Related Experiment Video
Updated: May 27, 2026
07:11
Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants
Published on: May 23, 2020
Three dimensional distraction osteogenesis of the midface: orthodontic considerations
1Orthodontic and Craniofacial Center, Rambam Health Care Campus, Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel. aizenbud@ortho.co.il
Annals of the Royal Australasian College of Dental Surgeons
|November 12, 2011
Summary
Three-dimensional Le Fort I distraction osteogenesis (DO) effectively repositions the maxilla without bone grafts, offering improved aesthetics and speech outcomes. This technique is ideal for patients with significant soft tissue limitations and maxillary deficiency.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Craniofacial Reconstruction
Background:
- Maxillary deficiency presents challenges in conventional orthodontic and orthognathic surgery.
- Existing techniques may involve bone grafting or lead to soft tissue complications.
- Limited options exist for significant maxillary repositioning, especially with prior surgical scarring.
Purpose of the Study:
- To evaluate the efficacy of three-dimensional Le Fort I distraction osteogenesis (DO) for maxillary advancement.
- To assess the technique's suitability for patients with soft tissue limitations and varying skeletal maturity.
- To compare aesthetic and speech outcomes with traditional orthognathic procedures.
Main Methods:
- Three-dimensional Le Fort I osteotomy followed by gradual maxillary distraction.
- Application in pediatric and adult patients with maxillary deficiency.
- Assessment of soft tissue adaptation, aesthetic results, and speech function.
Main Results:
- Successful selective widening, lengthening, and vertical repositioning of the maxilla.
- Good adaptation of surrounding soft tissues without the need for bone grafts.
- Improved aesthetic outcomes and reduced risk of speech deterioration compared to conventional methods.
Conclusions:
- Three-dimensional Le Fort I DO is a valuable complementary tool for managing maxillary deficiency.
- It is the technique of choice for patients needing significant maxillary repositioning and those with soft tissue limitations.
- The procedure offers enhanced aesthetics and functional benefits across pediatric and adult populations.
