization of clinical records and optimization of the provisional. The aim of the study was to test the hypothesis that patient satisfaction with the provisional prosthesis during the first 4 months of care determined workflow efficiency and success. Digitization of 8 clinical records was done including centric relation, vertical dimension, esthetics, occlusion, inter-arch space, abutment selection, abutment capture, and soft tissue scan. These records were then used to manufacture the provisional prostheses. All 111 prostheses seated passively indicating accurate photogrammetry registration.
Oral Maxillofac Surg Clin North Am
· 2025 May · PMID 39730288
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Publisher ↗
The integration of robotics in medicine and surgery marks a pivotal shift in the way modern health care delivers care. Robotics technology is not only capable of augmenting human capabilities but also improving the quali...The integration of robotics in medicine and surgery marks a pivotal shift in the way modern health care delivers care. Robotics technology is not only capable of augmenting human capabilities but also improving the quality of surgical interventions. Initially designed to enhance precision in complex surgeries, robotics has made significant advancements in orthopedics, soft tissue surgery, and, more recently, implant dentistry.
Oral Maxillofac Surg Clin North Am
· 2025 May · PMID 39694765
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Publisher ↗
Combining cone-beam computed tomography scans, intraoral jaw scans, and facial scans allow modern dentistry the ability to accurately create a virtual patient. The enormous emphasis on digital full arch implant workflow...Combining cone-beam computed tomography scans, intraoral jaw scans, and facial scans allow modern dentistry the ability to accurately create a virtual patient. The enormous emphasis on digital full arch implant workflow has spawned vast innovation, opening the doors for practitioners to treat the terminally dentate and edentulous patients with more efficiency, precision, and satisfaction. As every patient presents with different conditions, protocols must be developed to facilitate an accurate virtual patient. These protocols must provide a direct match of the digital datasets to the patient.