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Biomedical subjects

L Franchi

Publications and source records attributed to L Franchi.

At least 19 recordsLinked to original sources

Silencing of SH-PTP2 defines a crucial role in the inactivation of epidermal growth factor receptor by 5-aminosalicylic acid in colon cancer cells.

Recent studies have suggested that 5-aminosalicylic acid (5-ASA) inhibits colorectal cancer (CRC) development. However, the mechanism underlying the antineoplastic effect of 5-ASA remains unknown. We here examined the effect of 5-ASA on epidermal growth factor receptor (EGFR) activation, a pathway that triggers mitogenic signals in CRC cells. We show that 5-ASA inhibits EGFR activation, through a mechanism that does not rely on CRC cell death induction. 5-ASA enhances the activity, but not expression, of phosphorylated (p)-EGFR-targeting phosphatases (PTPs), and treatment of cells with PTP inhibitors abrogates the 5-ASA-mediated EGFR dephosphorylation. Both SH-PTP1 and SH-PTP2 interact with EGFR upon 5-ASA treatment. However, knockdown of SH-PTP2 but not SH-PTP1 by small interference RNAs prevents the 5-ASA-induced EGFR dephosphorylation. Finally, we show that 5-ASA attenuates p-EGFR in ex vivo organ cultures of CRC explants. Data indicate that 5-ASA disrupts EGFR signalling by enhancing SH-PTP2 activity, and suggest a mechanism by which 5-ASA interferes with CRC growth.

Adenocarcinoma↗

Transverse maxillary deficiency in Class II and Class III malocclusions: a cephalometric and morphometric study on postero-anterior films.

UNLABELLED: AUTHORS: Franchi L, Baccetti T. OBJECTIVES: The aim of the present study is to evaluate the dentoskeletal features of subjects with either Class II or Class III malocclusions in the mixed dentition using both conventional cephalometric analysis and TPS morphometric analysis applied to posteroanterior (PA) cephalograms. DESIGN: TPS analyses of PA cephalograms on 49 Cl-II, and 20 Cl-III subjects. Tracings were done by hand. SETTING AND SAMPLE POPULATION: The Department of Orthodontics, University of Florence. OUTCOME MEASURE: Size and shape differences between Cl-II and Cl-III malocclusions. RESULTS: Maxillary width was smaller in both Cl-II and Cl-III subjects compared with normal as measured conventionally. The TPS analysis revealed transverse plane compression and extension in the vertical plane. CONCLUSION: In Cl-II and Cl-III subjects the maxillary width was smaller 2.5 and 4 mm, respectively. TPS analyses corroborate these findings.

Case-Control Studies↗

[Parathyroidectomy: bilateral exploration of the neck vs minimally invasive radioguided treatment].

AIM: In the therapy of primary hyperparathyroidism, the first surgical intervention, if efficacious, can remarkably reduce the incidence of persistence and relapses which are approximately about 5%. At present, the surgical approach of choice should involve the bilateral exploration of the neck. METHODS: In the light of the high sensibility (91%) and specificity (98.8%) in the localization of parathyroid adenomas obtained by the parathyroid 99mTc-MIBI scintigraphy, we submitted, prospective and at random, between January 2001 and July 2004, 69 patients with primary hyperparathyroidism, to a conventional surgical treatment (bilateral exploration of the neck: 35 patients) or minimally-invasive approach (minimally invasive radioguided parathyroidectomy: 34 patients). This method consists of the injection of 50 mCi of 99mTc Sestamibi 2 h before the operation and the execution of parathyroid scintigraphy. When the adenoma is evident, we perform an incision of about 4 cm in the neck, 2 cm over the jugulum and the surgical dissection is guided by a probe showing the emission of gamma rays. RESULTS: The parameters considered in order to compare the 2 groups, i.e. operating time, hospital stay and time of recovery were reduced in a significant way in the group submitted to the minimally invasive radioguided parathyroidectomy (MIRP). There were no complications in the 2 groups. In the follow-up we did not observe cases of persistence or relapses. CONCLUSIONS: Therefore, we can confirm that the minimally invasive radioguided parathyroidectomy is a safe and efficacious method as well as the bilateral exploration of the neck. Moreover, cost reduction may convince many surgeons to consider MIRP the < > in the management of primary hyperparathyroidism.

