Use of a custom plate after large maxillary advancements with internal maxillary distraction: a novel approach

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Objective: To present a technique of placing custom patient specific bone plates (PSI) in patients after large maxillary advancement by distraction. Study Design: Two cases are used illustrating plate design with a single plate or 2 plates when an anterior pedicle is required. Result: Both patients went on to heal after large maxillary advancements and continued orthodontic management shortly after the PSIs were placed. Conclusions: . Virtual planning is the gold standard for planning a maxillary distraction. Placement of custom plates 1 month after distraction can shorten the period of consolidation, ensure stability, and improve the occlusal results.

Original languageEnglish
JournalOral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
StateAccepted/In press - 2022

Bibliographical note

Funding Information:
The author wishes to acknowledge the following individuals: Clark Priddy DDS, MD: former Chief resident now in private practice, St. Louis, MO, who suggested the procedure and participated in the management of the first patient and Ms Alex Pinkie: Biomedical Engineer (Materialize CMF US, Synthes CMF US Plymouth Michigan), without whose help this technique would not be possible. This paper is not under consideration for publication elsewhere and is approved by the author and tacitly or explicitly by the responsible at the University of Kentucky. If accepted, it will not be published elsewhere in the same form, in English or in any other language, including electronically without the written consent of the copyright holder. It was reviewed by the IRB of the University of Kentucky and is considered exempt.

Publisher Copyright:
© 2022 Elsevier Inc.

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Pathology and Forensic Medicine
  • Dentistry (miscellaneous)
  • Radiology Nuclear Medicine and imaging


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