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Updated: Feb 7, 2026

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Reconstruction Using Transport Distraction Osteogenesis with Indigenous Distractors: A Case Series
Neelam Andrade1, Paul Mathai1, Lakshmi Venkatakrishan1,2
1Nair Hospital Dental College, 55, Dr.Anandrao Nair Marg, Mumbai Central, Mumbai, Maharashtra India.
Transport distraction osteogenesis (TDO) offers a superior method for reconstructing jaw defects, avoiding donor site morbidity. This technique successfully restored bone height and width for dental implants in all 21 cases presented.
Area of Science:
- Maxillofacial surgery
- Regenerative medicine
- Biomaterials engineering
Background:
- Maxilla and mandible reconstruction presents significant challenges.
- Traditional methods like bone grafts have limitations.
- Transport distraction osteogenesis (TDO) emerges as a promising alternative.
Purpose of the Study:
- To evaluate the efficacy of indigenous transport distractors for maxillofacial reconstruction.
- To assess TDO in treating defects from various etiologies.
- To demonstrate the cost-effectiveness of using indigenous devices.
Main Methods:
- A series of 21 cases involving bifocal, trifocal, and alveolar TDO were performed.
- Indigenous stainless steel transport distraction devices were utilized.
- Bone healing was monitored via ultrasonography and confirmed with 3D CT scans.
Main Results:
- A 100% success rate was achieved across all treated cases.
- TDO provided adequate bone for successful dental implant rehabilitation.
- Reduced radiation exposure was achieved through ultrasonography monitoring.
Conclusions:
- Transport distraction osteogenesis is an effective and reliable technique for maxillofacial reconstruction.
- Indigenous distractors offer a cost-effective solution.
- TDO facilitates comprehensive dental rehabilitation.
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