Model surgery prediction for mandibular midline distraction osteogenesis

Abstract

Mandibular midline distraction osteogenesis is available as a treatment option for the correction of mandibular transverse arch deficiency. A model surgery technique is presented here through a case report that will allow the surgeon to predict the amount of transverse expansion that can be gained by this procedure. Utilizing measurements from a three-dimensional stereolithography model, the mandibular cast is mounted on a semi-adjustable articulator. The maxillary model is mounted onto the articulator using an interocclusal record. Acrylic straps are fabricated that relate the condylar elements of the articulator to the right and left mandibular dental segments. The mandibular model is sectioned at the midline, the hemi-mandibular segments are rotated laterally until the desired midline expansion is achieved and the mandibular model is luted into its new position. The post-expansion relationship of the maxillary and mandibular arches can be visualized on the articulator and provide useful information to the surgeon and orthodontist.