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A treatment algorithm for mandibular reconstructions on the basis of our results is presented. A treatment algorithm for mandibular reconstructions on the basis of our results is presented. To explore and evaluate the application of a surgical guide in the extraction of impacted mesiodentes. Patients with impacted mesiodentes approachable from the labial side of the maxilla were randomly divided into three groups. The surgical guide for group I was made using cone beam computed tomography (CBCT) and dental cast, whereas the surgical gu