The use of intra-osseous versus extra-osseous distraction devices in atrophic mandibles.
Identifieur interne : 001203 ( PubMed/Corpus ); précédent : 001202; suivant : 001204The use of intra-osseous versus extra-osseous distraction devices in atrophic mandibles.
Auteurs : F B T. Perdijk ; G J Meijer ; Ch Krenkel ; R. KooleSource :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2012.
English descriptors
- KwdEn :
- Adult, Aged, Alveolar Bone Loss (surgery), Alveolar Ridge Augmentation (methods), Cephalometry, Chin (innervation), External Fixators (adverse effects), Female, Humans, Internal Fixators, Jaw, Edentulous (surgery), Male, Mandible (surgery), Mandibular Diseases (surgery), Mandibular Fractures (etiology), Mandibular Nerve, Middle Aged, Osteogenesis, Distraction (instrumentation), Osteogenesis, Distraction (methods), Retrospective Studies, Somatosensory Disorders (etiology), Trigeminal Nerve Injuries (etiology), Vertical Dimension.
- MESH :
- adverse effects : External Fixators.
- etiology : Mandibular Fractures, Somatosensory Disorders, Trigeminal Nerve Injuries.
- innervation : Chin.
- instrumentation : Osteogenesis, Distraction.
- methods : Alveolar Ridge Augmentation, Osteogenesis, Distraction.
- surgery : Alveolar Bone Loss, Jaw, Edentulous, Mandible, Mandibular Diseases.
- Adult, Aged, Cephalometry, Female, Humans, Internal Fixators, Male, Mandibular Nerve, Middle Aged, Retrospective Studies, Vertical Dimension.
Abstract
To allow for implant placement in severe atrophic edentulous mandibles, distraction osteogenesis can be used to gain sufficient bone height. The efficacy of extra-osseous and intra-osseous devices is evaluated. In this retrospective study, 45 patients treated with an extra-osseous device (EOD) were compared with 43 patients treated with an intra-osseous device (IOD). From a statistical point of view, both patient groups were comparable for age and sex ratio. The IOD group gained more bone height (9.8 mm) than the EOD group (6.0mm). A significantly higher degree of backward tilting of the device was observed in the EOD group (12.1°), compared with the IOD group (3.0°). There were also significantly more fractures of the basal bone segment and sensory disturbances of the chin area in the EOD group than in the IOD group. The IOD group scored significantly better on bone height gained, backward tilting of the device, occurrence of fractures, and postoperative sensory disturbances. Despite the fact that the mean preoperative bone height for the IOD group was substantially higher (18.6mm) than for the EOD group (11.9 mm), it may be concluded that for augmentation procedures of the edentulous mandible, the IOD is more favourable.
DOI: 10.1016/j.ijom.2011.12.006
PubMed: 22218264
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Koole</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:22218264</idno><idno type="pmid">22218264</idno><idno type="doi">10.1016/j.ijom.2011.12.006</idno><idno type="wicri:Area/PubMed/Corpus">001203</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001203</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The use of intra-osseous versus extra-osseous distraction devices in atrophic mandibles.</title><author><name sortKey="Perdijk, F B T" sort="Perdijk, F B T" uniqKey="Perdijk F" first="F B T" last="Perdijk">F B T. Perdijk</name><affiliation><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Gelderse Vallei Hospital, Ede, The Netherlands. f.perdijk@planet.nl</nlm:affiliation></affiliation></author><author><name sortKey="Meijer, G J" sort="Meijer, G J" uniqKey="Meijer G" first="G J" last="Meijer">G J Meijer</name></author><author><name sortKey="Krenkel, Ch" sort="Krenkel, Ch" uniqKey="Krenkel C" first="Ch" last="Krenkel">Ch Krenkel</name></author><author><name sortKey="Koole, R" sort="Koole, R" uniqKey="Koole R" first="R" last="Koole">R. Koole</name></author></analytic><series><title level="j">International journal of oral and maxillofacial surgery</title><idno type="eISSN">1399-0020</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Alveolar Bone Loss (surgery)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Cephalometry</term><term>Chin (innervation)</term><term>External Fixators (adverse effects)</term><term>Female</term><term>Humans</term><term>Internal Fixators</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Mandibular Diseases (surgery)</term><term>Mandibular Fractures (etiology)</term><term>Mandibular Nerve</term><term>Middle Aged</term><term>Osteogenesis, Distraction (instrumentation)</term><term>Osteogenesis, Distraction (methods)</term><term>Retrospective Studies</term><term>Somatosensory Disorders (etiology)</term><term>Trigeminal Nerve Injuries (etiology)</term><term>Vertical Dimension</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>External Fixators</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Mandibular Fractures</term><term>Somatosensory Disorders</term><term>Trigeminal Nerve Injuries</term></keywords><keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Chin</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Osteogenesis, Distraction</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Osteogenesis, Distraction</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Bone Loss</term><term>Jaw, Edentulous</term><term>Mandible</term><term>Mandibular Diseases</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Cephalometry</term><term>Female</term><term>Humans</term><term>Internal