title: A new palatal distractor device for bodily movement of maxillary bones by rigid self-locking miniplates and screws system.
abstract: METHODS
  A new palatal distractor device for bodily movement of the maxillary bones after complete segmented Le Fort I osteotomy for 1-stage transversal distraction and tridimensional repositioning on 1 patient is presented. The new distractor has an intrinsic tridimensional rigidity also in the fixation system by self-locking miniplates and screws for better control of the 2 maxillary fragments during distraction.
  
  
  RESULTS
  Le Fort I distraction and repositioning procedure in association with a bilateral sagittal split osteotomy were performed on 1 patient with complete solution of the cross-bite and class III malocclusion. Results of dental and cephalometric analysis performed before surgery (T1), after surgery and distraction time (T2), and 18 months after surgery and orthodontic appliance removal (T3) are reported.
  
  
  CONCLUSIONS
  No complications were encountered using the new distractor device. Advantages of this device and technique are presented including improved rigidity of both distraction (jackscrew) and fixation (4 self-locking miniplates and screws) systems resulting in complete control of the position of the 2 maxillary fragments during distraction and surgery. In addition, this new device allows resuming palatal distraction in the event of cross-bite relapse without causing dental-related problems or the risks of screw slackening.
authors.affiliation: Department of Medicine and Surgery, University of Salerno, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Cortese
authors.forename: Mauro
authors.initials: M
authors.lastname: Savastano
authors.forename: Antonio
authors.initials: A
authors.lastname: Cantone
authors.forename: Pier Paolo
authors.initials: PP
authors.lastname: Claudio
mesh_terms: D001860:Bone Plates; D001863:Bone Screws; D002508:Cephalometry; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008310:Malocclusion / Q000601:surgery*; D008313:Malocclusion, Angle Class III / Q000601:surgery*; D008437:Maxilla / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000295:instrumentation*; D019340:Osteotomy, Le Fort / Q000295:instrumentation*; D010159:Palate / Q000601:surgery*; D012008:Recurrence; D016896:Treatment Outcome; D055815:Young Adult