EdenteV2, PascalFrancis, Corpus, bibRecord, 000634

Preprosthetic Vertical distraction osteogenesis of the mandible using an l-shaped osteotomy and titanium membranes for guided bone regeneration

Identifieur interne : 000634 ( PascalFrancis/Corpus ); précédent : 000633; suivant : 000635

Preprosthetic Vertical distraction osteogenesis of the mandible using an l-shaped osteotomy and titanium membranes for guided bone regeneration

Auteurs : Clemens N. Klug ; Gabriele A. Millesi-Schobel ; Werner Millesi ; Franz Watzinger ; Rolf Ewers

Source :

Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 2001.

RBID : Pascal:02-0131424

Descripteurs français

Pascal (Inist)
- Edentation, Atrophie, Mandibule, Chirurgie préprothétique, Distraction, Ostéogenèse, Vertical, Membrane, Titane, Guidage, Ostéotomie, Forme en L, Traitement, Technique, Résultat, Homme.

English descriptors

KwdEn :
- Atrophy, Distraction, Edentulousness, Guidance, Human, L shape, Mandible, Membrane, Osteogenesis, Osteotomy, Preprosthetic surgery, Result, Technique, Titanium, Treatment, Vertical.

Abstract

Purpose: Vertical osteodistraction is a new alternative method for alveolar ridge augmentation of the mandible. The purpose of this article is describe a technique using an L-shaped osteotomy and titanium membranes for guided bone regeneration (GBR) in the distraction gap. Patients and Methods: Ten patients with severe atrophy of the edentulous molar region of the mandible underwent vertical callus distraction in 13 sites using intraoral microplate distractors. An L-shaped osteotomy with a short vertical part mesially and a longer horizontal part ending in the retromolar region was made, and the osteotomized segment was fixed to the mandibular ramus at its distal edge by a microplate, which became the center of rotation when distraction began. In this way, more callus generation could be achieved mesially than in the distal molar region. Follow-up computed tomography (CT) scans reconstructed axially to the axis of the mandible revealed semilunar excavations of the generated bone buccally in the distraction gap in the first cases. Clinical inspection on removal of the distractors showed fibrous connective tissue in the gap. Therefore, to prevent this from happening, titanium membranes covering the distraction gap were applied in subsequent cases. Results: Ten patients (13 sites) were treated by vertical callus distraction. In 4 cases, GBR was achieved using titanium membranes. In all cases, the increase in alveolar height was sufficient to make dental implantation possible. In 1 patient, a fracture of the distractor occurred, and dehiscence was observed in 2 cases. These complications did not change the plan of therapy nor did they influence the results. The CT scans showed a homogenous surface on the regenerated mandible in the cases of GBR application. Conclusion: Both an L-shaped osteotomy and the application of titanium membranes for GBR in the distraction gap are of great value for mandibular augmentation, producing a physiologically shaped alveolar ridge.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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Format Inist (serveur)

