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Evaluation of Vertical Bone Gain Following Alveolar Distraction Osteogenesis in the Anterior Edentulous Mandible: A Clinical Study

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Evaluation of Vertical Bone Gain Following Alveolar Distraction Osteogenesis in the Anterior Edentulous Mandible: A Clinical Study

Auteurs : K. A. Jeevan Kumar ; Aruna Kishore Masrom ; Kapil Patil ; Ramesh Kunusoth ; Farzana Begum ; Veerareddy Venkatesh

Source :

Journal of Maxillofacial & Oral Surgery [ 0972-8279 ] ; 2013.

RBID : PMC:4518774

Abstract

Aim and Objectives

To calculate the gain in bony height and volume of the distracted upper segment using an extraosseous unidirectional device to improve the retention of the future prosthesis.

Materials and Methods

Ten cases with completely or partially edentulous but severely or considerably resorbed anterior mandibles were managed by vertical alveolar distraction osteogenesis. All the patients were evaluated preoperatively, intraoperatively and post-operatively for various parameters clinically and radiographically i.e. on OPG, lateral cephalogram and on CT scan, at different time intervals. In all cases there was increase in vertical bone height.

Results

The study showed mean vertical bone gain (VBG) on OPG as 8.2 mm. The mean VBG on lateral cephalogram was 8.1 mm. The mean VBG on CT scan at right canine was 8.35 mm, at left canine was 8.2 mm and at midline was 8.27 mm.

Conclusion

Alveolar distraction osteogenesis is a predictable method for restoring alveolar ridges prior to implant placement or prosthesis. Distraction osteogenesis is ideally suited for recreating missing tissue in the anterior esthetic zone by increasing vertical bone height as well as good width and soft tissue growth.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4518774

DOI: 10.1007/s12663-013-0506-7
PubMed: 26225025
PubMed Central: 4518774

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K. A. Jeevan Kumar

<affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Kamineni Institution of Dental Sciences, Narkatpalli, Nalgonda District, Andhra Pradesh India</nlm:aff>
<wicri:noCountry code="subfield">Andhra Pradesh India</wicri:noCountry>
</affiliation>

Aruna Kishore Masrom

<affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Kamineni Institution of Dental Sciences, Narkatpalli, Nalgonda District, Andhra Pradesh India</nlm:aff>
<wicri:noCountry code="subfield">Andhra Pradesh India</wicri:noCountry>
</affiliation>

Kapil Patil

<affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Kamineni Institution of Dental Sciences, Narkatpalli, Nalgonda District, Andhra Pradesh India</nlm:aff>
<wicri:noCountry code="subfield">Andhra Pradesh India</wicri:noCountry>
</affiliation>

Ramesh Kunusoth

<affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Kamineni Institution of Dental Sciences, Narkatpalli, Nalgonda District, Andhra Pradesh India</nlm:aff>
<wicri:noCountry code="subfield">Andhra Pradesh India</wicri:noCountry>
</affiliation>

Farzana Begum

<affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Kamineni Institution of Dental Sciences, Narkatpalli, Nalgonda District, Andhra Pradesh India</nlm:aff>
<wicri:noCountry code="subfield">Andhra Pradesh India</wicri:noCountry>
</affiliation>

Veerareddy Venkatesh

<affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Kamineni Institution of Dental Sciences, Narkatpalli, Nalgonda District, Andhra Pradesh India</nlm:aff>
<wicri:noCountry code="subfield">Andhra Pradesh India</wicri:noCountry>
</affiliation>

