Dentate transport discs can be used to reconstruct large segmental mandibular defects
Identifieur interne : 001B58 ( Main/Exploration ); précédent : 001B57; suivant : 001B59Dentate transport discs can be used to reconstruct large segmental mandibular defects
Auteurs : Mohammed E. Elsalanty [États-Unis] ; Veera Malavia [États-Unis] ; Ibrahim Zakhary [États-Unis] ; Timothy Mulone [États-Unis] ; Elias D. Kontogiorgos [États-Unis] ; Paul C. Dechow [États-Unis] ; Lynne A. Opperman [États-Unis]Source :
- Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [ 0278-2391 ] ; 2014.
Descripteurs français
- KwdFr :
- Animaux, Arcade dentaire (), Chiens, Conception d'appareillage, Densité osseuse (physiologie), Denture, Imagerie tridimensionnelle (), Maladies mandibulaires (), Mandibule (), Matériaux biocompatibles (), Microtomographie aux rayons X (), Mâchoire édentée (), Mâle, Ostéogenèse par distraction (), Ostéogenèse par distraction (instrumentation), Plaques orthopédiques, Procédures de chirurgie reconstructive (), Procédures de chirurgie reconstructive (instrumentation), Régénération osseuse (physiologie), Taille d'organe, Tissu de granulation (anatomopathologie), Titane (), Tomodensitométrie à faisceau conique (), Études de faisabilité.
- MESH :
- anatomopathologie : Tissu de granulation.
- physiologie : Densité osseuse, Régénération osseuse.
- Animaux, Arcade dentaire, Chiens, Conception d'appareillage, Denture, Imagerie tridimensionnelle, Maladies mandibulaires, Mandibule, Matériaux biocompatibles, Microtomographie aux rayons X, Mâchoire édentée, Mâle, Ostéogenèse par distraction, Plaques orthopédiques, Procédures de chirurgie reconstructive, Taille d'organe, Titane, Tomodensitométrie à faisceau conique, Études de faisabilité.
English descriptors
- KwdEn :
- Animals, Biocompatible Materials (chemistry), Bone Density (physiology), Bone Plates, Bone Regeneration (physiology), Cone-Beam Computed Tomography (methods), Dental Arch (surgery), Dentition, Dogs, Equipment Design, Feasibility Studies, Granulation Tissue (pathology), Imaging, Three-Dimensional (methods), Jaw, Edentulous (surgery), Male, Mandible (surgery), Mandibular Diseases (surgery), Organ Size, Osteogenesis, Distraction (instrumentation), Osteogenesis, Distraction (methods), Reconstructive Surgical Procedures (instrumentation), Reconstructive Surgical Procedures (methods), Titanium (chemistry), X-Ray Microtomography (methods).
- MESH :
- chemical , chemistry : Biocompatible Materials, Titanium.
- instrumentation : Osteogenesis, Distraction, Reconstructive Surgical Procedures.
- methods : Cone-Beam Computed Tomography, Imaging, Three-Dimensional, Osteogenesis, Distraction, Reconstructive Surgical Procedures, X-Ray Microtomography.
- pathology : Granulation Tissue.
- physiology : Bone Density, Bone Regeneration.
- surgery : Dental Arch, Jaw, Edentulous, Mandible, Mandibular Diseases.
- Animals, Bone Plates, Dentition, Dogs, Equipment Design, Feasibility Studies, Male, Organ Size.
Abstract
This study tests the use of a dentate transport segment for the reconstruction of a large U-shaped defect in the anterior segment of the canine mandible, using a novel curved reconstruction plate. The quality and quantity of bone regenerate formed by dentate versus edentulous transport segments was compared.
In five adult foxhound dogs, a defect of 70–75 mm was created in the canine mandible by excising the mandible anterior to the right and left 4th premolars. Reconstruction was done by trifocal distraction osteogenesis using a bone transport reconstruction plate (BTRP-02™), with two transport units being activated simultaneously, one on either side of the defect, one dentate and one edentulous. Bilateral distraction proceeded at a rate of 1mm/day until the segments docked against each other in midline. After 39–44 days consolidation, the animals were euthanized. The quantity and quality of bone regeneration on both sides were compared using micro-computed tomography.
The defect reconstruction was successful. The amount and quality of bone formed by the transport segments was similar on both sides. There were no significant differences in the bone volume fraction and density of the regenerate bone formed by the two transport segments. The bone volume fraction and density of the regenerate was significantly lower than that of the host bone in the distal segments, likely due to the short consolidation period.
Bone transport remains a viable option in reconstructing anterior segmental defects in the mandible. The use of either dentate or edentulous transport segments for reconstruction provides options for the surgeon in often highly compromised patients requiring these surgeries.