Adult↗

Changes in the blood coagulation, fibrinolysis, and cytokine profile during laparoscopic and open cholecystectomy.

BACKGROUND: It has long been known that a hypercoagulability state develops after surgery. A surge in circulating cytokine levels is also commonly found in the postoperative period. These cytokines have all been shown to be capable of inducing a hypercoagulability state. Recently laparoscopic cholecystectomy (LC) has been introduced, and its advantages over the open procedure seem related to the reduced surgical trauma. LC is associated with a diminished acute-phase response compared with the open procedure. Our present knowledge on the influence of laparoscopic upon coagulation and fibrinolysis is incomplete and based on a few studies. METHODS: The aim of this prospective, nonrandomized study was to investigate hemostatic system alterations in patients who undergo open and laparoscopic cholecystectomy. In addition we also measured the plasma cytokine profile to explore any relationship between changes in plasma cytokine levels and postoperative coagulation profile. Between September 1999 and April 2002, 71 patients were nonrandomly assigned to open (group 1) or laparoscopic cholecystectomy (group 2). All patients from group 1 were operated by a surgical team different from ours, who prefers the OC procedure. The patients with acute cholecystitis were excluded. Prothrombin fragment 1.2 (F1.2), thrombin-antithrombin (TAT), fibrinogen, soluble fibrin, antithrombin III (AT), protein C, plasminogen, and D-dimer levels were measured at baseline and at 1, 24, 48, and 72 h postoperatively. Serial serum levels of IL-1beta and IL-6 were measured by colorimetric enzyme-linked immunosorbent assay (ELISA). RESULTS: Plasma levels of F1.2, TAT, fibrinogen, soluble fibrin, and D-dimer increased significantly in group 1. Plasma levels of AT, protein C, and plasminogen decreased in both groups. In the OC group, the serum IL-3 and IL-6 levels began to significantly increased as early as 1 h from the beginning of the operation, revealing a peak at the sixth hour. When IL-6 and IL-1 levels were markedly elevated also, F1.2, fibrinogen, and soluble fibrin levels were increased. CONCLUSIONS: Only mild hypercoagulability was observed in patients who had undergone laparoscopic cholecystectomy. The cytokine surge was correlated with hypercoagulability. There was in fact a positive correlation between IL-6 level and hypercoagulability. The correlation between cytokine levels and coagulation activation may be related to the type of surgery performed. Further studies are required to investigate these issues.

Adult↗

Circadian regulation of the light input pathway in Neurospora crassa.

FREQUENCY (FRQ) is a critical element of the circadian system of Neurospora. The white collar genes are important both for light reception and circadian function. We show that the responsiveness of the light input pathway is circadianly regulated. This circadian modulation extends to light-inducible components and functions that are not rhythmic themselves in constant conditions. FRQ interacts genetically and physically with WHITE COLLAR-1, and physically with WHITE COLLAR-2. These findings begin to address how components of the circadian system interact with basic cellular functions, in this case with sensory transduction.

Circadian Rhythm↗

A fungus among us: the Neurospora crassa circadian system.

Neurospora crassa is the only molecular genetic model system for circadian rhythms research in the fungi. Its strengths as a model organism lie in its relative simplicity--compared to photosynthesizing and vertebrate organisms, it is a stripped-down version of life. It forms syncitial hyphae, propagates and reproduces, and the circadian clock is manifest in numerous processes therein. As with other model circadian systems, Neurospora features a transcription/translation feedback loop that is fundamental to an intact circadian system. The molecular components of this loop converge with those of blue light photoreception, thus bringing the clock and one of its input pathways together.

Circadian Rhythm↗

Thin-plate spline analysis of mandibular growth.