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<author><name sortKey="Kumar, K A Jeevan" sort="Kumar, K A Jeevan" uniqKey="Kumar K" first="K. A. Jeevan" last="Kumar">K. A. Jeevan Kumar</name>
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<wicri:noCountry code="subfield">Andhra Pradesh India</wicri:noCountry>
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<wicri:noCountry code="subfield">Andhra Pradesh India</wicri:noCountry>
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<wicri:noCountry code="subfield">Andhra Pradesh India</wicri:noCountry>
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<series><title level="j">Journal of Maxillofacial & Oral Surgery</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Aim and Objectives</title>
<p>To calculate the gain in bony height and volume of the distracted upper segment using an extraosseous unidirectional device to improve the retention of the future prosthesis.</p>
</sec>
<sec><title>Materials and Methods</title>
<p>Ten cases with completely or partially edentulous but severely or considerably resorbed anterior mandibles were managed by vertical alveolar distraction osteogenesis. All the patients were evaluated preoperatively, intraoperatively and post-operatively for various parameters clinically and radiographically i.e. on OPG, lateral cephalogram and on CT scan, at different time intervals. In all cases there was increase in vertical bone height.</p>
</sec>
<sec><title>Results</title>
<p>The study showed mean vertical bone gain (VBG) on OPG as 8.2 mm. The mean VBG on lateral cephalogram was 8.1 mm. The mean VBG on CT scan at right canine was 8.35 mm, at left canine was 8.2 mm and at midline was 8.27 mm.</p>
</sec>
<sec><title>Conclusion</title>
<p>Alveolar distraction osteogenesis is a predictable method for restoring alveolar ridges prior to implant placement or prosthesis. Distraction osteogenesis is ideally suited for recreating missing tissue in the anterior esthetic zone by increasing vertical bone height as well as good width and soft tissue growth.</p>
</sec>
</div>
</front>
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  <front><journal-meta><journal-id journal-id-type="nlm-ta">J Maxillofac Oral Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">J Maxillofac Oral Surg</journal-id>
<journal-title-group><journal-title>Journal of Maxillofacial & Oral Surgery</journal-title>
</journal-title-group>
<issn pub-type="ppub">0972-8279</issn>
<issn pub-type="epub">0974-942X</issn>
<publisher><publisher-name>Springer India</publisher-name>
<publisher-loc>India</publisher-loc>
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<article-meta><article-id pub-id-type="pmid">26225025</article-id>
<article-id pub-id-type="pmc">4518774</article-id>
<article-id pub-id-type="publisher-id">506</article-id>
<article-id pub-id-type="doi">10.1007/s12663-013-0506-7</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Clinical Paper</subject>
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<title-group><article-title>Evaluation of Vertical Bone Gain Following Alveolar Distraction Osteogenesis in the Anterior Edentulous Mandible: A Clinical Study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Kumar</surname>
<given-names>K. A. Jeevan</given-names>
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<address><email>jeevan1983@yahoo.com</email>
<email>drjeevan1983@gmail.com</email>
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<xref ref-type="aff" rid="Aff1"></xref>
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<contrib contrib-type="author"><name><surname>Masrom</surname>
<given-names>Aruna Kishore</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Patil</surname>
<given-names>Kapil</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kunusoth</surname>
<given-names>Ramesh</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Begum</surname>
<given-names>Farzana</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Venkatesh</surname>
<given-names>Veerareddy</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<aff id="Aff1">Department of Oral and Maxillofacial Surgery, Kamineni Institution of Dental Sciences, Narkatpalli, Nalgonda District, Andhra Pradesh India</aff>
</contrib-group>
<pub-date pub-type="epub"><day>9</day>
<month>4</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub"><month>12</month>
<year>2014</year>
</pub-date>
<volume>13</volume>
<issue>4</issue>
<fpage>539</fpage>
<lpage>545</lpage>
<history><date date-type="received"><day>17</day>
<month>2</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>18</day>
<month>3</month>
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<permissions><copyright-statement>© Association of Oral and Maxillofacial Surgeons of India 2013</copyright-statement>
</permissions>
<abstract id="Abs1"><sec><title>Aim and Objectives</title>
<p>To calculate the gain in bony height and volume of the distracted upper segment using an extraosseous unidirectional device to improve the retention of the future prosthesis.</p>
</sec>
<sec><title>Materials and Methods</title>
<p>Ten cases with completely or partially edentulous but severely or considerably resorbed anterior mandibles were managed by vertical alveolar distraction osteogenesis. All the patients were evaluated preoperatively, intraoperatively and post-operatively for various parameters clinically and radiographically i.e. on OPG, lateral cephalogram and on CT scan, at different time intervals. In all cases there was increase in vertical bone height.</p>
</sec>
<sec><title>Results</title>
<p>The study showed mean vertical bone gain (VBG) on OPG as 8.2 mm. The mean VBG on lateral cephalogram was 8.1 mm. The mean VBG on CT scan at right canine was 8.35 mm, at left canine was 8.2 mm and at midline was 8.27 mm.</p>
</sec>
<sec><title>Conclusion</title>
<p>Alveolar distraction osteogenesis is a predictable method for restoring alveolar ridges prior to implant placement or prosthesis. Distraction osteogenesis is ideally suited for recreating missing tissue in the anterior esthetic zone by increasing vertical bone height as well as good width and soft tissue growth.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Vertical distraction osteogenesis</kwd>
<kwd>Alveolar distraction osteogenesis</kwd>
<kwd>Atrophic mandible</kwd>
<kwd>Alveolar ridge atrophy</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Association of Oral and Maxillofacial Surgeons of India 2014</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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Evaluation of Vertical Bone Gain Following Alveolar Distraction Osteogenesis in the Anterior Edentulous Mandible: A Clinical Study

Evaluation of Vertical Bone Gain Following Alveolar Distraction Osteogenesis in the Anterior Edentulous Mandible: A Clinical Study

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Abstract

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