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Research Library · Independent literature review

Oral & maxillofacial / craniofacial: VR and AR surgical planning research

The library holds 29 Oral & maxillofacial / craniofacial studies, published 2017–2026; 14 of them since 2024.

Study designs: 1 randomized trial, 5 comparative or prospective studies, 2 retrospective studies, 1 survey or user study, 6 reviews and 14 case reports, case series and technical reports.

Oral & maxillofacial / craniofacial: studies by questionBar chart. Oral & maxillofacial / craniofacial: studies by question. Accuracy 13, Time 8, Anatomy understanding 7, Prefer 3D planning 6, Department adoption 5, Resident training 4, Patient understanding 3.RESEARCH LIBRARY · INDEPENDENT LITERATURE REVIEWOral & maxillofacial / craniofacial:studies by question29 studies in the libraryAccuracy13Time8Anatomy understanding7Prefer 3D planning6Department adoption5Resident training4Patient understanding3Positive findingMixedDescriptiveNo significant differenceRealize Medical Research Library · 631 studies · updated 2026-10-03

Key findings by question

Quoted from the studies. Each question lists the studies that report on it.

Do surgeons actually want to plan in 3D?

Of 6 studies with a finding on this question: 4 report a positive finding, 2 descriptive. These reflect what each study's authors report.

  • Positive finding
    “The mixed reality environment provides an intuitive and flexible experience for setting surgical occlusion, eliminating the need for costly 3D-printed physical models or the automatic calculations required by other virtual occlusion methods, thereby offering maximum freedom.”

    Wilkat 2024 · Comparative study · n: 30 cases

  • Positive finding
    “Three-dimensional VR is a useful preoperative planning and intraoperative guidance tool.”

    Bradley 2019 · Retrospective case series · n: 4 patients

  • Positive finding
    “VR surgical planning is feasible and provides several advantages over traditional surgical planning approaches, such as improved scan visualization, simplified user interface, and shorter planning sessions.”

    Banerjee 2025 · Case report · n: 1 patient

Does it improve anatomical understanding?

Of 7 studies with a finding on this question: 5 report a positive finding, 1 descriptive, 1 no significant difference. These reflect what each study's authors report.

  • Positive finding
    “In planning, immersive three-dimensional visualisation improves spatial understanding and supports waferless, guide-based, and patient-specific workflows.”

    Klimaszewski 2026 · Narrative review

  • Positive finding
    “This review found consensus that VR/AR in plastic and craniomaxillofacial surgery has been used to enhance surgeons' knowledge of patient-specific anatomy and potentially facilitated decreased intraoperative time via preoperative planning.”

    Kaplan 2023 · Systematic review

  • Positive finding
    “They provided both comprehensive visualization of 3D spatial relationships and novel means to perform VSP and virtual face transplantation by interacting with and manipulating patient-specific, anatomic holograms.”

    Cho 2021 · Case report · n: 1 patient

Does it save time?

Of 8 studies with a finding on this question: 4 report a positive finding, 1 mixed, 3 descriptive. These reflect what each study's authors report.

  • Positive finding
    “The total workflow time for MR technology was significantly shorter compared to the conventional method.”

    Dubron 2025 · Comparative study · n: 10 cases

  • Positive finding
    “The average operative time in the traditional CT guidance group was 300 minute versus 134 minutes in the 3D VR group.”

    Bradley 2019 · Retrospective case series · n: 4 patients

  • Positive finding
    “MR technology significantly improves OGS planning efficiency by providing pre-surgical information and serving as an intraoperative navigation tool, reducing surgical time without compromising outcomes.”

    Stevanie 2024 · Systematic review

Oral & maxillofacial / craniofacial studies on this questionAll specialties

Is the planning accurate?

Of 13 studies with a finding on this question: 12 report a positive finding, 1 descriptive. These reflect what each study's authors report.

  • Positive finding
    “The accuracy of perforator localization was 75.7% for HHD, 85.3% for CTA-guide, and 91.2% for CTA-MR; sensitivity was 87.5%, 90.6%, and 96.9%, respectively.”

    Zhu 2026 · Comparative study · n: 12 patients

  • Positive finding
    “Between modalities, no significant differences were found; HD and RMSE were 2.95 ± 0.94 mm and 1.28 ± 0.49 mm.”

    Tsuchiya 2025 · Comparative study · n: 11 orbital fractures

  • Positive finding
    “Moreover, treatment planning using MR was significantly more accurate (p = .028), with participants reporting a higher mean global satisfaction score compared to the conventional group (80.6% vs. 72.5%).”

    Dubron 2025 · Comparative study · n: 10 cases

Does it help train residents?

Of 4 studies with a finding on this question: 1 report a positive finding, 3 descriptive. These reflect what each study's authors report.

