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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

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Published on: April 11, 2012

Distraction Osteogenesis versus Bilateral Sagittal Split Osteotomy: A Systematic Review Comparing the Skeletal

Ananya Panda¹, Sumita Mishra¹, Smruti Bhusan Nanda¹

¹Department of Orthodontics and Dentofacial Orthodpaedics, Institute of Dental Sciences, Sikhsa 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India.

Journal of Pharmacy & Bioallied Sciences

|July 14, 2025

Summary

Bilateral Sagittal Split Osteotomy (BSSO) and Distraction Osteogenesis (DO) are surgical options for mandibular advancement. Distraction Osteogenesis shows fewer neurosensory disturbances and complications compared to BSSO.

Keywords:

Bilateral sagittal split osteotomy class II malocclusion distraction osteogenesis

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Area of Science:

Oral and Maxillofacial Surgery
Orthognathic Surgery
Surgical Innovation

Background:

Bilateral Sagittal Split Osteotomy (BSSO) is a standard surgical technique for mandibular retrognathia or hypoplasia.
Distraction Osteogenesis (DO) is an alternative for mandibular advancements exceeding 10 mm, noted for its stability.

Purpose of the Study:

To compare the stability and postoperative complications of BSSO versus DO for mandibular advancement.
To evaluate differences in neurosensory disturbances, condylar resorption, and infection rates between the two surgical methods.

Main Methods:

Systematic review and meta-analysis of five selected studies comparing BSSO and DO.
Statistical analysis of outcomes including neurosensory disturbances of the inferior alveolar nerve (IAN), condylar resorption, and infection rates.

Main Results:

A statistically significant difference was observed in neurosensory disturbances of the IAN between BSSO and DO.
Significant differences were also noted in condylar resorption and postoperative infection rates favoring DO.
DO demonstrated a reduced incidence of neurosensory disturbances compared to BSSO.

Conclusions:

Distraction Osteogenesis (DO) offers an advantage over Bilateral Sagittal Split Osteotomy (BSSO) in reducing neurosensory disturbances.
DO may also lead to lower rates of condylar resorption and postoperative infection, suggesting improved outcomes.