Url:
DOI: 10.1016/j.joms.2014.12.002
PubMed: 25661502
PubMed Central: 4369471
Affiliations:
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Elsalanty</name><affiliation wicri:level="2"><nlm:aff id="A1">Associate Professor, Department of Oral Biology and Oral and Maxillofacial Surgery, College of Dental Medicine, Georgia Regents University, Augusta, GA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>Associate Professor, Department of Oral Biology and Oral and Maxillofacial Surgery, College of Dental Medicine, Georgia Regents University, Augusta</wicri:cityArea></affiliation></author><author><name sortKey="Malavia, Veera" sort="Malavia, Veera" uniqKey="Malavia V" first="Veera" last="Malavia">Veera Malavia</name><affiliation wicri:level="2"><nlm:aff id="A2">Graduate Student, Department of Biomedical Sciences, Texas A&M University Baylor College of Dentistry, Dallas, TX; Current address: Nova Southeastern University College of Dental Medicine, Fort-Lauderdale-Davie, FL</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Graduate Student, Department of Biomedical Sciences, Texas A&M University Baylor College of Dentistry, Dallas, TX; Current address: Nova Southeastern University College of Dental Medicine, Fort-Lauderdale-Davie</wicri:cityArea></affiliation></author><author><name sortKey="Zakhary, Ibrahim" sort="Zakhary, Ibrahim" uniqKey="Zakhary I" first="Ibrahim" last="Zakhary">Ibrahim Zakhary</name><affiliation wicri:level="2"><nlm:aff id="A3">Senior Research Associate, Department of Oral Biology, College of Dental Medicine, Georgia Regents University, Augusta, GA; Current address: Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Detroit Mercy School of Dentistry, Detroit, MI</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>Senior Research Associate, Department of Oral Biology, College of Dental Medicine, Georgia Regents University, Augusta, GA; Current address: Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Detroit Mercy School of Dentistry, Detroit</wicri:cityArea></affiliation></author><author><name sortKey="Mulone, Timothy" sort="Mulone, Timothy" uniqKey="Mulone T" first="Timothy" last="Mulone">Timothy Mulone</name><affiliation wicri:level="2"><nlm:aff id="A4">Owner, Craniotech ACR Devices, LLC, Dallas, TX</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Owner, Craniotech ACR Devices, LLC, Dallas</wicri:cityArea></affiliation></author><author><name sortKey="Kontogiorgos, Elias D" sort="Kontogiorgos, Elias D" uniqKey="Kontogiorgos E" first="Elias D." last="Kontogiorgos">Elias D. Kontogiorgos</name><affiliation wicri:level="2"><nlm:aff id="A5">Associate Professor, Department of Restorative Sciences, Texas A&M University Baylor College of Dentistry, Dallas, TX</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Associate Professor, Department of Restorative Sciences, Texas A&M University Baylor College of Dentistry, Dallas</wicri:cityArea></affiliation></author><author><name sortKey="Dechow, Paul C" sort="Dechow, Paul C" uniqKey="Dechow P" first="Paul C." last="Dechow">Paul C. Dechow</name><affiliation wicri:level="2"><nlm:aff id="A6">Professor, Department of Biomedical Sciences, Director, Technology Development, Texas A&M University Baylor College of Dentistry, Dallas, TX</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Professor, Department of Biomedical Sciences, Director, Technology Development, Texas A&M University Baylor College of Dentistry, Dallas</wicri:cityArea></affiliation></author><author><name sortKey="Opperman, Lynne A" sort="Opperman, Lynne A" uniqKey="Opperman L" first="Lynne A." last="Opperman">Lynne A. Opperman</name><affiliation wicri:level="2"><nlm:aff id="A6">Professor, Department of Biomedical Sciences, Director, Technology Development, Texas A&M University Baylor College of Dentistry, Dallas, TX</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Professor, Department of Biomedical Sciences, Director, Technology Development, Texas A&M University Baylor College of Dentistry, Dallas</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</title><idno type="ISSN">0278-2391</idno><idno type="eISSN">1531-5053</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Animals</term><term>Biocompatible Materials (chemistry)</term><term>Bone Density (physiology)</term><term>Bone Plates</term><term>Bone Regeneration (physiology)</term><term>Cone-Beam Computed Tomography (methods)</term><term>Dental Arch (surgery)</term><term>Dentition</term><term>Dogs</term><term>Equipment Design</term><term>Feasibility Studies</term><term>Granulation Tissue (pathology)</term><term>Imaging, Three-Dimensional (methods)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Mandibular Diseases (surgery)</term><term>Organ Size</term><term>Osteogenesis, Distraction (instrumentation)</term><term>Osteogenesis, Distraction (methods)</term><term>Reconstructive Surgical Procedures (instrumentation)</term><term>Reconstructive Surgical Procedures (methods)</term><term>Titanium (chemistry)</term><term>X-Ray Microtomography (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Animaux</term><term>Arcade dentaire ()</term><term>Chiens</term><term>Conception d'appareillage</term><term>Densité osseuse (physiologie)</term><term>Denture</term><term>Imagerie tridimensionnelle ()</term><term>Maladies mandibulaires ()</term><term>Mandibule ()</term><term>Matériaux biocompatibles ()</term><term>Microtomographie aux rayons X ()</term><term>Mâchoire édentée ()</term><term>Mâle</term><term>Ostéogenèse par