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Related Experiment Videos

Patients' responses to distraction osteogenesis: a multi-centre study.

A C Primrose1, E Broadfoot, P A Diner

  • 1Glasgow Dental Hospital and School, 378 Sauchiehall Street, Glasgow G23JZ, UK.

International Journal of Oral and Maxillofacial Surgery
|March 3, 2005
PubMed
Summary

Intra-oral distraction devices improved sleep and recreation for children but worsened eating and hygiene. Extra-oral devices caused scarring, with both types requiring high patient cooperation for successful distraction osteogenesis.

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Area of Science:

  • Craniofacial surgery
  • Orthodontics
  • Pediatric dentistry

Background:

  • Distraction osteogenesis is a surgical procedure used to lengthen bone segments.
  • Both intra-oral and extra-oral devices are employed for distraction osteogenesis, each with potential benefits and drawbacks.
  • Understanding the practical difficulties associated with these devices is crucial for optimizing patient outcomes.

Purpose of the Study:

  • To compare the practical difficulties encountered by children treated with intra-oral versus extra-oral distraction devices.
  • To investigate the impact of distraction osteogenesis on pain, sleep, speech, eating, recreation, and sensation.
  • To evaluate the psychological effects and patient cooperation levels.

Main Methods:

  • A comparative study involving 54 children across three international centers (Mexico City, New York, Paris).

Related Experiment Videos

  • Patients were treated with either intra-oral or extra-oral distraction devices.
  • Data collected on pain, sleep, speech, eating, recreation, sensation, and device-related complications.

    • Main Results:

    • Intra-oral devices were associated with significantly fewer sleeping problems (P = 0.006) and less disturbance to recreational activities (P = 0.002).
    • Eating and oral hygiene maintenance were more challenging with intra-oral devices (P = 0.07).
    • Extra-oral devices presented scarring as a major disadvantage; altered lip sensation was temporary in both groups, and pain was limited to device activation.

    Conclusions:

    • Intra-oral devices offer advantages in improving sleep and recreational activities but pose challenges in eating and oral hygiene.
    • Extra-oral devices are associated with scarring, while both methods require significant patient cooperation for successful treatment.
    • The choice of device should consider a balance between functional benefits and potential complications for pediatric patients undergoing distraction osteogenesis.