Simultaneous Alveolar Cleft Closure and Dental Midline Correction with Curvilinear Intraoral Distraction

Abstract

This article describes a new method that enables vector control during alveolar distraction osteogenesis in the treatment of a cleft palate patient. The patient presented with unilateral complete cleft lip and palate, and the alveolar part of the defect was covered by a mobile buccal flap. The distraction was performed by sliding the surgically released tooth segment with the help of an intraoral distractor over 1.5-mm stainless steel archwires held by metal crowns. This vector-controlled method enabled new bone and attached gingiva formation in harmony with the proper alveolar shape.

Segmental Maxillary Distraction Osteogenesis With a Hybrid-Type Distractor in the Management of Wide Alveolar Cleft

“…In these studies, the denture is relatively aligned so that the tooth-borne distractor can be used. However, tooth-borne distraction has the potential of tooth tipping, even loosening (Erverdi et al, 2014). To minimize the pressure on the involved teeth, bone-borne distractor was designed.…”

“…Two types of distractors have been reported for dental alveolar DO. Tooth-borne DO is widely used in patients with bigger space (Erverdi et al, 2014). However, there are some complications such as tooth tipping and loosening.…”

Rekonstruktion des Zwischenkiefers mithilfe eines alveolären Distraktionsverfahrens

“…Das im Distraktionsgebiet neu gebildete Knochengewebe eignet sich gut als Implantatbett. Die extra starken Bogendrähte haben, im Vergleich mit früheren Versionen der Apparatur, bei denen ein Distraktor nur an einem festsitzenden Gerät befestigt war, mehr Rigidität und eine kontrollierte Bewegung der Zähne zur Folge [5,6]. Ein weiterer Vorteil dieses Verfahrens liegt in der Verwendung von zahngetragenen Distraktoren, da bei der Entfernung der Apparatur kein weiterer chirurgischer Eingriff erforderlich ist.…”

Dudak damak yarıklı hastalarda alveoler distraksiyon osteogenez uygulamaları: literatür derlemesi

“…Araştırıcıların diğer vaka raporunda da tek taraflı DDY hastasında metal kronlar ile kaplanmış olan dişlere 1.5 mm'lik çelik ark lehimlenmiş ve ağız içi distraktör bu çelik arka yerleştirildikten sonra cerrahi olarak serbestleştirilmiş olan segmentler bu ark rehberliğinde hareket ettirilmiştir. 49 Bu kontollü vektör metodu (vector-controlled method) ile yeni kemik yapımının ve yapışık dişeti formasyonunu sağladığı, uygun bir alveolar ark şeklinin elde edilebildiğini bildirmişlerdir. 48 …”