Surgical and orthodontic considerations for distraction osteogenesis with ROD appliances.

Tooth-borne/hybrid distraction devices offer a new approach for intraoral DO and better control of the distracted bony segments. These appliances also offer a unique characteristic by using the teeth as reference points for obtaining parallelism of the distraction devices to each other and to the vector of distraction in bilateral cases. More studies may be needed for long-term evaluation of the obtained results with intraoral distraction devices as well as biomechanical analysis of stress distribution throughout the mandible after distraction.