Surgical cutting guide for orthognathic anterior segmental subapical surgery

Anterior segmental subapical osteotomy of the jaw carries surgical risks such as damage to adjacent dental roots and nerves. 1 Haas Junior O.L. Guijarro-Martinez R. de Sousa Gil A.P. et al. Stability and surgical complications in segmental Le Fort I osteotomy: a systematic review. Int J Oral Maxillofac Surg. 2017; 46: 1071-1087 Abstract Full Text Full Text PDF PubMed Scopus (24) Google Scholar The use of a surgical cutting guide will help in achieving the desired plane of osteotomies that were planned during the virtual surgical planning. The guide will ensure the best osteotomy planes intraoperatively and avoids iatrogenic damage to adjacent structures. This will also allow for a better fit of the anterior segment to the mandible with minimal adjustments, thus reducing the duration of the operation. Here, we present the sequence of designing a surgical cutting guide for a segmental osteotomy.