J Korean Assoc Maxillofac Plast Reconstr Surg.  2010 Sep;32(5):459-466.

Alveolar Bone Distraction Osteogenesis at Maxillary Anterior Region for Forward-Downward Movement

• Yang HJ
• Lee SY
• Hwang SJ

Abstract

Alveolar distraction osteogenesis (ADO) has been regarded as an acceptable treatment for the alveolar bone deficiency. For ADO at anterior maxillary area, the vector should be oriented to forward and downward direction to get an adequate occlusion with mandibular teeth and to increase bone length and width for implant placement. However, the conventional commercial distraction devices for ADO are designed to allow mainly downward movement of alveolar segment, even though a forward movement can be obtained a little by controlling of inclination of device. To make ADO with controllable bidirectional vector possible, we used customized devices using self-manufactured ABDUL (Alveolar Bone Distractor Using Lag screw principle) and commercial orthodontic palatal expansion device (Hyrex(R)). In all cases (n = 4), ADO could be performed successfully and dental implants were able to placed with adequate occlusion. We report the procedures, advantages and disadvantages of these methods.

Keyword

Distraction osteogenesis device; Maxillary anterior alveolar bone atrophy; Bidirectional movement

MeSH Terms

Carotenoids
Dental Implants
Osteogenesis, Distraction
Oxygenases
Tooth
Carotenoids
Dental Implants
Oxygenases