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Mandibular Advancement Using an Intra-Oral Osteogenic Distraction Technique: a report of three clinical cases

¹ Department of Orthodontics, Manchester University Dental Hospital, Manchester, UK
² Department of Orthodontics, Countess of Chester Hospital, Chester, UK
³ Department of Oral Surgeon, Blackburn Royal Infirmary, Lancashire, UK

C. R. Mattick, Orthodontic Dept., The Dental Hospital, Newcastle-upon-Tyne.

Abstract

Osteogenic distraction has been used for decades to lengthen limbs and now attention is focused upon its use within the craniofacial skeleton. This paper addresses distraction of the mandible. It is proposed that mandibular osteogenic distraction could be a possible adjunct to the orthodontic treatment of those adult patients with skeletal anomalies, who would benefit from combined orthodontic/orthognathic treatment. Three consecutive cases from one unit are presented, where adult patients with severe Class II division 1 malocclusions have undergone orthodontic treatment combined with mandibular osteogenic distraction, instead of conventional bilateral sagital split osteotomies.

Key words: Class II division 1, Distraction osteogenesis, Mandibular osteogenic distraction, Orthognathic surgery, Osteogenic distraction

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