NO :	PASCAL 02-0131424 INIST
ET :	Preprosthetic Vertical distraction osteogenesis of the mandible using an l-shaped osteotomy and titanium membranes for guided bone regeneration
AU :	KLUG (Clemens N.); MILLESI-SCHOBEL (Gabriele A.); MILLESI (Werner); WATZINGER (Franz); EWERS (Rolf)
AF :	Vienna University Medical School, Department of Oral and Maxillofacial Surgery Vienna General Hospital/Vienna/Autriche (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.)
DT :	Publication en série; Article; Commentaire; Niveau analytique
SO :	Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2001; Vol. 59; No. 11; Pp. 1302-1310; Bibl. 33 ref.
LA :	Anglais
EA :	Purpose: Vertical osteodistraction is a new alternative method for alveolar ridge augmentation of the mandible. The purpose of this article is describe a technique using an L-shaped osteotomy and titanium membranes for guided bone regeneration (GBR) in the distraction gap. Patients and Methods: Ten patients with severe atrophy of the edentulous molar region of the mandible underwent vertical callus distraction in 13 sites using intraoral microplate distractors. An L-shaped osteotomy with a short vertical part mesially and a longer horizontal part ending in the retromolar region was made, and the osteotomized segment was fixed to the mandibular ramus at its distal edge by a microplate, which became the center of rotation when distraction began. In this way, more callus generation could be achieved mesially than in the distal molar region. Follow-up computed tomography (CT) scans reconstructed axially to the axis of the mandible revealed semilunar excavations of the generated bone buccally in the distraction gap in the first cases. Clinical inspection on removal of the distractors showed fibrous connective tissue in the gap. Therefore, to prevent this from happening, titanium membranes covering the distraction gap were applied in subsequent cases. Results: Ten patients (13 sites) were treated by vertical callus distraction. In 4 cases, GBR was achieved using titanium membranes. In all cases, the increase in alveolar height was sufficient to make dental implantation possible. In 1 patient, a fracture of the distractor occurred, and dehiscence was observed in 2 cases. These complications did not change the plan of therapy nor did they influence the results. The CT scans showed a homogenous surface on the regenerated mandible in the cases of GBR application. Conclusion: Both an L-shaped osteotomy and the application of titanium membranes for GBR in the distraction gap are of great value for mandibular augmentation, producing a physiologically shaped alveolar ridge.
CC :	002B25C02; 002B10C02
FD :	Edentation; Atrophie; Mandibule; Chirurgie préprothétique; Distraction; Ostéogenèse; Vertical; Membrane; Titane; Guidage; Ostéotomie; Forme en L; Traitement; Technique; Résultat; Homme
FG :	Stomatologie; Dent pathologie; Système ostéoarticulaire pathologie; Maxillaire pathologie; Chirurgie
ED :	Edentulousness; Atrophy; Mandible; Preprosthetic surgery; Distraction; Osteogenesis; Vertical; Membrane; Titanium; Guidance; Osteotomy; L shape; Treatment; Technique; Result; Human
EG :	Stomatology; Dental disease; Diseases of the osteoarticular system; Maxillary disease; Surgery
SD :	Edentación; Atrofia; Mandíbula; Cirugía preprotésica; Distracción; Osteogénesis; Vertical; Membrana; Titanio; Guiado; Osteotomía; Forma de una L; Tratamiento; Técnica; Resultado; Hombre
LO :	INIST-3005.354000099928850080
ID :	02-0131424

