Related Experiment Videos
Alveolar width distraction osteogenesis for early implant placement
Zvi Laster1, Adi Rachmiel, Ole T Jensen
1Department of Oral and Maxillofacial Surgery, Poriya Hospital, Poriya, Israel. zvi@lasters.co.il
Summary
Horizontal alveolar distraction osteogenesis effectively corrected horizontal width deficiency in 9 patients, increasing bone width by 4-6 mm. This technique offers advantages over bone grafting for dental implant placement.
Area of Science:
- Oral and Maxillofacial Surgery
- Regenerative Medicine
- Dental Implantology
Background:
- Alveolar bone width deficiency presents a challenge for dental implant placement.
- Traditional bone grafting methods can be invasive and time-consuming.
Purpose of the Study:
- To evaluate the efficacy of horizontal alveolar distraction osteogenesis for correcting horizontal alveolar width deficiency.
- To assess the outcomes of dental implant placement following distraction osteogenesis.
Main Methods:
- Nine patients with horizontal alveolar width deficiency underwent distraction osteogenesis using a specialized device.
- A blind crestal osteotomy and percutaneous device placement were performed under local anesthesia.
- Distraction occurred at 0.4 mm/day for 14-18 days, followed by implant placement.
Main Results:
- Distraction osteogenesis successfully increased alveolar width by 4-6 mm in all patients.
- Twenty out of 21 placed dental implants achieved successful osseointegration.
- No marginal bone resorption was observed at 12 months post-follow-up.
Conclusions:
- Horizontal alveolar distraction osteogenesis is a viable and effective method for correcting alveolar width deficiency.
- This technique offers advantages including soft tissue expansion, dimensional stability, and reduced treatment time compared to bone grafting.
- Successful osseointegration of dental implants can be achieved following this procedure.