Fixators</term><term>Male</term><term>Mandibular Nerve</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Vertical Dimension</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To allow for implant placement in severe atrophic edentulous mandibles, distraction osteogenesis can be used to gain sufficient bone height. The efficacy of extra-osseous and intra-osseous devices is evaluated. In this retrospective study, 45 patients treated with an extra-osseous device (EOD) were compared with 43 patients treated with an intra-osseous device (IOD). From a statistical point of view, both patient groups were comparable for age and sex ratio. The IOD group gained more bone height (9.8 mm) than the EOD group (6.0mm). A significantly higher degree of backward tilting of the device was observed in the EOD group (12.1°), compared with the IOD group (3.0°). There were also significantly more fractures of the basal bone segment and sensory disturbances of the chin area in the EOD group than in the IOD group. The IOD group scored significantly better on bone height gained, backward tilting of the device, occurrence of fractures, and postoperative sensory disturbances. Despite the fact that the mean preoperative bone height for the IOD group was substantially higher (18.6mm) than for the EOD group (11.9 mm), it may be concluded that for augmentation procedures of the edentulous mandible, the IOD is more favourable.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22218264</PMID><DateCompleted><Year>2012</Year><Month>08</Month><Day>13</Day></DateCompleted><DateRevised><Year>2012</Year><Month>03</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1399-0020</ISSN><JournalIssue CitedMedium="Internet"><Volume>41</Volume><Issue>4</Issue><PubDate><Year>2012</Year><Month>Apr</Month></PubDate></JournalIssue><Title>International journal of oral and maxillofacial surgery</Title><ISOAbbreviation>Int J Oral Maxillofac Surg</ISOAbbreviation></Journal><ArticleTitle>The use of intra-osseous versus extra-osseous distraction devices in atrophic mandibles.</ArticleTitle><Pagination><MedlinePgn>521-6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ijom.2011.12.006</ELocationID><Abstract><AbstractText>To allow for implant placement in severe atrophic edentulous mandibles, distraction osteogenesis can be used to gain sufficient bone height. The efficacy of extra-osseous and intra-osseous devices is evaluated. In this retrospective study, 45 patients treated with an extra-osseous device (EOD) were compared with 43 patients treated with an intra-osseous device (IOD). From a statistical point of view, both patient groups were comparable for age and sex ratio. The IOD group gained more bone height (9.8 mm) than the EOD group (6.0mm). A significantly higher degree of backward tilting of the device was observed in the EOD group (12.1°), compared with the IOD group (3.0°). There were also significantly more fractures of the basal bone segment and sensory disturbances of the chin area in the EOD group than in the IOD group. The IOD group scored significantly better on bone height gained, backward tilting of the device, occurrence of fractures, and postoperative sensory disturbances. Despite the fact that the mean preoperative bone height for the IOD group was substantially higher (18.6mm) than for the EOD group (11.9 mm), it may be concluded that for augmentation procedures of the edentulous mandible, the IOD is more favourable.</AbstractText><CopyrightInformation>Copyright © 2011 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Perdijk</LastName><ForeName>F B T</ForeName><Initials>FB</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery, Gelderse Vallei Hospital, Ede, The Netherlands. f.perdijk@planet.nl</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Meijer</LastName><ForeName>G J</ForeName><Initials>GJ</Initials></Author><Author ValidYN="Y"><LastName>Krenkel</LastName><ForeName>Ch</ForeName><Initials>Ch</Initials></Author><Author ValidYN="Y"><LastName>Koole</LastName><ForeName>R</ForeName><Initials>R</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D023362">Evaluation Studies</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>01</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>Denmark</Country><MedlineTA>Int J Oral Maxillofac Surg</MedlineTA><NlmUniqueID>8605826</NlmUniqueID><ISSNLinking>0901-5027</ISSNLinking></MedlineJournalInfo><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000540" MajorTopicYN="N">Alveolar Ridge Augmentation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002508" MajorTopicYN="N">Cephalometry</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002680" MajorTopicYN="N">Chin</DescriptorName><QualifierName UI="Q000294" MajorTopicYN="N">innervation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016267" MajorTopicYN="N">External Fixators</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016268" MajorTopicYN="N">Internal Fixators</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008336" MajorTopicYN="N">Mandibular Diseases</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008337" MajorTopicYN="N">Mandibular Fractures</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008340" MajorTopicYN="N">Mandibular Nerve</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019857" MajorTopicYN="N">Osteogenesis, Distraction</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName><QualifierName UI="Q000379" 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