  • Positive finding
    “VR-based educational tools provided better visualization and understanding of craniofacial trauma compared to conventional 2- or 3-dimensional images.”

    Dubron 2023 · Systematic review

  • Descriptive
    “In addition, VR glasses seem to be a promising innovation to help in the training of surgical residents and to teach students.”

    Bartella 2019 · Survey/user study · n: 3 cases

  • Descriptive
    “Virtual reality/AR technology offers significant potential in various aspects, including student education, resident evaluation, surgical planning, and overall surgical implementation.”

    Stucki 2024 · Narrative review

Does it help patients understand?

Of 3 studies with a finding on this question: 1 report a positive finding, 2 descriptive. These reflect what each study's authors report.

  • Positive finding
    “In patient communication, patient-specific VR, AR, and MR visualisations improve understanding and satisfaction and reduce anxiety during informed consent.”

    Klimaszewski 2026 · Narrative review

  • Descriptive
    “Patients allowed to interact with VR have been engaged, which would aid their treatment acceptance and patient education.”

    Arias-Amezquita 2024 · Case series · n: 2 patients

  • Descriptive
    “The data sets were demonstrated to the patient in mixed reality for immersive patient education and enhanced shared decision making.”

    Wilkat 2023 · Technical note · n: 1 patient

Will my department actually use it?

Of 5 studies with a finding on this question: 1 mixed, 4 descriptive. These reflect what each study's authors report.

  • Mixed
    “XR offers tangible benefits across the OMFS pathway, yet evidence is constrained by small heterogeneous studies, registration and ergonomic challenges, novelty bias, and limited long-term clinical data.”

    Klimaszewski 2026 · Narrative review

  • Descriptive
    “These preliminary findings suggest that NED-based preshaping may be feasible; however, larger studies are required to confirm whether VR can achieve performance comparable to 3D-printed models.”

    Tsuchiya 2025 · Comparative study · n: 11 orbital fractures

  • Descriptive
    “However, its widespread adoption in practice is hindered by factors such as the need for further research, cost concerns, unfamiliarity among current educators, and the necessity for technological improvement.”

    Stucki 2024 · Narrative review

Studies (29)

Randomized crossover study of immersive planning in craniomaxillofacial trauma comparing virtual reality and workstation workflows #

Pargätzi GY et al. · Scientific reports · 2026

Oral & maxillofacial / craniofacial · Randomized crossover · n: 15 participants; 5 CT datasets · Used Elucis

“Both platforms received equivalent ratings for anatomical structure recognition and physical fatigue.”

DOIPubMedFree full text

Comparative evaluation of mixed reality, CTA-based digital guide, and hand-held Doppler for anterolateral thigh perforator localization in head and neck reconstruction #

Zhu H et al. · International journal of oral and maxillofacial surgery · 2026

Oral & maxillofacial / craniofacial · Comparative study · n: 12 patients

“The accuracy of perforator localization was 75.7% for HHD, 85.3% for CTA-guide, and 91.2% for CTA-MR; sensitivity was 87.5%, 90.6%, and 96.9%, respectively.”

91.2%

DOIPubMed

Preliminary Study on the Accuracy Comparison Between 3D-Printed Bone Models and Naked-Eye Stereoscopy-Based Virtual Reality Models for Presurgical Molding in Orbital Floor Fracture Repair #

Tsuchiya M et al. · Applied Sciences · 2025

Oral & maxillofacial / craniofacial · Comparative study · n: 11 orbital fractures

“Between modalities, no significant differences were found; HD and RMSE were 2.95 ± 0.94 mm and 1.28 ± 0.49 mm.”

DOI

Validation of mixed reality in planning orbital reconstruction with patient-specific implants #

Dubron K et al. · Scientific reports · 2025

Oral & maxillofacial / craniofacial · Comparative study · n: 10 cases

“The total workflow time for MR technology was significantly shorter compared to the conventional method.”

DOIPubMedFree full text

Accuracy and Precision of Mandible Segmentation and Its Clinical Implications: Virtual Reality, Desktop Screen and Artificial Intelligence #

Gruber LJ et al. · Expert Systems with Applications · 2024

Oral & maxillofacial / craniofacial · Comparative study · Used Elucis

DOIFree full text

Enhancing surgical occlusion setting in orthognathic surgery planning using mixed reality technology: a comparative study #

Wilkat M et al. · Clinical oral investigations · 2024

Oral & maxillofacial / craniofacial · Comparative study · n: 30 cases

“The mixed reality environment provides an intuitive and flexible experience for setting surgical occlusion, eliminating the need for costly 3D-printed physical models or the automatic calculations required by other virtual occlusion methods, thereby offering maximum freedom.”

