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Journal of Stomatology Oral and Maxillofacial Surgery
Volume 120, n° 2
pages 143-146 (avril 2019)
Doi : 10.1016/j.jormas.2018.10.015
Received : 30 Mars 2018 ;  accepted : 28 October 2018
Technical Notes

Front-block technical note: dental and bone borne distractors

R. Castro , F. Afota, I. Saint-Surin, C. Savoldelli
 Service d’O.R.L, chirurgie orale et maxillo-faciale, Pr J. Santini and Pr L. Castillo, institut universitaire de la face et du cou (IUFC), CHU de Pasteur, 31, avenue de Valombrose, 06100 Nice. France 

Corresponding author at: 12, rue Sabater, 13007 Marseille, France.12, rue SabaterMarseille13007France

Orthognathic surgical technique of segmental osteogenesis distraction of the anterior mandible alveolar process (front-block) was introduced by Triaca and al. in 2001 [2] including lower incisors. The technical note describes distraction process used both, dental-borne distractor and bone-borne distractor. A genioplasty plate was used as a bone-borne distractor. The main point here is that distraction depends on two distraction vectors, a dental one and an alveolar one. It provides good stability and controlled segmental osteogenesis translation and allows sufficient alveolar segmental transport without loading the teeth too heavily.

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Keywords : Distraction osteogenesis, Segmental distraction, Alveolar process, Front-block, Orthognatic surgery

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