Horizontal alveolar transport distraction osteogenesis followed by implant placement

Uçkan, Sina; Senol, G.; Ogut, E.; Muftuoglu, G.

doi:10.1016/j.ijom.2018.11.001

Cited by 7 publications

(9 citation statements)

References 31 publications

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“…It also provides adequate bone tissue formation for the installation of osseointegrated implants and subsequent prosthetic rehabilitation. [ 7 8 ] There was no difficulty in performing the first surgical step with the distractor installation, and the surgical goal was achieved.…”

Section: Discussionmentioning

confidence: 99%

Distraction osteogenesis and customized temporomandibular joint prosthesis in the reconstruction of a large mandibular defect - A case report

Cavalcante¹,

Espinheira²,

Sardinha³

et al. 2021

Ann Maxillofac Surg

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The Rationale: Mandibular resections involve esthetic and functional impairment and impose a challenge during the reconstruction. This case report is a successful reconstruction with distraction osteogenesis (DO) and customized temporomandibular joint (TMJ) prosthesis. Patient Concerns: A 51-year-old male patient presented with a complaint of facial asymmetry, mastication, and speech difficulties. Diagnosis: As the patient had undergone a hemimandibulectomy procedure 20 years ago, clinical examination showed facial asymmetry. Radiographic examination exhibited the defect and a radiopaque image representing Kirschner's wire. Treatment: DO by bone transport was performed, followed by dental implant and TMJ prosthesis placement. Outcomes: DO is a viable treatment option in resections, even when the defect was generated by an ancient injury. The follow-up is around 7 years after the osteogenic distraction, with no complaints and functional capacity. Take-away Lessons: The major challenge in mandibular reconstructions through DO is to reproduce the curve of the arch.

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Section: Discussionmentioning

confidence: 99%

Distraction osteogenesis and customized temporomandibular joint prosthesis in the reconstruction of a large mandibular defect - A case report

Cavalcante¹,

Espinheira²,

Sardinha³

et al. 2021

Ann Maxillofac Surg

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“…Currently, there are various methods for reconstructing the bone tissue of the edentulous alveolar ridge to eliminate horizontal atrophy: plastic surgery using autogenous bone blocks [ 7 – 12 ], guided bone regeneration [ 13 – 16 ], alveolar ridge spreading technique [ 17 ], alveolar ridge splitting technique [ 18 – 21 ], distraction osteogenesis [ 22 ]. Despite the large number of research papers in both domestic and foreign literature, there is an ongoing discussion about choosing the most optimal method for achieving this goal.…”

Section: Introductionmentioning

confidence: 99%

Modified Two-Stage Split Technique for Controlled Ridge Augmentation in Horizontally Atrophic Posterior Mandible: the First Stage of Research

Korsakova¹,

Zhadobova²,

Клочков³

et al. 2020

Sovrem Tehnol Med

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Various bone grafting methods are applied to eliminate horizontal atrophy of the jaws. However, problem complexity brings about ongoing research and development of new ways to achieve the predicted stable and long-term results of implantological treatment. The aim of the study was to evaluate the results of the developed method for bone grafting, a modified two-stage split technique for controlled ridge augmentation in horizontally atrophic posterior mandible, using radiological analysis data. Materials and Methods. The study group included 18 patients with horizontally atrophic posterior mandible. According to cone beam computed tomography, 39 jaw segments were assessed before plastic surgery and after applying the two-stage split-crest technique for controlled ridge augmentation. The alveolar ridge width was estimated in the area of its top and at a distance of 1, 3, 5 mm from it using the vector of future implant position and taking into account the angle of inclination of the atrophic region of the mandible. Results. When analyzing edentulous areas in the posterior mandible before treatment, there was rather a large angle of lingual inclination of the alveolar ridge. After 6 months, the average increase in bone tissue width in the region of the alveolar ridge top was 82%, it was 50.6% at a height of 1 mm from the top of the crest, 58.8% at 3 mm height, 46.7% at 5 mm (p≤0.05). Certain patterns of bone tissue growth were revealed depending on the structure of the reconstructed area. The most significant results were obtained in the molar segments of the mandible. Conclusion. The developed modified two-stage split technique for alveolar ridge augmentation allows achieving the required volume of bone tissue in the posterior mandible for successful implant treatment.

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“…Reconstruction of maxillomandibular alveolar defects or atrophy is performed with various methods such as autologous onlay bone graft, guided bone regeneration, and alveolar distraction osteogenesis (DO). 1 In autologous bone graft, unpredictable resorption or graft failure for inadequate mucosal coverage may occur. 1 Alveolar DO can avoid donor site morbidity and is commonly applied as preimplant surgery.…”

mentioning

confidence: 99%

“… 1 In autologous bone graft, unpredictable resorption or graft failure for inadequate mucosal coverage may occur. 1 Alveolar DO can avoid donor site morbidity and is commonly applied as preimplant surgery. 1 , 2 , 3 As an alternative method to vertical alveolar DO, horizontal alveolar DO has been also applied to bone defects after marginal mandibulectomy or inferior maxillectomy.…”

mentioning

confidence: 99%

“… 1 Alveolar DO can avoid donor site morbidity and is commonly applied as preimplant surgery. 1 , 2 , 3 As an alternative method to vertical alveolar DO, horizontal alveolar DO has been also applied to bone defects after marginal mandibulectomy or inferior maxillectomy. 1 , 2 , 3 Although some patients with alveolar defects prefer removable prosthesis for the high costs of dental implant treatment, removable prosthesis is often unstable, especially in edentulous jaws.…”

mentioning

confidence: 99%

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Horizontal alveolar transport distraction osteogenesis to stabilize removable prosthesis after mandibular reconstruction

Iwai¹,

Sugiyama²,

Hirota³

et al. 2023

Journal of Dental Sciences

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Horizontal alveolar transport distraction osteogenesis followed by implant placement

Cited by 7 publications

References 31 publications

Distraction osteogenesis and customized temporomandibular joint prosthesis in the reconstruction of a large mandibular defect - A case report

Distraction osteogenesis and customized temporomandibular joint prosthesis in the reconstruction of a large mandibular defect - A case report

Modified Two-Stage Split Technique for Controlled Ridge Augmentation in Horizontally Atrophic Posterior Mandible: the First Stage of Research

Horizontal alveolar transport distraction osteogenesis to stabilize removable prosthesis after mandibular reconstruction

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