{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T08:29:47Z","timestamp":1793867387047,"version":"4.6.1"},"reference-count":41,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","joms.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Oral and Maxillofacial Surgery"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.joms.2026.09.001","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T17:58:23Z","timestamp":1789495103000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Virtual Occlusion Accuracy in Orthognathic Surgery: Challenges and Critical Limitations in Segmental Maxillary Planning"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7605-4054","authenticated-orcid":false,"given":"Ylenia","family":"Gugliotta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7251-4209","authenticated-orcid":false,"given":"Giovanni","family":"Gerbino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4360-6905","authenticated-orcid":false,"given":"Federica","family":"Marcolin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Novaresio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Vezzetti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3131-9669","authenticated-orcid":false,"given":"Guglielmo","family":"Ramieri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.joms.2026.09.001_bib1","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1007\/s00056-009-9903-4","article-title":"Assessment of quality of life in patients undergoing orthognathic surgery","volume":"70","author":"Bock","year":"2009","journal-title":"J Orofac Orthop"},{"key":"10.1016\/j.joms.2026.09.001_bib2","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1034\/j.1600-0528.2002.300201.x","article-title":"Development of a condition-specific quality of life measure for patients with dentofacial deformity: II. Validity and responsiveness testing","volume":"30","author":"Cunningham","year":"2002","journal-title":"Community Dent Oral Epidemiol"},{"key":"10.1016\/j.joms.2026.09.001_bib3","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1016\/j.tripleo.2011.01.002","article-title":"Changes in quality of life after orthognathic surgery: a comparison based on the involvement of the occlusion","volume":"112","author":"Khadka","year":"2011","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"10.1016\/j.joms.2026.09.001_bib4","doi-asserted-by":"crossref","first-page":"1027e","DOI":"10.1097\/PRS.0000000000005556","article-title":"Intraoral scanning and setting up the digital final occlusion in three-dimensional planning of orthognathic surgery: its comparison with the dental model approach","volume":"143","author":"Ho","year":"2019","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.joms.2026.09.001_bib5","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.ijom.2015.07.022","article-title":"Virtual occlusal definition for orthognathic surgery","volume":"45","author":"Liu","year":"2016","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2026.09.001_bib6","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1016\/j.ijom.2010.02.002","article-title":"Virtual occlusion in planning orthognathic surgical procedures","volume":"39","author":"Nadjmi","year":"2010","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2026.09.001_bib7","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.3390\/jpm12081288","article-title":"Plaster casts vs intraoral scans: do different methods of determining the final occlusion affect the simulated outcome in orthognathic surgery?","volume":"12","author":"Awad","year":"2022","journal-title":"J Pers Med"},{"key":"10.1016\/j.joms.2026.09.001_bib8","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1007\/s11548-006-0052-6","article-title":"Dentition planning with image-based occlusion analysis","volume":"1","author":"Pongr\u00e1cz","year":"2006","journal-title":"Int J Comput Assist Radiol Surg"},{"key":"10.1016\/j.joms.2026.09.001_bib9","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1007\/s11548-016-1475-3","article-title":"Haptic simulation framework for determining virtual dental occlusion","volume":"12","author":"Wu","year":"2017","journal-title":"Int J Comput Assist Radiol Surg"},{"key":"10.1016\/j.joms.2026.09.001_bib10","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1016\/j.joms.2019.12.021","article-title":"Clinical evaluation of digital dental articulation for one-piece maxillary surgery","volume":"78","author":"Wong","year":"2020","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2026.09.001_bib11","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1097\/01.prs.0000264100.57630.c7","article-title":"Stigma, body image, and quality of life in women seeking orthognathic surgery","volume":"120","author":"Lee","year":"2007","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.joms.2026.09.001_bib12","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0177223","article-title":"An integrated surgical protocol for adult