“…Especially, achieving the proper alignment/parallelism of the transcutaneous pins, EDI placement and accurate osteotomy are very difficult (Guruprasad and Hemavathy, 2012). Inaccuracy in the procedure results malocclusion (Behnia et al , 2013; Şençimen et al , 2014). Imprecise placement of pins results: tooth injury, damage to adjacent vital structures, inappropriate distraction vector and pin loosening (Neelakandan and Bhargava, 2012; Rachmiel et al , 2014).…”