The analysis of mandibular growth changes around the pubertal spurt in humans has several important implications for the diagnosis and orthopedic correction of skeletal disharmonies. The purpose of this study was to evaluate mandibular shape and size growth changes around the pubertal spurt in a longitudinal sample of subjects with normal occlusion by means of an appropriate morphometric technique (thin-plate spline analysis). Ten mandibular landmarks were identified on lateral cephalograms of 29 subjects at 6 different developmental phases. The 6 phases corresponded to 6 different maturational stages in cervical vertebrae during accelerative and decelerative phases of the pubertal growth curve of the mandible. Differences in shape between average mandibular configurations at the 6 developmental stages were visualized by means of thin-plate spline analysis and subjected to permutation test. Centroid size was used as the measure of the geometric size of each mandibular specimen. Differences in size at the 6 developmental phases were tested statistically. The results of graphical analysis indicated a statistically significant change in mandibular shape only for the growth interval from stage 3 to stage 4 in cervical vertebral maturation. Significant increases in centroid size were found at all developmental phases, with evidence of a prepubertal minimum and of a pubertal maximum. The existence of a pubertal peak in human mandibular growth, therefore, is confirmed by thin-plate spline analysis. Significant morphological changes in the mandible during the growth interval from stage 3 to stage 4 in cervical vertebral maturation may be described as an upward-forward direction of condylar growth determining an overall "shrinkage" of the mandibular configuration along the measurement of total mandibular length. This biological mechanism is particularly efficient in compensating for major increments in mandibular size at the adolescent spurt.

Adolescent↗

Treatment timing for rapid maxillary expansion.

The aim of this study was to evaluate the short-term and long-term treatment effects of rapid maxillary expansion in 2 groups of subjects treated with the Haas appliance. Treatment outcomes were evaluated before and after the peak in skeletal maturation, as assessed by the cervical vertebral maturation (CVM) method, in a sample of 42 patients compared to a control sample of 20 subjects. Posteroanterior cephalograms were analyzed for the treated subjects at T1 (pretreatment), T2 (immediate post-expansion) and T3 (long-term observation), and were available at T1 and at T3 for the controls. The mean age (years: months) at T1 was 11:10 for both the treated and the control groups. The mean ages at T3 also were comparable (20:6 for the treated group and 17:8 for the controls). Following expansion and retention (2 months on average), fixed standard edgewise appliances were placed. The study included transverse measurements on dentoalveolar structures, maxillary and mandibular bases and other craniofacial regions (nasal, zygomatic, orbital, and cranial). Treated and control samples were divided into 2 groups according to individual skeletal maturation. The early-treated and early-control groups had not reached the pubertal peak in skeletal growth velocity at T1 (CVM 1 to 3), whereas the late-treated and late-control groups were during or slightly after the peak at T1 (CVM 4 to 6). The group treated before the pubertal peak showed significantly greater short-term increases in the width of the nasal cavities. In the long-term, maxillary skeletal width, maxillary intermolar width, lateronasal width, and lateroorbitale width were significantly greater in the early-treated group. The late-treated group exhibited significant increases in lateronasal width and in maxillary and mandibular intermolar widths. Rapid Maxillary Expansion treatment before the peak in skeletal growth velocity is able to induce more pronounced transverse craniofacial changes at the skeletal level.

Adolescent↗

Treatment timing for Twin-block therapy.

This cephalometric study evaluated skeletal and dentoalveolar changes induced by the Twin-block appliance in 2 groups of subjects with Class II malocclusion treated at different skeletal maturation stages in order to define the optimal timing for this type of therapy. Skeletal maturity in individual patients was assessed on the basis of the stages of cervical vertebrae maturation. The early-treated group was composed of 21 subjects (11 females and 10 males). Mean age of these subjects at time 1 (immediately before treatment) was 9 years +/- 11 months, and at time 2 (immediately after discontinuation of the Twin-block appliance) was 10 years 2 months +/- 11 months. According to the cervical vertebrae maturation staging at times 1 and 2, the peak in growth velocity was not included in the treatment period for any of the subjects in the early group. The late-treated group consisted of 15 subjects (6 females and 9 males). Mean age of this group was 12 years 11 months +/- 1 year 2 months at time 1 and 14 years 4 months +/- 1 year 3 months at time 2. In the late group, treatment was performed during or slightly after the onset of the pubertal growth spurt. Both treated samples were compared with control samples consisting of subjects with untreated Class II malocclusions also selected on the basis of the stage in cervical vertebrae maturation. A modification of Pancherz's cephalometric analysis was applied to the lateral cephalograms of all examined groups at both time periods. Linear and angular measurements for mandibular dimensions, cranial base angulation, and vertical relationships were added to the original analysis. Annualized differences for all the variables from time 1 to time 2 were calculated for both treated groups and contrasted to the annualized differences in the corresponding untreated groups by means of nonparametric statistics. The findings of this short-term cephalometric study indicate that optimal timing for Twin-block therapy of Class II disharmony is during or slightly after the onset of the pubertal peak in growth velocity. When compared with treatment performed before the peak, late Twin-block treatment produces more favorable effects that include: (1) greater skeletal contribution to molar correction, (2) larger increments in total mandibular length and in ramus height, and (3) more posterior direction of condylar growth, leading to enhanced mandibular lengthening and to reduced forward displacement of the condyle in favor of effective skeletal changes. The importance of the biological evaluation of skeletal maturity in individual patients with Class II disharmony to be treated with functional appliances is emphasized.

