A CAD/CAM Maxillary Guiding for Osteotomy, Drilling and Maxillary Positioning in Orthognathic Surgery: Accuracy Analysis.

Abstract Resin CAD/CAM guides for the maxilla are widely used and differ from custom miniplates essentially in that they do not have drill guides for screw fixation and use miniplates that must be modeled in surgery. To solve this problem, we have developed a new Maxillary guide bone-supported indicated for osteotomy, drilling, and maxillary positioning in orthognathic surgeries using standard modeled miniplates. In this study were included sixteen patients who had bimaxillary orthognathic surgery. The technique for its manufacturing is described, and its surgical accuracy was analyzed using the planning image (CT0) superimposed on the computed tomography scan post-treatment (CT1). The mean positional differences between pre-treatment and post-treatment were obtained Tri-dimensionally on the X, Y, and Z axes using four landmarks points: one bone (SNA), and three dentals (CI, RM, and LM). At Sixty-four points analyzed on the X axis of the four landmarks, only eight points were greater than 1 mm; 87.5 % of the deviations were