patients with hemifacial microsomia: methods and outcome","volume":"12","author":"Yamaguchi","year":"2017","journal-title":"PLoS One"},{"key":"10.1016\/j.joms.2026.09.001_bib13","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0152014","article-title":"Computer-assisted orthognathic surgery for patients with cleft lip\/palate: from traditional planning to three-dimensional surgical simulation","volume":"11","author":"Lonic","year":"2016","journal-title":"PLoS One"},{"key":"10.1016\/j.joms.2026.09.001_bib14","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-018-30124-2","article-title":"Surgical occlusion setup in correction of skeletal class III deformity using surgery-first approach: guidelines, characteristics and accuracy","volume":"8","author":"Liao","year":"2018","journal-title":"Sci Rep"},{"key":"10.1016\/j.joms.2026.09.001_bib15","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1016\/j.prosdent.2015.04.003","article-title":"Digital versus analog complete-arch impressions for single-unit premolar implant crowns: operating time and patient preference","volume":"114","author":"Schepke","year":"2015","journal-title":"J Prosthet Dent"},{"key":"10.1016\/j.joms.2026.09.001_bib16","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/1472-6831-14-10","article-title":"Comparison of digital and conventional impression techniques: evaluation of patients\u2019 perception, treatment comfort, effectiveness and clinical outcomes","volume":"14","author":"Yuzbasioglu","year":"2014","journal-title":"BMC Oral Health"},{"key":"10.1016\/j.joms.2026.09.001_bib17","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1179\/bjo.19.3.227","article-title":"Storage of orthodontic study models in hospital units in the UK","volume":"19","author":"McGuinness","year":"1992","journal-title":"Br J Orthod"},{"key":"10.1016\/j.joms.2026.09.001_bib18","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.dental.2011.10.014","article-title":"The future of dental devices is digital","volume":"28","author":"Van Noort","year":"2012","journal-title":"Dent Mater"},{"key":"10.1016\/j.joms.2026.09.001_bib19","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1016\/j.ijom.2013.02.006","article-title":"The accuracy of three-dimensional model generation: what makes it accurate enough to be used for surgical planning?","volume":"42","author":"Varga","year":"2013","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2026.09.001_bib20","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1093\/ortho\/28.1.76","article-title":"Functional occlusion: I. A review","volume":"28","author":"Clark","year":"2001","journal-title":"J Orthod"},{"key":"10.1016\/j.joms.2026.09.001_bib21","doi-asserted-by":"crossref","first-page":"1709","DOI":"10.3390\/jpm13121709","article-title":"A new approach to virtual occlusion in orthognathic surgery planning using mixed reality: a technical note and review of the literature","volume":"13","author":"Wilkat","year":"2023","journal-title":"J Pers Med"},{"key":"10.1016\/j.joms.2026.09.001_bib22","first-page":"278","article-title":"Automated digital dental articulation","volume":"13","author":"Xia","year":"2010","journal-title":"Med Image Comput Comput Assist Interv"},{"key":"10.1016\/j.joms.2026.09.001_bib23","doi-asserted-by":"crossref","first-page":"6322","DOI":"10.3390\/jcm15166322","article-title":"Development and preliminary technical validation of an interactive, surgeon-oriented framework for digital surgical occlusion planning in orthognathic surgery","volume":"15","author":"Gugliotta","year":"2026","journal-title":"J Clin Med"},{"key":"10.1016\/j.joms.2026.09.001_bib24","doi-asserted-by":"crossref","first-page":"1652","DOI":"10.1109\/TMI.2010.2049526","article-title":"An automatic and robust algorithm of reestablishment of digital dental occlusion","volume":"29","author":"Chang","year":"2010","journal-title":"IEEE Trans Med Imaging"},{"key":"10.1016\/j.joms.2026.09.001_bib25","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1016\/j.joms.2011.02.109","article-title":"In vitro evaluation of a new approach to digital dental model articulation","volume":"70","author":"Chang","year":"2012","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2026.09.001_bib26","first-page":"345","article-title":"An automatic approach to reestablish final dental occlusion for one-piece maxillary orthognathic surgery","volume":"11768","author":"Deng","year":"2019","journal-title":"Med Image Comput Comput Assist Interv"},{"key":"10.1016\/j.joms.2026.09.001_bib27","doi-asserted-by":"crossref","first-page":"1763","DOI":"10.1007\/s11548-020-02125-y","article-title":"An automatic approach to establish clinically desired final dental occlusion for one-piece maxillary orthognathic surgery","volume":"15","author":"Deng","year":"2020","journal-title":"Int J Comput Assist Radiol Surg"},{"key":"10.1016\/j.joms.2026.09.001_bib28","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1016\/j.ijom.2020.12.006","article-title":"Virtual