Age Factors↗

Mandibular growth as related to cervical vertebral maturation and body height.

The purpose of this study was to analyze the validity of 6 stages of cervical vertebral maturation (Cvs1 through Cvs6) as a biologic indicator for skeletal maturity in 24 subjects (15 females, 9 males). The method was able to detect the greatest increment in mandibular and craniofacial growth during the interval from vertebral stage 3 to vertebral stage 4 (Cvs3 to Cvs4), when the peak in statural height also occurred. The prevalence rate of examined subjects who presented with the peak in body height at this interval was 100% for boys and 87% for girls. Statural height and total mandibular length (Co-Gn) showed significant increments during the growth interval Cvs3 to Cvs4 when compared with the growth interval Cvs2 to Cvs3, and significant growth deceleration occurred during the interval Cvs4 to Cvs5 when compared with Cvs3 to Cvs4. Ramus height (Co-Goi) and S-Gn also showed significant deceleration of growth during the interval Cvs4 to Cvs5 when compared with Cvs3 to Cvs4. Cervical vertebral maturation appears to be an appropriate method for the appraisal of mandibular skeletal maturity in individual patients on the basis of a single cephalometric observation and without additional x-ray exposure. The accuracy of the cervical vertebral method in the detection of the onset of the pubertal spurt in mandibular growth provides helpful indications concerning treatment timing of mandibular deficiencies.

Adolescent↗

Treatment and posttreatment craniofacial changes after rapid maxillary expansion and facemask therapy.

The aim of this study was to evaluate treatment and posttreatment dentoskeletal changes in 2 groups of subjects with Class III malocclusions. Subjects were treated with a bonded acrylic-splint expander and a face mask, and the optimal timing for this treatment protocol was assessed. The treated sample (29 subjects) was divided into 2 groups according to the stage of dental development. The early treatment group consisted of 16 subjects in the early mixed dentitional (erupting permanent incisors and/or first molars), whereas the late treatment group consisted of 13 subjects in the late mixed dentition (erupting permanent canines and premolars). Cephalograms were available at 3 time periods: T(1), pretreatment, T(2), end of active treatment, and T(3), posttreatment. The mean T(1)-T(2) interval (active treatment period) and the mean T(2)-T(3) interval (posttreatment period) were approximately 1 year each in both treatment groups. None of the patients wore any skeletal retention appliance during the posttreatment period (T(2)-T(3)). Groups of subjects with untreated Class III malocclusion were used as controls at both observation intervals. A significant increase in the sagittal growth of the maxilla was seen only when treatment was performed in the early mixed dentition. A restraining effect on mandibular growth rate associated with a more upward and forward direction of condylar growth was found in both treatment groups. An increase in vertical intermaxillary relationships was observed in Class III patients treated in the late mixed dentition. Posttreatment, the Class III craniofacial growth pattern was re-established in the absence of any skeletal retention appliance. Relapse tendency affects the sagittal growth of the maxilla in the early treated subjects and the sagittal position of the mandible in the late treated subjects. Orthopedic treatment of Class III malocclusion in the early mixed dentition is able to induce more favorable craniofacial adaptations than treatment in the late mixed dentition.

Age Factors↗

Role of a white collar-1-white collar-2 complex in blue-light signal transduction.

