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(a) Buccal incision − elevation of a full thickness vestibular flap with preservation of lingual mucoperiosteal attachment. (b) Two divergent vertical and one horizontal osteotomy are performed using Piezosurgery. (c) Distractor is removed to finalize the osteotomies. (d) Transport bone fragment is mobilized. (e) Distractor fixed into his initial position.
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