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Carretero, JlcAuthor
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Article

Evaluation of the Predictability and Accuracy of Orthognathic Surgery in the Era of Virtual Surgical Planning

Publicated to:Applied Sciences-Basel. 12 (9): 4305- - 2022-05-01 12(9), DOI: 10.3390/app12094305

Authors: Pampin Martinez, Marta Maria; Gutierrez Venturini, Alessandro; Diaz de Cevallos, Jorge Guinales; Barajas Blanco, Maria; Aragon Nino, Inigo; Moreiras Sanchez, Alvaro; Pardo de Vera, Jose Luis del Castillo; Cebrian Carretero, Jose Luis;

Affiliations

Hosp La Luz, Calle Maestro Angel Llorca 8, Madrid 28003, Spain - Author
Hosp Univ La Paz, Fdn Invest Biomed, Calle Pedro Rico 6, Madrid 28029, Spain - Author
Hosp Univ La Paz, Oral & Maxillofacial Surg Dept, Paseo Castellana 261, Madrid 28046, Spain - Author

Abstract

Virtual surgical planning allows orthognathic surgeons to design a surgical plan preoperatively and establish a personalized surgical protocol. This study aims to validate the predictability and accuracy of orthognathic surgery through a comparison of the three-dimensional (3D) models of the virtual planning and postoperative CBCT using free software (3D Slicer) on 40 patients who underwent bimaxillary orthognathic surgery. The distances of point A, point B, pogonion (Pog), and the first upper and lower molars, both in each axis (x, y, and z) and in the 3D space, were analyzed. The median of the distances in the mediolateral direction was the lowest, while the highest differences were found at point A and Pog in the anteroposterior direction (0.83 mm and 0.78 mm, respectively). Vertical differences were higher in the maxilla than in the mandible. In conclusion, we found that orthognathic bimaxillary surgery using virtual surgical planning was more accurate when positioning the bone segments in the mediolateral direction, using the information provided by the splint, as well as when positioning the mandible compared to the maxilla.

Keywords
Orthognatic surgeryPredictabilityProtocolSimulationSoftSystemVirtual surgical planning

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Applied Sciences-Basel due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2022, it was in position 42/90, thus managing to position itself as a Q2 (Segundo Cuartil), in the category Engineering, Multidisciplinary. Notably, the journal is positioned en el Cuartil Q2 para la agencia Scopus (SJR) en la categoría Engineering (Miscellaneous).

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 2.67, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions May 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-05-15, the following number of citations:

  • WoS: 2
  • Scopus: 3
  • OpenCitations: 2
Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-05-15:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 21.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 21 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 1.5.
  • The number of mentions on the social network X (formerly Twitter): 2 (Altmetric).
Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (CEBRIAN CARRETERO, JOSE LUIS).