Piezoelectric Distraction Osteogenesis in the Atrophic Maxillary Anterior Area: A Case Report

Abstract

The reconstruction of a maxillary anterior dentoalveolar defect in patients with trauma has been a challenge for surgeons. Extensive loss of bone and teeth in the anterior maxilla presents a complex problem for reconstruction. This is owing to the difficulty in achieving complete closure using overlying soft tissue. Tension-free sutures cannot be used after a large bone graft because the overlying soft tissue on severe bone defects of the anterior maxilla is often deficient and is attached to the underlying atrophic bone by scarring. Distraction osteogenesis provides a method to regain both hard tissue and soft tissue without any grafting. We describe a patient who had severe maxillary anterior bony defects that were restored by means of piezoelectric distraction osteogenesis, followed by dental implant placement. Clinical, radiological, and histological results showed that the reconstruction was successful.

The Use of an Ultrasonic Bone Curette in the Surgery of Jaw Tumors Involving the Inferior Alveolar Nerve

“…González-García et al 32 Lee et al 33 González-García et al 34 Sivolella et al 35 Removal of osseointegratedimplants Leclercq et al 25…”

Distraction Osteogenesis of Iliac Bone Graft as a Reconstruction After Central Giant Cell Granuloma Curettage

“…4 Distraction osteogenesis has been used for many years with good results. 5 The technique has become popular and has been applied to maxillofacial region as a treatment to anteroposterior maxillaries and alveolar deficiency. The alveolar distraction technique seems to produce more rapid, predictable, and permanent outcomes compared with other regeneration techniques, according to initial reports of its clinical application.…”