Mutations in either white collar-1 (wc-1) or white collar-2 (wc-2) lead to a loss of most blue-light-induced phenomena in Neurospora crassa. Sequence analysis and in vitro experiments show that WC-1 and WC-2 are transcription factors regulating the expression of light-induced genes. The WC proteins form homo- and heterodimers in vitro; this interaction could represent a fundamental step in the control of their activity. We demonstrate in vivo that the WC proteins are assembled in a white collar complex (WCC) and that WC-1 undergoes a change in mobility due to light-induced phosphorylation events. The phosphorylation level increases progressively upon light exposure, producing a hyperphosphorylated form that is degraded and apparently replaced in the complex by a newly synthesized WC-1. WC-2 is unmodified and also does not change quantitatively in the time frame examined. Light-dependent phosphorylation of WC-1 also occurs in a wc-2 mutant, suggesting that a functional WC-2 is dispensable for this light-specific event. These results suggest that light-induced phosphorylation and degradation of WC-1 could play a role in the transient expression of blue-light-regulated genes. Our findings suggest a mechanism by which WC-1 and WC-2 mediate light responses in Neurospora.

Animals↗

Treatment and posttreatment effects of acrylic splint Herbst appliance therapy.

This study evaluated the skeletal and dentoalveolar changes induced by acrylic splint Herbst therapy of Class II malocclusion. The treated group comprised 55 subjects with Class II malocclusion treated with the acrylic splint Herbst appliance followed by comprehensive edgewise therapy. The mean age at Time 1 (immediately before treatment) was 12 years and 10 months +/- 1 year and 2 months. The mean age at Time 2 (immediately after debonding of the Herbst appliance) and Time 3 (posttreatment) was 13 years and 10 months +/- 1 year and 2 months and 15 years and 2 months +/- 1 year and 4 months, respectively. The two control groups were one group of 30 subjects with untreated Class II malocclusion and another group of 33 subjects with Class I occlusion. The three groups were homogeneous as to the stage of maturation of cervical vertebrae at all observation times. A modification of Pancherz's cephalometric analysis was applied to the lateral cephalograms of the three groups at Time 1, Time 2, and Time 3. Linear and angular measurements for mandibular dimensions, cranial base angulation, and vertical relationships were added to the original analysis. Differences for all the variables from Time 1 to Time 2 (active treatment effects), from Time 2 to Time 3 (posttreatment effects), and from Time 1 to Time 3 (overall treatment effects) were calculated for the treated group and contrasted to corresponding differences of both untreated groups by means of ANOVA (P <.05). The study showed that two thirds of the achieved occlusal correction was due to skeletal effects and only one third to dentoalveolar adaptations. Both skeletal and dentoalveolar effects were due mainly to changes in mandibular structures. A significant amount of relapse in molar relationship occurred during the posttreatment period, and this change could be ascribed to the mesial movement of the upper molars.

Acrylic Resins↗

Reduced E-cadherin expression correlates with unfavorable prognosis in adenoid cystic carcinoma of salivary glands of the oral cavity.

Reduced expression of E-cadherin (E-cad), a transmembrane glycoprotein, is associated with loss of differentiation, acquisition of an invasive phenotype, and an unfavorable prognosis in carcinomas from several sites. We used immunohistochemistry to study the expression of E-cad in 50 adenoid cystic carcinomas (ACCs) in salivary glands to evaluate correlations with clinicopathologic parameters and patient survival. Absent or low E-cad expression was observed more frequently in solid than in cribriform or tubular carcinomas. E-cad expression also was significantly correlated with histologic grade and the growth pattern. In addition, ACCs showing low or absent E-cad expression were more frequently larger than 4 cm in diameter, and distant metastases developed more frequently. Reduced expression correlated with shorter disease-free intervals and actuarial survival rates. Univariate and multivariate analysis identified tumor stage and E-cad expression as the only 2 parameters predictive of the disease-free interval. E-cad expression and tumor stage, grade, and type of growth were significant prognostic factors for survival in univariate analysis, while tumor stage, type of growth, and E-cad expression were the only significant covariates in multivariate analysis. These findings indicate that the loss of E-cad has an important role in the natural history of ACC, as it is associated with loss of differentiation and development of metastases. We also provide evidence that E-cad expression is an independent indicator of clinical aggressiveness in patients with ACC, together with clinical stage and type of growth at the periphery of the tumor.

Adult↗

Thin-plate spline analysis of treatment effects of rapid maxillary expansion and face mask therapy in early Class III malocclusions.