DOIPubMedFree full text

Quantitative Asymmetry Assessment between Virtual and Mixed Reality Planning for Orthognathic Surgery - A Retrospective Study #

Hsiao YC et al. · Symmetry · 2021

Oral & maxillofacial / craniofacial · Retrospective cohort

“There was no significant difference, except the symmetry index of the anterior deviation angle between the virtual and mixed reality planning in the 3D asymmetry assessment.”

DOI

Intraoperative Three-dimensional Virtual Reality and Computed Tomographic Guidance in Temporomandibular Joint Arthroplasty of Syndromic Craniofacial Dysostoses #

Bradley D et al. · Plastic and reconstructive surgery. Global open · 2019

Oral & maxillofacial / craniofacial · Retrospective case series · n: 4 patients

“No statistically significant differences were found among the age, complications, or inpatient hospitalization times.”

DOIPubMedFree full text

Virtual reality in preoperative imaging in maxillofacial surgery: implementation of "the next level"? #

Bartella AK et al. · The British journal of oral & maxillofacial surgery · 2019

Oral & maxillofacial / craniofacial · Survey/user study · n: 3 cases

“In addition, VR glasses seem to be a promising innovation to help in the training of surgical residents and to teach students.”

DOIPubMed

AUGMENTED, VIRTUAL AND MIXED REALITY IN ORAL AND MAXILLOFACIAL SURGERY: A REVIEW OF SURGICAL TRAINING, NAVIGATION AND PATIENT-CENTERED APPLICATIONS #

Klimaszewski S et al. · International Journal of Innovative Technologies in Social Science · 2026

Oral & maxillofacial / craniofacial · Narrative review

“In planning, immersive three-dimensional visualisation improves spatial understanding and supports waferless, guide-based, and patient-specific workflows.”

DOI

The use of virtual reality and augmented reality in oral and maxillofacial surgery: A narrative review #

Stucki J et al. · Oral surgery, oral medicine, oral pathology and oral radiology · 2024

Oral & maxillofacial / craniofacial · Narrative review

“Virtual reality/AR technology offers significant potential in various aspects, including student education, resident evaluation, surgical planning, and overall surgical implementation.”

DOIPubMed

Advanced outcomes of mixed reality usage in orthognathic surgery: a systematic review #

Stevanie C et al. · Maxillofacial plastic and reconstructive surgery · 2024

Oral & maxillofacial / craniofacial · Systematic review

“The main results indicated that the use of MR technology in OGS led to high accuracy and time reduction as primary outcomes and cost-effectiveness and skill improvement as secondary outcomes.”

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Virtual Reality and Augmented Reality in Plastic and Craniomaxillofacial Surgery: A Scoping Review #

Kaplan N et al. · Bioengineering (Basel, Switzerland) · 2023

Oral & maxillofacial / craniofacial · Systematic review

“This review found consensus that VR/AR in plastic and craniomaxillofacial surgery has been used to enhance surgeons' knowledge of patient-specific anatomy and potentially facilitated decreased intraoperative time via preoperative planning.”

DOIPubMedFree full text

Augmented and Virtual Reality for Preoperative Trauma Planning, Focusing on Orbital Reconstructions: A Systematic Review #

Dubron K et al. · Journal of clinical medicine · 2023

Oral & maxillofacial / craniofacial · Systematic review

“AR was demonstrated to ameliorate the accuracy and precision of the incision and enable the better identification of deep anatomical tissues in real time.”

DOIPubMedFree full text

The application of virtual reality and augmented reality in Oral & Maxillofacial Surgery #

Ayoub A, Pulijala Y · BMC oral health · 2019

Oral & maxillofacial / craniofacial · Narrative review

“Virtual planning improved the accuracy of inserting dental implants using either a statistic guidance or dynamic navigation.”

DOIPubMedFree full text

Beyond the Desktop: XR-Driven Segmentation with Meta Quest 3 and MX Ink #

Faray de Paiva L et al. · arXiv (Cornell University) · 2025

Oral & maxillofacial / craniofacial · Preprint (technical development)

“A user study with a public craniofacial CT dataset demonstrated the tool's foundational viability, achieving a System Usability Scale (SUS) score of 66, within the expected range for medical applications.”

66

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Secondary Reconstruction of Panfacial Fractures With Virtual Reality Surgical Planning Using Both Pre and Postreconstruction Scans #

Bou Zeid N et al. · The Journal of craniofacial surgery · 2025

Oral & maxillofacial / craniofacial · Case series · n: 2 patients

DOIPubMed

Virtual Reality Planning for Mandible Reconstruction: A Case Report #

Banerjee AR et al. · Plastic and reconstructive surgery. Global open · 2025

Oral & maxillofacial / craniofacial · Case report · n: 1 patient

“VR planning was completed directly by the surgeon without engineer assistance, with a total planning time of 5 minutes.”

