Clinical accuracy of waferless maxillary positioning using customized surgical guides and patient specific osteosynthesis in bimaxillary orthognathic surgery

The results demonstrate the high predictability of maxillary positioning by CAD/CAM fabricated customized surgical guides and patient specific osteosynthesis. Use of this new digital approach may achieve surgeon independent accuracy of maxillary positioning, facilitating resident training even in the treatment of complex malformations. The high costs, however, may restrict routine use of this technique.