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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Rachmiel, Adi Emodi, Omri Gutmacher, Zvi Blumenfeld, Israel Aizenbud, Dror |
| Description | Author Affiliation: Rachmiel A ( Department of Oral and Maxillofacial Surgery (Head: Micha Peled), Rambam Health Care Campus, POB 9602, Haifa 31096, Israel) |
| Abstract | Closure of large alveolar clefts and restoration by a fixed bridge supported by implants is a challenge in cleft alveolus treatment. A major aesthetic concern with distraction osteogenesis is obtaining a predictable position of the implant in relation to the newly generated bony alveolar ridge. We describe the treatment of a large cleft alveolus and palate reconstruction by distraction osteogenesis utilizing temporary anchorage devices (TADs) followed by a fixed implant-supported bridge. The method consists of segmental bone transport by distraction osteogenesis using a bone-borne distractor to minimize the alveolar cleft, followed by closure of the residual small defect by bone grafting three months later. During the active transport distraction, TADs were used exerting multidirectional forces to control the distraction vector forward and laterally for better interarch relation. A vertical alveolar distraction of the newly reconstructed bone of 15 mm facilitated optimal implant placement. The endosseous implants were osteointegrated and supported a fixed dental prosthesis. In conclusion, the large cleft alveolus defect was repaired in three dimensions by distraction osteogenesis assisted by TADs, and the soft tissues expanded simultaneously. Endosseous implants were introduced in the newly reconstructed bone for a fixed dental prosthesis enabling, rehabilitation of aesthetics, eating and speaking. |
| File Format | HTM / HTML |
| ISSN | 10105182 |
| Issue Number | 8 |
| Volume Number | 41 |
| e-ISSN | 18784119 |
| Journal | Journal of Cranio-Maxillofacial Surgery |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2013-12-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Dentistry Discipline General Surgery Cleft Palate Surgery Orthodontic Anchorage Procedures Instrumentation Osteogenesis, Distraction Methods Adult Alveolar Process Abnormalities Alveolar Ridge Augmentation Bone Transplantation Dental Arch Dental Implants Dental Prosthesis, Implant-supported Denture, Partial, Fixed Esthetics, Dental Female Humans Mastication Physiology Maxilla Osseointegration Speech Tooth Movement Case Reports Journal Article |
| Content Type | Text |
| Resource Type | Case study Article |
| Subject | Oral Surgery Otorhinolaryngology Surgery |
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