J Korean Assoc Maxillofac Plast Reconstr Surg.  2006 May;28(3):242-246.

Augmentation of maxillary anterior area using distraction osteogenesis: case report

• Kim HK
• Lee HJ
• Yeo DS
• Lim SY
• Ahn MR
• Sohn DS

Abstract

OBJECTIVE
This is to report the criteria of success of intraoral distraction osteogenesis for alveolar augmentation in the severely atrophied alveolar defects through clinical result of 2 cases.
SUBJECTS AND METHODS
Anterior segmental osteotomy was performed and alveolar distractors (Martin and Leibinger, Germany) were applied each in 2 patients with severely defected anterior maxillary area. The osteomized alveolar segments were distracted by 1mm a day after latency period. After the consolidation period implants were installed with removal of distractor. The implants were evaluated clinically and radiographically.
RESULTS
In Case I, the distracted bone was directed to the palatal side, and another augmentation treatment - block bone graft, guided bone regeneration - was needed. In Case II, the successful alveolar bone augmentation was achieved. Dental implant was placed on distracted alveolar bone, and showed good osseointegration and good function without any complication.
CONCLUSION
Distraction osteogenesis can be a good choice for alveolar ridge augmentation of severely atrophied ridges. However, the anterior esthetic prosthetics relies on the control of the vector, the kind of distractor, the healing capacity of patient and the etiology of atrophy. Therefore another study of each category would be needed.

Keyword

Distraction osteogenesis; Maxillary anterior esthetics

MeSH Terms

Alveolar Ridge Augmentation
Atrophy
Bone Regeneration
Dental Implants
Humans
Latency Period (Psychology)
Osseointegration
Osteogenesis, Distraction*
Osteotomy
Transplants
Dental Implants