distraction ()</term><term>Ostéogenèse par distraction (instrumentation)</term><term>Plaques orthopédiques</term><term>Procédures de chirurgie reconstructive ()</term><term>Procédures de chirurgie reconstructive (instrumentation)</term><term>Régénération osseuse (physiologie)</term><term>Taille d'organe</term><term>Tissu de granulation (anatomopathologie)</term><term>Titane ()</term><term>Tomodensitométrie à faisceau conique ()</term><term>Études de faisabilité</term></keywords><keywords scheme="MESH" type="chemical" qualifier="chemistry" xml:lang="en"><term>Biocompatible Materials</term><term>Titanium</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tissu de granulation</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Osteogenesis, Distraction</term><term>Reconstructive Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cone-Beam Computed Tomography</term><term>Imaging, Three-Dimensional</term><term>Osteogenesis, Distraction</term><term>Reconstructive Surgical Procedures</term><term>X-Ray Microtomography</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Granulation Tissue</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Densité osseuse</term><term>Régénération osseuse</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Bone Density</term><term>Bone Regeneration</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Dental Arch</term><term>Jaw, Edentulous</term><term>Mandible</term><term>Mandibular Diseases</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Animals</term><term>Bone Plates</term><term>Dentition</term><term>Dogs</term><term>Equipment Design</term><term>Feasibility Studies</term><term>Male</term><term>Organ Size</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Animaux</term><term>Arcade dentaire</term><term>Chiens</term><term>Conception d'appareillage</term><term>Denture</term><term>Imagerie tridimensionnelle</term><term>Maladies mandibulaires</term><term>Mandibule</term><term>Matériaux biocompatibles</term><term>Microtomographie aux rayons X</term><term>Mâchoire édentée</term><term>Mâle</term><term>Ostéogenèse par distraction</term><term>Plaques orthopédiques</term><term>Procédures de chirurgie reconstructive</term><term>Taille d'organe</term><term>Titane</term><term>Tomodensitométrie à faisceau conique</term><term>Études de faisabilité</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title><p id="P1">This study tests the use of a dentate transport segment for the reconstruction of a large U-shaped defect in the anterior segment of the canine mandible, using a novel curved reconstruction plate. The quality and quantity of bone regenerate formed by dentate versus edentulous transport segments was compared.</p></sec><sec id="S2"><title>Methods</title><p id="P2">In five adult foxhound dogs, a defect of 70–75 mm was created in the canine mandible by excising the mandible anterior to the right and left 4<sup>th</sup> premolars. Reconstruction was done by trifocal distraction osteogenesis using a bone transport reconstruction plate (BTRP-02™), with two transport units being activated simultaneously, one on either side of the defect, one dentate and one edentulous. Bilateral distraction proceeded at a rate of 1mm/day until the segments docked against each other in midline. After 39–44 days consolidation, the animals were euthanized. The quantity and quality of bone regeneration on both sides were compared using micro-computed tomography.</p></sec><sec id="S3"><title>Results</title><p id="P3">The defect reconstruction was successful. The amount and quality of bone formed by the transport segments was similar on both sides. There were no significant differences in the bone volume fraction and density of the regenerate bone formed by the two transport segments. The bone volume fraction and density of the regenerate was significantly lower than that of the host bone in the distal segments, likely due to the short consolidation period.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Bone transport remains a viable option in reconstructing anterior segmental defects in the mandible. The use of either dentate or edentulous transport segments for reconstruction provides options for the surgeon in often highly compromised patients requiring these surgeries.</p></sec></div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li><li>Géorgie (États-Unis)</li><li>Michigan</li><li>Texas</li></region></list><tree><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Elsalanty, Mohammed E" sort="Elsalanty, Mohammed E" uniqKey="Elsalanty M" first="Mohammed E." last="Elsalanty">Mohammed E. Elsalanty</name></region><name sortKey="Dechow, Paul C" sort="Dechow, Paul C" uniqKey="Dechow P" first="Paul C." last="Dechow">Paul C. Dechow</name><name sortKey="Kontogiorgos, Elias D" sort="Kontogiorgos, Elias D" uniqKey="Kontogiorgos E" first="Elias D." last="Kontogiorgos">Elias D. Kontogiorgos</name><name sortKey="Malavia, Veera" sort="Malavia, Veera" uniqKey="Malavia V" first="Veera" last="Malavia">Veera Malavia</name><name sortKey="Mulone, Timothy" sort="Mulone, Timothy" uniqKey="Mulone T" first="Timothy" last="Mulone">Timothy Mulone</name><name sortKey="Opperman, Lynne A" sort="Opperman, Lynne A" uniqKey="Opperman L" first="Lynne A." last="Opperman">Lynne A. Opperman</name><name sortKey="Zakhary, Ibrahim" sort="Zakhary, Ibrahim" uniqKey="Zakhary I" first="Ibrahim" last="Zakhary">Ibrahim Zakhary</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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