The DynaForm Intraoral Distractor developed by Guerrero and Bell is an example of a distraction appliance that can be universally adapted based on the clinical application (lengthening or widening) and anatomical location of the mandible (symphysis, corpus, or ramus). The device consists of a universal distractor frame connected to four flexible arms. The appliance includes two types of arm ends screw forks and screw rings, allowing further adaptation of the appliance based on the type of fixation (bone-borne, tooth-borne, or hybrid).
FIG. 3.3.17. DynaForm Intraoral Distractor (Stryker Leibinger, Kalamazoo, MI, USA) with two types of arm ends screw forks (top left) and screw rings (top right).