| Title | Vertical alveolar distraction osteogenesis with complications in a reconstructed mandible. | | Author(s) | Fukuda M, Iino M, Ohnuki T, Nagai H, Takahashi T | | Institution | Division of Dentistry and Oral Surgery, Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan. | | Source | J Oral Implantol 2003; 29(4):185-8. | | MeSH | Alveolar Bone Loss
Alveolar Ridge Augmentation
Bone Plates
Bone Transplantation
Dental Implantation, Endosseous
Fracture Fixation, Internal
Granulation Tissue
Humans
Jaw Fixation Techniques
Male
Mandible
Mandibular Diseases
Mandibular Fractures
Middle Aged
Odontogenic Cysts
Osteogenesis, Distraction
| | Abstract | We report here a case of vertical alveolar distraction osteogenesis with many complications that required further surgical interventions. A 54-year-old man underwent mandibular resection followed by iliac bone grafting as the result of large mandibular odontogenic keratocyst. Eleven months later, alveolar vertical distraction osteogenesis was applied to the patient for prosthetic rehabilitation. Fracture of the basal bone occurred in the consolidation period, and the fracture was fixed by the titanium miniplate system. Radiographic examination after completion of distraction osteogenesis confirmed a radiolucent area in half of the distracted area between the basal bone and the transport segment, and when the distractor was removed the radiolucent area was filled with fibrous granulation tissue. The granulation tissue was removed and endosteal implants were inserted together with a bone graft. Ultimately, all implants were osseointegrated, and adequate esthetics and function of the implant-supported prosthesis were achieved. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 12964799 |
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