5 minutes

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Virtual Reality Planning in Reconstructive Surgery for Orbital Prosthetic Rehabilitation Using ImmersiveTouch Platform: Preliminary Report #

Arias-Amezquita E et al. · The Journal of craniofacial surgery · 2024

Oral & maxillofacial / craniofacial · Case series · n: 2 patients

“It takes, on average, 10 minutes to place 4 implants in the virtual reality space.”

10 minutes

DOIPubMed

Novel Use of Virtual Reality and Augmented Reality in Temporomandibular Total Joint Replacement Using Stock Prosthesis #

Niloy I et al. · Journal of oral and maxillofacial surgery · 2024

Oral & maxillofacial / craniofacial · Case series · n: 2 patients

“The average differences in the positioning of the condylar and fossa prosthesis are 1.252 ± 0.269 mm and 1.393 ± 0.335 mm, respectively.”

1.252 ± 0.269 mm

DOIPubMed

Show the other 9 studies

Advantages of a Training Course for Surgical Planning in Virtual Reality for Oral and Maxillofacial Surgery: Crossover Study #

Ulbrich M et al. · JMIR serious games · 2023

Oral & maxillofacial / craniofacial · Crossover study · n: 6 novices; 13 fibulae + 13 os coxae each (312 models)

DOIPubMedFree full text

Usage of Object Matching Algorithms Combined with Mixed Reality for Enhanced Decision Making in Orbital Reconstruction-A Technical Note #

Wilkat M et al. · Journal of personalized medicine · 2023

Oral & maxillofacial / craniofacial · Technical note · n: 1 patient

“The results could be visualized by mixed reality devices to further enhance surgical decision-making.”

DOIPubMedFree full text

A New Approach to Virtual Occlusion in Orthognathic Surgery Planning Using Mixed Reality-A Technical Note and Review of the Literature #

Wilkat M et al. · Journal of personalized medicine · 2023

Oral & maxillofacial / craniofacial · Technical note

DOIPubMedFree full text

Accurate Mandible Reconstruction by Mixed Reality, 3D Printing, and Robotic-Assisted Navigation Integration #

Han JJ et al. · The Journal of craniofacial surgery · 2022

Oral & maxillofacial / craniofacial · Technical note

“In conclusion, the authors integrated the 3 technologies and constructed a new digital surgical procedure to improve surgical accuracy and simplify the procedure comparing with traditional surgery.”

DOIPubMedFree full text

Same-day Virtual Reality Surgical Planning and Intraoperative Navigation: A New Surgical Workflow for Craniofacial Trauma and Reconstruction #

Mathis S et al. · Plastic and reconstructive surgery. Global open · 2021

Oral & maxillofacial / craniofacial · Conference abstract

“Data import, segmentation, and reduction of fractures within VR took on average approximately 5 minutes, and transfer of the plan to the navigation platform took 4 minutes.”

5 minutes

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Mixed Reality and 3D Printed Models for Planning and Execution of Face Transplantation #

Cho KH et al. · Annals of surgery · 2021

Oral & maxillofacial / craniofacial · Case report · n: 1 patient

“Holographic models required less time and cost for fabrication.”

DOIPubMed

Mixed reality in oral and maxillofacial surgery: a symbiosis of virtual and augmented reality or a pointless technological gadget? #

Bartella AK et al. · International journal of computerized dentistry · 2021

Oral & maxillofacial / craniofacial · Case report · n: 1 patient

“MR showed good results during preoperative planning for a surgically extensive case in terms of displaying 3D structures and enhancing the physical and virtual interactions among the examiners.”

PubMed

Holographic Surgical Planning and Telementoring for Craniofacial Surgery #

Cho K et al. · Plastic and Reconstructive Surgery - Global Open · 2019

Oral & maxillofacial / craniofacial · Conference abstract

“Holograms provided enhanced visualization of 3-dimensional spatial relationships and depth perception within and between anatomic structures which could not be observed by the conventional 2-dimensional display monitors.”

DOIFree full text

Abstract: Craniofacial Surgical Planning with Augmented Reality: Accuracy of Linear 3D Cephalometric Measurements on 3D Holograms #

Cho K et al. · Plastic and Reconstructive Surgery - Global Open · 2017

Oral & maxillofacial / craniofacial · Conference abstract

“There was no significant bias between two methods used and 95% of the values were within the limits of the agreement.”

95%

DOIFree full text

Browse the whole library

Summarises published research on VR/AR surgical planning across all platforms. Not product labelling. For Elucis indications see /elucis.

Intended for healthcare professionals.

Summaries and quotes describe each study's methods and the findings its authors report. They are not claims by Realize Medical and may contain errors: please read the original paper. Inclusion is not an endorsement of any product or use.