occlusion in orthognathic surgery","volume":"50","author":"Baan","year":"2021","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.joms.2026.09.001_bib29","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s13005-020-00250-2","article-title":"Accuracy of virtual planning in orthognathic surgery: a systematic review","volume":"16","author":"Alkhayer","year":"2020","journal-title":"Head Face Med"},{"key":"10.1016\/j.joms.2026.09.001_bib30","doi-asserted-by":"crossref","first-page":"1348","DOI":"10.1016\/j.jcms.2024.03.007","article-title":"Fully digital occlusion planning in orthognathic surgery - a crossover study","volume":"52","author":"Sabev","year":"2024","journal-title":"J Craniomaxillofac Surg"},{"issue":"2","key":"10.1016\/j.joms.2026.09.001_bib31","doi-asserted-by":"crossref","first-page":"255","DOI":"10.2319\/120914-890.1","article-title":"Reliability of digital orthodontic setups","volume":"86","author":"Barreto","year":"2016","journal-title":"Angle Orthod"},{"key":"10.1016\/j.joms.2026.09.001_bib32","first-page":"153","article-title":"Who seeks surgical-orthodontic treatment?","volume":"5","author":"Proffit","year":"1990","journal-title":"Int J Adult Orthodon Orthognath Surg"},{"key":"10.1016\/j.joms.2026.09.001_bib33","first-page":"217","article-title":"Importance of the occlusal plane in virtual treatment planning","volume":"45","author":"Paquette","year":"2011","journal-title":"J Clin Orthod"},{"key":"10.1016\/j.joms.2026.09.001_bib34","doi-asserted-by":"crossref","first-page":"3771","DOI":"10.1007\/s00784-023-04993-5","article-title":"3D analysis of occlusal registration through geometry embedded library matching between quadrant and full-arch digital impression","volume":"27","author":"Jeong","year":"2023","journal-title":"Clin Oral Investig"},{"key":"10.1016\/j.joms.2026.09.001_bib35","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1001\/jamafacial.2013.2552","article-title":"Lower lateral cartilage repositioning: objective analysis using three-dimensional imaging","volume":"16","author":"Bared","year":"2014","journal-title":"JAMA Facial Plast Surg"},{"key":"10.1016\/j.joms.2026.09.001_bib36","first-page":"121","article-title":"Three-dimensional measurement of rhinoplasty results","volume":"47","author":"van Heerbeek","year":"2009","journal-title":"Rhinology"},{"key":"10.1016\/j.joms.2026.09.001_bib37","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00056-015-0001-5","article-title":"Precision of implementing virtual setups for orthodontic treatment using CAD\/CAM-fabricated custom archwires","volume":"77","author":"Muller-Hartwich","year":"2016","journal-title":"J Orofac Orthop"},{"key":"10.1016\/j.joms.2026.09.001_bib38","doi-asserted-by":"crossref","first-page":"809","DOI":"10.2319\/022717-147.1","article-title":"How accurate is Invisalign in nonextraction cases? Are predicted tooth positions achieved?","volume":"87","author":"Gr\u00fcnheid","year":"2017","journal-title":"Angle Orthod"},{"key":"10.1016\/j.joms.2026.09.001_bib39","doi-asserted-by":"crossref","first-page":"1771","DOI":"10.1007\/s00784-018-2609-5","article-title":"Changes in the facial soft-tissue profile after mandibular orthognathic surgery","volume":"23","author":"Rupperti","year":"2019","journal-title":"Clin Oral Investig"},{"key":"10.1016\/j.joms.2026.09.001_bib40","doi-asserted-by":"crossref","DOI":"10.1016\/j.jcms.2014.01.032","article-title":"Soft tissue response and facial symmetry after orthognathic surgery","volume":"42","author":"Wermker","year":"2014","journal-title":"J Craniomaxillofac Surg"},{"key":"10.1016\/j.joms.2026.09.001_bib41","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1007\/s00784-015-1574-5","article-title":"Short-term effects of systematic premolar extraction on lip profile, vertical dimension and cephalometric parameters in borderline patients for extraction therapy","volume":"20","author":"Kirschneck","year":"2016","journal-title":"Clin Oral Investig"}],"container-title":["Journal of Oral and Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0278239126009249?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0278239126009249?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T08:20:05Z","timestamp":1793866805000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0278239126009249"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":41,"alternative-id":["S0278239126009249"],"URL":"https:\/\/doi.org\/10.1016\/j.joms.2026.09.001","relation":{},"ISSN":["0278-2391"],"issn-type":[{"value":"0278-2391","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Virtual Occlusion Accuracy in Orthognathic Surgery: Challenges and Critical Limitations in Segmental Maxillary Planning","name":"articletitle","label":"Article Title"},{"value":"Journal of Oral and Maxillofacial Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.joms.2026.09.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}