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Alveolar ridge augmentation using distraction osteogenesis: a clinical trial

Identifieur interne : 002457 ( Pmc/Corpus ); précédent : 002456; suivant : 002458

Alveolar ridge augmentation using distraction osteogenesis: a clinical trial

Auteurs : Anand Shukla ; Saumyendra V. Singh ; Sumit Kumar ; Divya Mehrotra ; S. Mohammad ; Stuti Singh

Source :

RBID : PMC:3942128

Abstract

Background

Severely resorbed ridges present a great challenge to prosthodontic rehabilitation. Available reconstructive options include autologous/alloplastic augmentation with questionable results, or regeneration of new bone under gradual and controlled tension using distraction osteogenesis. This study focused on use of distraction osteogenesis for the treatment of vertically deficient alveolar ridges to assess its feasibility and outcome.

Materials and Methods

Alveolar distraction osteogenesis (ADO) was studied at 10 different intra-oral, partial or complete edentulous sites. After a latency period of 5 days, distraction was carried out for 6–7 days at the rate of 0.5 mm every 12 hours (1 mm/day). Distractor was removed after a consolidation period of 12 weeks.

Results

The mean height gained at the 10 intra-oral sites was 4.8 mm with standard deviation of ± 0.056. The mean follow-up period was 2 years. Complications of therapy included hardware failure, wound gape and extra-oral scar. The overall complication rate was 10%.

Conclusion

Distraction osteogenesis is a promising option to aid uneventful prosthodontic rehabilitation of severe vertically resorbed alveolar ridges.


Url:
DOI: 10.1016/S2212-4268(12)60007-4
PubMed: 25756028
PubMed Central: 3942128

Links to Exploration step

PMC:3942128

Le document en format XML

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<sec>
<title>Background</title>
<p>Severely resorbed ridges present a great challenge to prosthodontic rehabilitation. Available reconstructive options include autologous/alloplastic augmentation with questionable results, or regeneration of new bone under gradual and controlled tension using distraction osteogenesis. This study focused on use of distraction osteogenesis for the treatment of vertically deficient alveolar ridges to assess its feasibility and outcome.</p>
</sec>
<sec>
<title>Materials and Methods</title>
<p>Alveolar distraction osteogenesis (ADO) was studied at 10 different intra-oral, partial or complete edentulous sites. After a latency period of 5 days, distraction was carried out for 6–7 days at the rate of 0.5 mm every 12 hours (1 mm/day). Distractor was removed after a consolidation period of 12 weeks.</p>
</sec>
<sec>
<title>Results</title>
<p>The mean height gained at the 10 intra-oral sites was 4.8 mm with standard deviation of ± 0.056. The mean follow-up period was 2 years. Complications of therapy included hardware failure, wound gape and extra-oral scar. The overall complication rate was 10%.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Distraction osteogenesis is a promising option to aid uneventful prosthodontic rehabilitation of severe vertically resorbed alveolar ridges.</p>
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Assistant Professor, Department of Prosthodontics, CSM Medical University, Lucknow, India</aff>
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PhD Student, Department of Oral and Maxillofacial Surgery, CSM Medical University, Lucknow, India</aff>
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Professor, Department of Oral and Maxillofacial Surgery, CSM Medical University, Lucknow, India</aff>
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Resident, Department of Oral and Maxillofacial Surgery, CSM Medical University, Lucknow, India</aff>
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Correspondence: Dr. Divya Mehrotra
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<copyright-statement>© 2012 Craniofacial Research Foundation</copyright-statement>
<copyright-year>2012</copyright-year>
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<abstract>
<sec>
<title>Background</title>
<p>Severely resorbed ridges present a great challenge to prosthodontic rehabilitation. Available reconstructive options include autologous/alloplastic augmentation with questionable results, or regeneration of new bone under gradual and controlled tension using distraction osteogenesis. This study focused on use of distraction osteogenesis for the treatment of vertically deficient alveolar ridges to assess its feasibility and outcome.</p>
</sec>
<sec>
<title>Materials and Methods</title>
<p>Alveolar distraction osteogenesis (ADO) was studied at 10 different intra-oral, partial or complete edentulous sites. After a latency period of 5 days, distraction was carried out for 6–7 days at the rate of 0.5 mm every 12 hours (1 mm/day). Distractor was removed after a consolidation period of 12 weeks.</p>
</sec>
<sec>
<title>Results</title>
<p>The mean height gained at the 10 intra-oral sites was 4.8 mm with standard deviation of ± 0.056. The mean follow-up period was 2 years. Complications of therapy included hardware failure, wound gape and extra-oral scar. The overall complication rate was 10%.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Distraction osteogenesis is a promising option to aid uneventful prosthodontic rehabilitation of severe vertically resorbed alveolar ridges.</p>
</sec>
</abstract>
<kwd-group>
<title>Keywords</title>
<kwd>Distraction osteogenesis</kwd>
<kwd>resorbed residual ridge</kwd>
<kwd>vertical bone gain</kwd>
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