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Related Experiment Video

Updated: May 31, 2026

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
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Mandibular midline distraction: a systematic review.

J P de Gijt1, K Vervoorn, E B Wolvius

  • 1Department of Oral and Maxillofacial surgery, Erasmus University Medical Centre Rotterdam, 's Gravendijkwal 230, Rotterdam, The Netherlands.

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
|July 2, 2011
PubMed
Summary
This summary is machine-generated.

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Mandibular midline distraction (MMD) is effective for transverse mandibular discrepancies. However, more research is needed on patient experience and quality of life due to low-quality evidence and existing controversies.

Area of Science:

  • Orthodontics
  • Oral and Maxillofacial Surgery
  • Biomedical Engineering

Background:

  • Mandibular midline distraction (MMD) is a treatment for transverse mandibular discrepancies.
  • Assessing MMD's effectiveness, difficulties, complications, and biomechanical effects is crucial.

Purpose of the Study:

  • To systematically review the effectiveness of MMD.
  • To evaluate treatment-related difficulties, complications, and biomechanical effects.
  • To objectively assess MMD as a treatment modality.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs), controlled clinical trials (CCTs), and case series.
  • Electronic searches of PubMed/Medline, Embase, Cochrane, and CENTRAL databases up to September 6th, 2010.
  • Inclusion criteria: MMD studies with a sample size >5.

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Main Results:

  • 22 articles met inclusion criteria from 85 unique articles identified.
  • Study designs included prospective (9), retrospective (9), and uncertain (2).
  • Low methodological quality was noted in most studies; only one CCT and zero RCTs were found.

Conclusions:

  • MMD is generally safe and effective for transverse mandibular discrepancies.
  • Controversies remain regarding distractor choice, surgical setting, distraction rate, orthodontic treatment timing, and relapse.
  • Further prospective trials are needed to address existing controversies and investigate patient experience and quality of life.