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Use of a Custom plate following large maxillary advancements with internal maxillary distraction: A Novel Approach

Published:September 14, 2022DOI:https://doi.org/10.1016/j.oooo.2022.09.007

      Abstract

      Objective

      To present a technique of placing custom patient specific bone plates (PSI) in patients following large maxillary advancement by distraction.

      Study Design

      Two cases are used illustrating plate design with a single plate or two plates when an anterior pedicle is required.

      Result

      Both the patients went on to heal following large maxillary advancements and continued orthodontic management shortly after the PSI/s were placed.

      Conclusions

      Virtual planning is the gold standard for the planning a maxillary distraction. Placement of custom plates one month following distraction can shorten the period of consolidation, ensure stability, and improve the occlusal results.
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