Osteogenic Distraction in Complex Mandibular Defect

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Published: Sep 1, 2016
DOI: https://doi.org/10.32457/ijmss.2016.032
Keywords:
Distraction osteogenesis, dental implants, mandibular fracture

Article Details

How to Cite
Olate, S., Parra, M., Unibazo, A., Uribe, F., & Restovic, N. (2016). Osteogenic Distraction in Complex Mandibular Defect. International Journal of Medical and Surgical Sciences, 3(3), 971–975. https://doi.org/10.32457/ijmss.2016.032
Issue
Vol. 3 No. 3 (2016): September 2016
Section
Research Article

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Osteogenic Distraction in Complex Mandibular Defect

Main Article Content

Sergio Olate
División de Cirugía Oral y Maxilofacial, Universidad de La Frontera, Temuco.
Marcelo Parra
Programa de Magíster en Odontología, Facultad de Odontología, Universidad de La Frontera, Temuco
Alejandro Unibazo
División de Cirugía Oral y Maxilofacial, Hospital Abraham Godoy Peña, Lautaro.
Francisca Uribe
Programa de Doctorado en Ciencias Médicas, Facultad de Medicina, Universidad de La Frontera, Temuco.
Nicolás Restovic
Molart, Clínica Privada, Temuco.

Abstract

Distraction osteogenesis (DO) is a surgical technique used in the treatment of facial deformities and malformations and also in the treatment of alveolar bone deficiencies. The aim of this paper is to show the case of a patient with partial edentulism in the symphysis area with a severe vertical and horizontal bone deficiency caused by mandibular trauma. At the initial analysis, the patient related a recent history of fracture in symphysis and right angle of the mandible. Treatment had not been entirely succesfull, therefore, after studying the options, we opted for a treatment at different stages: Stage 1, surgery for osteo shynthesis removal, soft tissue preparation and replacement of the posterior margin of mandibular symphysis; stage 2, distraction osteogenesis, performed 3 months after the first intervention and stage 3, distractor device removal and dental implant installation, performed 6 months after the second intervention. We discuss some factors involved in the treatment success.

References

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