Abstract
Wider alveolar clefts/fistulae and maxillary dentoalveolar defects pose problems in achieving complete closure because of the requirement of a greater volume of bone as a graft. Segmented osteotomies have been used successfully for the repositioning of minor segments; however, in major segmented movements, the closing of the flap and the blood supply of the osteotomized segment may be compromised. Interdental distraction osteogenesis has overcome this problem by creating a segment of new alveolar bone and complete approximation of wider alveolar defects. This case report shows an effective and efficient way of distraction using a modified Hyrax appliance.
Similar content being viewed by others
References
Burton R. The use of distraction osteogenesis in oral surgery: frequently asked questions. University of Iowa Hospitals and Clinics. 2001.
Cheung LK, Zhang ZG, Wong MC. Reconstruction of maxillectomy defect by transport distraction osteogenesis. Int J Oral Maxillofac Surg. 2003;32:515–22.
Chin M, Toth BA. Distraction osteogenesis in maxillofacial surgery using internal devices: review of five cases. J Oral Maxillofac Surg. 1996;54(1):45–53.
Dolanmaz D, Karaman AI, Durmus E, Malkoc S. Management of alveolar clefts using dento –osseous transport distraction osteogenesis. The Angle Orthod. 2003;73(6):723–9.
Drew SJ. Maxillary distraction osteogenesis for advancement in cleft patients, internal devices. J Oral Maxillofac Surg. 2008;66:2592–7.
Figueroa AA, Polley JW, Friede H. Long-term skeletal stability after maxillary advancement with distraction osteogenesis using a rigid external distraction device in cleft maxillary deformities. Plast Reconstr Surg. 2004;114:1382–92.
Guerreno CA. Intra oral bone transport in clefting. Oral maxillofac surg clin north AM. 2002;14:509–23.
Isaksson H, Comas O, van Donkelaar CC, Mediavilla J, Wilson W, Huiskes R, Ito K. Bone regeneration during distraction osteogenesis: mechano-regulation by shear strain and fluid velocity. J Biomech. 2006;40(9):2002–11.
Liou EJW, Chen PKT. New orthodontic and orthopaedic managements on the premaxillary deformities in patients with bilateral cleft before alveolar bone grafting. Annals of the College of Surgeons of Hong Kong. 2003;7(3):73–82.
Liou EJ, Chen PK, Huang CS, Chen YR. Interdental distraction osteogenesis and rapid orthodontic tooth movement: a novel approach to approximate a wide alveolar cleft or defect. Plast Reconstr Surg. 2000;105:1262–72.
Shakaki M, Shawky M, Dahaba M, Radwan D. Bone regeneration in alveolar distraction osteogenesis combined with compression stimulation treatment modality. Egypt J Oral Maxillofac Surg. 2010;1:12–7.
Taub PJ, Bradely JP, Kawamotto HK. Closure of an oronasal fistula in an irradiated palate by tissue and bone distraction osteigenesis. J Craniofac Surg. 2001;12:495–9.
Vega O, Pérez D, Páramo V, Falcón J. A new device for alveolar bone transportation. Craniomaxillofac Trauma Reconstr. 2011;4:91–106.
Vig KW. Alveolar bone graft.: the surgical/orthodontic management of the cleft maxilla. Ann Acad Med Singapore. 1999;28(5):721–7.
Yen SL, Yamashita DD, Kim TH, Baek HS, Gross J. Closure of an usually larger palatal fistula in a cleft patient by bony transport and corticotomy assisted expansion. J Oral Maxillofac Surg. 2003;61:1346–50.
Yilmaz S, Kilic AR, Keles A, Efeoglu E. Reconstruction of an alveolar cleft for orthodontic tooth movement. Am J Orthod Dentofacial Orthop. 2000;117(2):156–63.
Zemann W, Pichelmayer M. Maxillary segmental distraction in children with unilateral clefts of lip, palate, and alveolus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;111(6):688–92.S.
Ilizarov GA. The tension-stress effect on the genesis and growth of tissues. Part I. The influence of stability of fixation and soft tissue preservation. Clin Orthop Relat Res. 1989a;(238):249–81.
Ilizarov GA. The tension-stress effect on the genesis and growth of tissues. Part II. The influence of the rate and frequency of distraction. Clin Orthop Relat Res. 1989b;(239):263–85.
Richards M, Goulet JA, Weiss JA, Waanders NA, Schaffler MB, Goldstein SA. Bone regeneration and fracture healing: Experience with distraction osteogenesis model. Clin Orthop Relat Res. 1998;355:S191–204.
Compliance with ethical guidelines
Conflict of interest
S. S. Kahlon, R. Mahajan, S. Gupta, M. Kahlon, and S. Seth state that there are no conflicts of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kahlon, S., Mahajan, R., Gupta, S. et al. A simplified technique for bridging wide alveolar cleft defects. J. Stomat. Occ. Med. 7, 111–114 (2014). https://doi.org/10.1007/s12548-014-0112-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12548-014-0112-4