Front-block technical note: dental and bone borne distractors

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.