Links to Exploration step

Pascal:02-0131424

Le document en format XML

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<front><div type="abstract" xml:lang="en">Purpose: Vertical osteodistraction is a new alternative method for alveolar ridge augmentation of the mandible. The purpose of this article is describe a technique using an L-shaped osteotomy and titanium membranes for guided bone regeneration (GBR) in the distraction gap. Patients and Methods: Ten patients with severe atrophy of the edentulous molar region of the mandible underwent vertical callus distraction in 13 sites using intraoral microplate distractors. An L-shaped osteotomy with a short vertical part mesially and a longer horizontal part ending in the retromolar region was made, and the osteotomized segment was fixed to the mandibular ramus at its distal edge by a microplate, which became the center of rotation when distraction began. In this way, more callus generation could be achieved mesially than in the distal molar region. Follow-up computed tomography (CT) scans reconstructed axially to the axis of the mandible revealed semilunar excavations of the generated bone buccally in the distraction gap in the first cases. Clinical inspection on removal of the distractors showed fibrous connective tissue in the gap. Therefore, to prevent this from happening, titanium membranes covering the distraction gap were applied in subsequent cases. Results: Ten patients (13 sites) were treated by vertical callus distraction. In 4 cases, GBR was achieved using titanium membranes. In all cases, the increase in alveolar height was sufficient to make dental implantation possible. In 1 patient, a fracture of the distractor occurred, and dehiscence was observed in 2 cases. These complications did not change the plan of therapy nor did they influence the results. The CT scans showed a homogenous surface on the regenerated mandible in the cases of GBR application. Conclusion: Both an L-shaped osteotomy and the application of titanium membranes for GBR in the distraction gap are of great value for mandibular augmentation, producing a physiologically shaped alveolar ridge.</div>
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<sZ>2 aut.</sZ>
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<fC01 i1="01" l="ENG"><s0>Purpose: Vertical osteodistraction is a new alternative method for alveolar ridge augmentation of the mandible. The purpose of this article is describe a technique using an L-shaped osteotomy and titanium membranes for guided bone regeneration (GBR) in the distraction gap. Patients and Methods: Ten patients with severe atrophy of the edentulous molar region of the mandible underwent vertical callus distraction in 13 sites using intraoral microplate distractors. An L-shaped osteotomy with a short vertical part mesially and a longer horizontal part ending in the retromolar region was made, and the osteotomized segment was fixed to the mandibular ramus at its distal edge by a microplate, which became the center of rotation when distraction began. In this way, more callus generation could be achieved mesially than in the distal molar region. Follow-up computed tomography (CT) scans reconstructed axially to the axis of the mandible revealed semilunar excavations of the generated bone buccally in the distraction gap in the first cases. Clinical inspection on removal of the distractors showed fibrous connective tissue in the gap. Therefore, to prevent this from happening, titanium membranes covering the distraction gap were applied in subsequent cases. Results: Ten patients (13 sites) were treated by vertical callus distraction. In 4 cases, GBR was achieved using titanium membranes. In all cases, the increase in alveolar height was sufficient to make dental implantation possible. In 1 patient, a fracture of the distractor occurred, and dehiscence was observed in 2 cases. These complications did not change the plan of therapy nor did they influence the results. The CT scans showed a homogenous surface on the regenerated mandible in the cases of GBR application. Conclusion: Both an L-shaped osteotomy and the application of titanium membranes for GBR in the distraction gap are of great value for mandibular augmentation, producing a physiologically shaped alveolar ridge.</s0>
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<server><NO>PASCAL 02-0131424 INIST</NO>
<ET>Preprosthetic Vertical distraction osteogenesis of the mandible using an l-shaped osteotomy and titanium membranes for guided bone regeneration</ET>
<AU>KLUG (Clemens N.); MILLESI-SCHOBEL (Gabriele A.); MILLESI (Werner); WATZINGER (Franz); EWERS (Rolf)</AU>
<AF>Vienna University Medical School, Department of Oral and Maxillofacial Surgery Vienna General Hospital/Vienna/Autriche (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.)</AF>
<DT>Publication en série; Article; Commentaire; Niveau analytique</DT>
<SO>Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2001; Vol. 59; No. 11; Pp. 1302-1310; Bibl. 33 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: Vertical osteodistraction is a new alternative method for alveolar ridge augmentation of the mandible. The purpose of this article is describe a technique using an L-shaped osteotomy and titanium membranes for guided bone regeneration (GBR) in the distraction gap. Patients and Methods: Ten patients with severe atrophy of the edentulous molar region of the mandible underwent vertical callus distraction in 13 sites using intraoral microplate distractors. An L-shaped osteotomy with a short vertical part mesially and a longer horizontal part ending in the retromolar region was made, and the osteotomized segment was fixed to the mandibular ramus at its distal edge by a microplate, which became the center of rotation when distraction began. In this way, more callus generation could be achieved mesially than in the distal molar region. Follow-up computed tomography (CT) scans reconstructed axially to the axis of the mandible revealed semilunar excavations of the generated bone buccally in the distraction gap in the first cases. Clinical inspection on removal of the distractors showed fibrous connective tissue in the gap. Therefore, to prevent this from happening, titanium membranes covering the distraction gap were applied in subsequent cases. Results: Ten patients (13 sites) were treated by vertical callus distraction. In 4 cases, GBR was achieved using titanium membranes. In all cases, the increase in alveolar height was sufficient to make dental implantation possible. In 1 patient, a fracture of the distractor occurred, and dehiscence was observed in 2 cases. These complications did not change the plan of therapy nor did they influence the results. The CT scans showed a homogenous surface on the regenerated mandible in the cases of GBR application. Conclusion: Both an L-shaped osteotomy and the application of titanium membranes for GBR in the distraction gap are of great value for mandibular augmentation, producing a physiologically shaped alveolar ridge.</EA>
<CC>002B25C02; 002B10C02</CC>
<FD>Edentation; Atrophie; Mandibule; Chirurgie préprothétique; Distraction; Ostéogenèse; Vertical; Membrane; Titane; Guidage; Ostéotomie; Forme en L; Traitement; Technique; Résultat; Homme</FD>
<FG>Stomatologie; Dent pathologie; Système ostéoarticulaire pathologie; Maxillaire pathologie; Chirurgie</FG>
<ED>Edentulousness; Atrophy; Mandible; Preprosthetic surgery; Distraction; Osteogenesis; Vertical; Membrane; Titanium; Guidance; Osteotomy; L shape; Treatment; Technique; Result; Human</ED>
<EG>Stomatology; Dental disease; Diseases of the osteoarticular system; Maxillary disease; Surgery</EG>
<SD>Edentación; Atrofia; Mandíbula; Cirugía preprotésica; Distracción; Osteogénesis; Vertical; Membrana; Titanio; Guiado; Osteotomía; Forma de una L; Tratamiento; Técnica; Resultado; Hombre</SD>
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Preprosthetic Vertical distraction osteogenesis of the mandible using an l-shaped osteotomy and titanium membranes for guided bone regeneration

Preprosthetic Vertical distraction osteogenesis of the mandible using an l-shaped osteotomy and titanium membranes for guided bone regeneration

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