Vertical alveolar distraction osteogenesis with complications in a reconstructed mandible.
We report here a case of vertical alveolar distraction osteogenesis with many complications that required further surgical interventions. A 54-year-old man underwent mandibular resection followed by iliac bone grafting as the result of large mandibular odontogenic keratocyst. Eleven months later, alveolar vertical distraction osteogenesis was applied to the patient for prosthetic rehabilitation. Fracture of the basal bone occurred in the consolidation period, and the fracture was fixed by the titanium miniplate system. Radiographic examination after completion of distraction osteogenesis confirmed a radiolucent area in half of the distracted area between the basal bone and the transport segment, and when the distractor was removed the radiolucent area was filled with fibrous granulation tissue. The granulation tissue was removed and endosteal implants were inserted together with a bone graft. Ultimately, all implants were osseointegrated, and adequate esthetics and function of the implant-supported prosthesis were achieved.
Fukuda
Masayuki
M
Division of Dentistry and Oral Surgery, Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan.
Iino
Mitsuyoshi
M
Ohnuki
Takayoshi
T
Nagai
Hirokazu
H
Takahashi
Tetsu
T
D016301:Alveolar Bone Loss / Q000601:surgery; D000540:Alveolar Ridge Augmentation / Q000009:adverse effects* / Q000379:methods*; D001860:Bone Plates; D016025:Bone Transplantation; D003758:Dental Implantation, Endosseous; D005593:Fracture Fixation, Internal / Q000295:instrumentation; D006097:Granulation Tissue / Q000601:surgery; D006801:Humans; D019248:Jaw Fixation Techniques / Q000295:instrumentation; D008297:Male; D008334:Mandible / Q000601:surgery; D008336:Mandibular Diseases / Q000601:surgery; D008337:Mandibular Fractures / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D009807:Odontogenic Cysts / Q000601:surgery; D019857:Osteogenesis, Distraction / Q000009:adverse effects*