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Palatal approach for maxillary alveolar distraction.

Abel Garcia Garcia1, Manuel Somoza Martin, Pilar Gandara Vila

  • 1University of Santiago de Compostela, Santiago de Compostela, Spain. ciabelgg@usc.es

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|June 26, 2004
PubMed
Summary

This study introduces a palatal surgical technique for alveolar distraction in the upper jaw, successfully increasing alveolar bone height by 8 mm in two patients for dental implant placement.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Regenerative Medicine
  • Dental Implantology

Background:

  • Alveolar bone height insufficiency poses challenges for dental implant placement.
  • Traditional augmentation methods may have limitations in specific anatomical regions.

Observation:

  • A novel surgical technique utilizing a palatal approach for alveolar distraction in the upper jaw was employed.
  • Two clinical cases, one with posterior alveolar atrophy and another with a premaxillary bone defect, were treated.
  • Lead System distractors were utilized for controlled bone segment movement.

Findings:

  • The palatal-approach alveolar distraction successfully increased alveolar rim height by 8 mm in both patients.
  • This bone augmentation enabled the successful placement of dental implants (three 12-mm implants in case 1, two 12-mm implants in case 2).

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Implications:

  • The palatal approach offers a viable surgical option for alveolar bone height augmentation in the maxilla.
  • This technique facilitates predictable outcomes for subsequent dental implant rehabilitation.
  • Intraosseous distractors are effective tools for managing alveolar deficiencies via a palatal route.