[The management of anterior transversal mandibular deficiencies by distraction osteogenesis. Preliminary results and report of 3 cases].
During the last ten years, osteodistraction genesis appeared as being a treatment of some maxillo-facial transversal deficiencies. A new technique have been develop in Lille Maxillo-Facial Department (Pr Ferri, France). This new technique is used in cases of mandibular hyposymphysis, which induce most of the time a mandibular incisor crowding. This distraction osteogenesis performed after sagittal osteotomy of the mandibular symphysis and associated with orthodontic treatment is a solution to avoid teeth extractions. Other treatments could be used to solve anterior mandibular teeth crowding but they have disadvantages: teeth slicing, teeth extraction or orthodontic teeth tilting. This new technique is performed with intra oral-device, small enough to be placed under mandibular periosteum. Three patients have been treated by this technique, they got a stable result. In these three cases, alveolar and basal bone is present. So for us, symphysis osteogenesis distraction appears to be an alternative treatments to mandibular incisor crowding.
Vereecke
F
F
Service de chirurgie maxillofaciale et stomatologie, CHRU Lille, hôpital Roger Salengro, avenue du professeur Leclerc, 59037 Lille, France.
Caprioli
F
F
Raoul
G
G
Bennani
K
K
Ferri
J
J
D000293:Adolescent; D006801:Humans; D008297:Male; D008334:Mandible / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000379:methods*; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*
Prise en charge des déficits transversaux antérieurs de la mandibule par ostéodistraction symphysaire. Résultats préliminaires à propos de trois cas cliniques.