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Updated: May 8, 2026

A Mouse Distraction Osteogenesis Model
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A Mouse Distraction Osteogenesis Model

Published on: November 14, 2018

Mandibular symphyseal distraction osteogenesis--simplified.

S S Chopra1, Nanda Kishore Sahoo, Balakrishna Jayan

  • 1AFMC, Pune.

International Journal of Orthodontics (Milwaukee, Wis.)
|August 15, 2013
PubMed
Summary
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This study introduces a cost-effective method for mandibular symphyseal distraction osteogenesis (MSDO) to expand the jaw. The innovative device offers a promising alternative for increasing mandibular dimension with clinical efficiency.

Area of Science:

  • Orthopedic Surgery
  • Craniofacial Surgery
  • Dental Medicine

Background:

  • Distraction osteogenesis (DO) is established for limb lengthening and adapted for facial skeletal changes.
  • Conventional mandibular expansion methods yield limited results and questionable stability.
  • The mandibular arch transverse dimension was historically considered immutable.

Purpose of the Study:

  • To adapt the Ilizarov protocol for mandibular symphyseal distraction osteogenesis (MSDO).
  • To evaluate a novel, tooth-borne device for mandibular expansion.
  • To assess the efficacy and cost-effectiveness of this MSDO approach.

Main Methods:

  • Developed a modified, tooth-borne mandibular symphyseal distraction device using a Schwartz screw and acrylic resin.

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  • The device covers all erupted mandibular teeth.
  • Surgical procedure performed under local anesthesia in an outpatient setting.
  • Main Results:

    • The modified device is economical, easy to fabricate, and clinically efficient.
    • The approach allows for regenerate bone formation, increasing basal bone dimension.
    • Outpatient surgery avoids hospitalization costs and time.

    Conclusions:

    • Mandibular Symphyseal Distraction Osteogenesis (MSDO) with this device offers a potentially greater effect than conventional expansion.
    • This low-cost MSDO approach is efficient and suitable for outpatient procedures.
    • Further multi-centric studies are recommended to compare MSDO with established methods.