Intraoral mandibular distraction osteogenesis

Advantages of symphyseal distraction in the treatment of Brodie’s Syndrome

“…Moreover, one of the advantages of this therapy is that orthodontic treatment can be simultaneously performed with anterior distraction. Furthermore, no long-term neuro-sensory damage has been reported 13,29 .…”

“…Before the end of the period of consolidation, they recommend that the practitioner use xrays to check the quality of the osseous callus formation. They stipulate that an early movement can lead to a periodontal defect, an osseous defect and even the loss of a tooth 8,11,13,14 . Whereas others advocate an early reactivation, namely from 5 days to 2 weeks following the end of the activations of the device 3,4,11,23,29 .…”

“…This versatile surgical technique can be adapted to any defect including the three axes (anterior-posterior, transverse and vertical) 13 . In addition, it allows for the extraction of the wisdom teeth, genioplasties and concurrent expansion of the upper maxillary 9,11,14,21 .…”

“…In addition, it allows for the extraction of the wisdom teeth, genioplasties and concurrent expansion of the upper maxillary 9,11,14,21 . Minimally invasive, this short-term procedure is predictable and does not require any bone grafting and therefore entails no morbidity at the donor site [7][8][9]13 . Symphyseal distraction eliminates extractions and compensatory vestibuloversions, and allows the practitioner to harmonize the arch and at the same time diminishes the risk of relapse and periodontal complications 9,13 .…”

“…Minimally invasive, this short-term procedure is predictable and does not require any bone grafting and therefore entails no morbidity at the donor site [7][8][9]13 . Symphyseal distraction eliminates extractions and compensatory vestibuloversions, and allows the practitioner to harmonize the arch and at the same time diminishes the risk of relapse and periodontal complications 9,13 . Of course, there may be mobility of the teeth close to the osteotomy site secondary to inflammation, but it is temporary 11,16 .…”