Maxillofacial


Introduction

For over a decade, Argyle Associates have been using cone beam computed tomography (CBCT) for treatment planning of the entire spectrum of Oral and Maxillofacial Surgical Procedures. In 2013, we acquired a 16cm x 16cm Full-Scale Craniofacial CBCT, allowing us to consistently provide the most current form of treatment and treatment planning available today.

CBCT treatment planning has been revolutionary in many areas of our specialty, but likely none more than in orthognathic surgery. Digital treatment planning allows the OMFS to plan the repositioning of the maxilla and mandible in all 3 planes of space with the utmost accuracy. As a result, the accuracy and efficiency of the treatment planning, along with the advent of CAD/CAM milled surgical stents used intraoperatively, has resulted in a more accurate end-result.

In addition, the digital workup has allowed for the patient to see soft and hard tissue surgical redictions, which improves their comfort level with the entire surgical process. Many of our patients’ archived data have been used for the publication of 3 peer-reviewed research papers on the surgical management of obstructive sleep apnea utilizing orthognathic surgery*.

We also regularly provide dental implant treatment planning to our patients for the entire spectrum of implant surgical cases, including: single/multiple tooth replacement; extraction / immediate implant placement / immediate provisionalization; full arch replacement; All-on-4 / teeth in a day; and zygomatic implant placement. As a result, the surgical care can usually be provided through a less invasive approach, allowing for an easier, more comfortable postoperative course. Furthermore, we work closely with our referring colleagues, providing a digital prediction of the proposed treatment for their review, input, and collaboration. In addition, our treatment coordinators can help facilitate smooth and seamless communication and organization.

Please feel free to contact them, or us, with any questions!

 

*Butterfield KJ, Marks PLG, McLean L, Newton J. Quality
of life assessment following maxillomandibular
advancement surgery for obstructive sleep apnea.
J Oral Maxillofacial Surg 74(6): 1228-1237, 2016

*Butterfield KJ, Marks PLG, McLean L, Newton
J
Pharyngeal airway morphology in healthy
individuals and in obstructive sleep apnea patients
treated with maxillomandibular advancement: a
comparative study. Oral Surgery Oral Medicine Oral
Pathology 119(3):285-92, 2015

*Butterfield KJ, Marks PLG, McLean L, Newton J.
Linear and Volumetric Airway Changes Following
Maxillomandibular Advancement for the Management
of Obstructive Sleep Apnea. J Oral Maxillofacial
Surg 73(6), 1133-1142, 2015