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Dentate transport discs can be used to reconstruct large segmental mandibular defects.

Identifieur interne : 000472 ( PubMed/Corpus ); précédent : 000471; suivant : 000473

Dentate transport discs can be used to reconstruct large segmental mandibular defects.

Auteurs : Mohammed E. Elsalanty ; Veera Malavia ; Ibrahim Zakhary ; Timothy Mulone ; Elias D. Kontogiorgos ; Paul C. Dechow ; Lynne A. Opperman

Source :

RBID : pubmed:25661502

English descriptors

Abstract

This study tested 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 were compared.

DOI: 10.1016/j.joms.2014.12.002
PubMed: 25661502

Links to Exploration step

pubmed:25661502

Le document en format XML

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<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>
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<term>Biocompatible Materials</term>
<term>Titanium</term>
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<term>Osteogenesis, Distraction</term>
<term>Reconstructive Surgical Procedures</term>
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<term>Cone-Beam Computed Tomography</term>
<term>Imaging, Three-Dimensional</term>
<term>Osteogenesis, Distraction</term>
<term>Reconstructive Surgical Procedures</term>
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<term>Bone Density</term>
<term>Bone Regeneration</term>
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<term>Dental Arch</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Mandibular Diseases</term>
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<term>Animals</term>
<term>Bone Plates</term>
<term>Dentition</term>
<term>Dogs</term>
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<front>
<div type="abstract" xml:lang="en">This study tested 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 were compared.</div>
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<Month>05</Month>
<Day>26</Day>
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<Year>2016</Year>
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<Day>19</Day>
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<Volume>73</Volume>
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<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
<ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation>
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<ArticleTitle>Dentate transport discs can be used to reconstruct large segmental mandibular defects.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">This study tested 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 were compared.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">In 5 adult foxhound dogs, a defect of 70 to 75 mm was created in the canine mandible by excising the mandible anterior to the right and left fourth premolars. Reconstruction was performed by trifocal distraction osteogenesis using a bone transport reconstruction plate (BTRP-02), with 2 transport units being activated simultaneously, one on either side of the defect, 1 dentate and 1 edentulous. Bilateral distraction proceeded at a rate of 1 mm/day until the segments docked against each other in the midline. After 39 to 44 days of consolidation, the animals were euthanized. The quantity and quality of bone regeneration on the 2 sides were compared using micro-computed tomography.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The defect reconstruction was successful. The amount and quality of bone formed by the transport segments were similar on the 2 sides. There were no major differences in the bone volume fraction and density of the regenerate bone formed by the 2 transport segments. The bone volume fraction and density of the regenerate bone were considerably lower than those of the host bone in the distal segments, likely owing to the short consolidation period.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Bone transport remains a viable option in reconstructing anterior segmental defects in the mandible. The use of dentate or edentulous transport segments for reconstruction provides options for the surgeon in often highly compromised patients requiring these surgeries.</AbstractText>
<CopyrightInformation>Copyright © 2015 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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<Affiliation>Associate Professor, Department of Oral Biology and Oral and Maxillofacial Surgery, College of Dental Medicine, Georgia Regents University, Augusta, GA. Electronic address: melsalanty@gru.edu.</Affiliation>
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</AffiliationInfo>
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<Affiliation>Professor, Center for Craniofacial Research and Diagnosis (CCRD), Department of Biomedical Sciences; Director, Technology Development, Texas A&M University Baylor College of Dentistry, Dallas, TX.</Affiliation>
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<RefSource>World J Orthod. 2007 Fall;8(3):221-31</RefSource>
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<RefSource>J Craniofac Surg. 2007 Nov;18(6):1397-402</RefSource>
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