By Nejat Erverdi, Melih Motro
This publication describes a brand new approach to alveolar distraction osteogenesis that gives vital benefits and will be used for the therapy of assorted orthopedic abnormalities and congenital malformations. unique counsel is equipped on number of sufferers compatible for alveolar distraction, together with people with cleft lip and palate, skeletal category II malocclusions and cystic lesions concerning the alveolus. All features of therapy utilizing the ArchWise distraction equipment are then coated, together with technical training, surgical set-up and osteotomies, docking website surgical procedure, orthodontic completing, implant placement and prosthetic restorations. suitable details can be integrated at the rules of distraction osteogenesis and bone histology and caliber after the approach. The booklet concludes with important case shows protecting varied situations within which ArchWise distraction of alveolar bone is appropriate.
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Additional info for Alveolar Distraction Osteogenesis: ArchWise Appliance and Technique
Blockout of the undercuts 2. Wax modeling 3. Casting stage, similar to the prosthetic metal abutment preparation stages of veneer crowns. Fig. 3 Tube shape and diameter on the metal-casted appliance 36 4 A Novel Approach in Developing Facial Esthetics in Cleft Lip and Palate Patients Fig. 4 Planned wire extension other. In the cleft palate cases with hard palate defect, the anchorage unit must be reinforced with a palatal bar, since there is no bone bridge on the palatal vault. Fig. 5 Semicircular tube shape and diameter on the metal-casted appliance Semicircular Tubes These are the other accessories, which are placed in the interproximal areas in the distraction disk units.
In the maxillofacial region, however, if the application of the 34 4 A Novel Approach in Developing Facial Esthetics in Cleft Lip and Palate Patients distraction osteogenesis procedure is onto the mandibular area because the inferior alveolar nerve is located inside a bony canal, the risk of nerve damage during the osteotomy or fixation of the pins is greater. Therefore, the osteotomies and the pin fixation should be carefully carried out. Oral Structures Gingiva responds favorably to gradual stretching during distraction histiogenesis.
2). However, after the first few weeks of consolidation, regenerative changes with neohistiogenesis are observed, by which the structural and functional integrity is restored (Kunimori et al. 2007; Cope and Samchukov 2005). The reaction of the periodontal ligament changes due to the design of the distraction device. If the device is bone-borne, then the load on the periodontal ligament decreases. If the device is a tooth-borne device, then the periodontal ligament around the involved teeth reacts as in orthodontic loads.
Alveolar Distraction Osteogenesis: ArchWise Appliance and Technique by Nejat Erverdi, Melih Motro