Alveolar cleft closure by distraction osteogenesis with skeletal anchorage during consolidation.
Intraoral distraction osteogenesis (DO) has been widely used for the reconstruction of various dentoalveolar defects. However, its use in the management of alveolar clefts is relatively new. This method allows the closure of the cleft via the regeneration of new alveolar bone and attached gingiva through the distraction of a dento-osseous segment. It eliminates the need for a donor site for autogenous bone grafting and possible graft failure. However, the relatively long consolidation period required for the use of intraoral DO devices may result in soft tissue irritation that would compromise patient cooperation, especially in children. In the case presented, the intraoral DO technique was used for the treatment of a unilateral residual alveolar cleft and an implant was subsequently placed in the regenerated bone. A miniplate was also placed to serve as a skeletal anchor to enable the early removal of the distractor device. The distractor was removed before the beginning of the consolidation phase.
Pektas
Zafer Ozgür
ZO
Department of Oral and Maxillofacial Surgery, Baskent University, Faculty of Dentistry, Ankara, Turkey. opektas@baskent-adn.edu.tr
Kircelli
Beyza Hancioglu
BH
Bayram
Burak
B
Kircelli
Cem
C
Uckan
Sina
S
D000293:Adolescent; D000539:Alveolar Process / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D000543:Alveoloplasty; D001860:Bone Plates; D001861:Bone Regeneration; D003758:Dental Implantation, Endosseous / Q000379:methods; D019250:Dental Implants, Single-Tooth; D006801:Humans; D008297:Male; D008437:Maxilla / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D009957:Oroantral Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation / Q000379:methods; D019857:Osteogenesis, Distraction / Q000295:instrumentation* / Q000379:methods; D011859:Radiography; D016896:Treatment Outcome