Splintless Orthognathic Surgery using Virtual Planning and Patient Specific Printed Titanium Cutting Guides and Osteosynthesis Plates: A case report and review of the technology

Virtual planning is increasingly used in orthognathic surgery and offers a number of advantages over conventional techniques. One of the difficulties however is reproducing these planned movements in accurately executed surgery. A number of techniques have previously been proposed in the literature to remove the reliance on occlusal wafers when positioning osteotomised bone segments, these include the use of tooth or tissue born cutting and or positioning guides. We describe the use of patient specific tissue born cutting guides and osteosynthesis plates in a segmental maxillary osteotomy and genioplasty.

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