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

Published:September 14, 2022DOI:



      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.


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


      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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