An effective morphometric method (thin-plate spline analysis) was applied to evaluate shape changes in the craniofacial configuration of a sample of 23 children with Class III malocclusions in the early mixed dentition treated with rapid maxillary expansion and face mask therapy, and compared with a sample of 17 children with untreated Class III malocclusions. Significant treatment-induced changes involved both the maxilla and the mandible. Major deformations consisted of forward displacement of the maxillary complex from the pterygoid region and of anterior morphogenetic rotation of the mandible, due to a significant upward and forward direction of growth of the mandibular condyle. Significant differences in size changes due to reduced increments in mandibular dimensions were associated with significant shape changes in the treated group.

Case-Control Studies↗

Shape-coordinate analysis of skeletal changes induced by rapid maxillary expansion and facial mask therapy.

The aim of this study was to evaluate maxillary and mandibular shape/size changes by means of Bookstein's shape-coordinate and tensor analysis in children with Class III malocclusions treated with rapid maxillary expansion and a facial mask in order to define optimum timing of intervention for this type of therapy. The treated group (46 subjects, 26 females and 20 males) was divided into two subgroups according to the stage of dentitional development. The early-treated group consisted of 23 subjects treated in the early mixed dentition (mean age at Time 1, 6 years 9 months +/- 7 months); the late-treated group included 23 subjects treated in the late mixed dentition (mean age at Time 1, 10 years 3 months +/- 1 year). The mean treatment period was about 11 months. The control group (32 subjects with untreated Class III malocclusion, 18 females and 14 males) also was divided into two subgroups (an early control group, 17 subjects in the early mixed dentition, and a late control group, 15 subjects in the late mixed dentition). Maxillary triangles (point T, the most superior point of the anterior wall of sella turcica, point FMN, the fronto-maxillary-nasal suture, and point A) and mandibular triangles (point Condylion, point Gonion, and point Pogonion) were digitized on cephalograms in both groups at Time 1 and Time 2. Combined facial mask and rapid maxillary expansion therapy produced a significant enhancement of the forward growth of the maxilla and significantly more upward and forward direction of growth of the mandibular condyle (leading to smaller increments in mandibular total length, Co-Pg) in the early-treated group when compared with controls and to the late-treated group. Both maxillary size and mandibular size were significantly affected by treatment in the early mixed dentition. The results of this study indicate that orthopedic treatment of Class III malocclusion induces favorable size and shape changes both in the maxilla and mandible, and that this combined treatment approach is more effective in the early mixed dentition than in the late mixed dentition.

Age Factors↗

Skeletal effects of early treatment of Class III malocclusion with maxillary expansion and face-mask therapy.

The effectiveness of maxillary expansion and face-mask therapy in children with Class III malocclusion was studied in a sample of 46 subjects in mixed dentition and compared with a control sample of 32 subjects with untreated Class III malocclusion. Treated and untreated samples were divided into early and late mixed-dentition groups to aid identification of the optimum timing of the orthopedic treatment of the underlying skeletal disharmony. Cephalometric analysis was based on a stable basicranial reference system, appropriate for longitudinal studies started in the early developmental ages. The level of significance for intergroup comparisons was set at a p value of 0.01. Significant forward displacement of the maxillary complex was found in the early-treatment group. The region of the pterygomaxillary suture, in particular, showed significant changes in the subjects treated during early mixed dentition. No significant maxillary modifications were recorded in the late-treatment group. Both early and late groups exhibited smaller increments in mandibular protrusion and larger increments in the intermaxillary vertical relationship compared with their respective Class III control groups. Only children treated at an early age, however, showed a significant upward and forward direction of condylar growth, leading to smaller increments in total mandibular length. These results indicate that the combination of a bonded maxillary expander and face-mask therapy is more effective in early mixed dentition than in late mixed dentition, especially with regard to the magnitude of the protraction effects on maxillary structures.

Age Factors↗

Cephalometric floating norms for North American adults.

Floating norms provide a method of analysis that uses the variability of the associations among suitable cephalometric measures, on the basis of a regression model combining both sagittal and vertical skeletal parameters. This study establishes floating norms for the description of the individual skeletal pattern in North American adults. The method is based on the correlations among the following craniofacial measurements: SNA, SNB, NL-NSL, ML-NSL, and NSBa. The results are given in a graphical box-like form. This easy, practical procedure allows for the identification of either individual harmonious craniofacial features or anomalous deviations from the individual norm. The use of cephalometric floating norms may be helpful for diagnosis and treatment planning in orthognathic surgery and dentofacial orthopedics.

Adult↗