Abstract
Vertical defects of the anterior alveolar ridge are challenging in implant dentistry. The nature of the deficiency may present an
obstacle to ideal implant positioning by compromising aesthetic and prosthetic needs.
Various techniques, such as onlay bone grafting, segmental osteotomy (SO), guided bone regeneration (GBR), use of alloplastic materials and alveolar distraction osteogenesis (ADO) have been suggested to manage those situations. Each of these modalities has its advantages and disadvantages. When using an autogenous bone graft, donor site morbidity is unavoidable and some resorption of the bone graft does occur.
ADO has an advantage of being capable of enhancing both hard and soft tissue simultaneously. The combination of ADO with platelet-rich plasma (PRP) during the consolidation phase of distraction can produce a stable aesthetic reconstruction of the alveolar bone and attached mucosa. This case report shares our experience in alveolar ridge augmentation using a central extraosseous alveolar distraction device with PRP followed by dental implant placement.
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References
Cricchio G, Lundgren S. Donor site morbidity in two different approaches to anterior iliac crest bone harvesting. Clin Implant Dent Relat Res 2003;5:161–169.
Yalcin S, Ordulu M, Emes Y, Gur H, Aktas I, Caniklioglu C. Alveolar distraction osteogenesis before placement of dental implants. Implant Dent 2006;15:48–52.
Cakir-Ozkan N, Eyibilen A, Ozkan F, Ozyurt B, Aslan H. Stereologic analysis of bone produced by distraction osteogenesis or autogenous bone grafting in mandible. J Craniofac Surg 2010;21:735–740.
Chiapasco M, Romeo E, Vogel G. Vertical distraction osteogenesis of edentulous ridges for improvement of oral implant positioning: A clinical report of preliminary results. Int J Oral Maxillofac Implants 2001;16:43–51.
Fukuda M, Iino M, Ohnuki T, Nagai H, Takahashi T. Vertical alveolar distraction osteogenesis with complications in a reconstructed mandible. J Oral Implantol 2003;29:185–188.
Iizuka T, Hallermann W, Seto I, Smolka W, Smolka K, Bosshardt DD. Bi-directional distraction osteogenesis of the alveolar bone using an extraosseous device. Clin Oral Implants Res 2005;16:700–707.
Sunitha Raja V, Munirathnam Naidu E. Platelet-rich fibrin: Evolution of a second generation platelet concentrate. Indian J Dent Res 2008;19:42–46.
Oda T, Sawaki Y, Ueda M. Alveolar ridge augmentation by distraction osteogenesis using titanium implants—An experimental study. Int J Oral Maxillofac Surg 1999;28:151.
Kim JW, Cho MH, Kim SJ, Kim MR. Alveolar distraction osteogenesis versus autogenous onlay bone graft for vertical augmentation of severely atrophied alveolar ridges after 12 years of long-term follow-up. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;116:540–549.
Takahashi T, Funaki K, Shintani H, et al. Use of horizontal alveolar distraction osteogenesis for implant placement in a narrow alveolar ridge: A case report. Int J Oral Maxillofac Implants 2004;19(2):291–294.
Garcia-Garcia A, Somoza-Martin M, Gandara-Vila P, et al. Horizontal alveolar distraction: A surgical technique with the transport segment pedicled to themucoperiosteum. J Oral Maxillofac Surg 2004;62(11):1408–1412.
Gaggl A, Rainer H, Chiari FM. Horizontal distraction of the anterior maxilla in combination with bilateral sinus lift operation –preliminary report. Int J Oral Maxillofac Surg 2005;34(1):37–44.
Louis PJ, Gutta R, Said-Al-Naief N, et al. Reconstruction of the maxilla and mandible with particulate bone graft and titanium mesh for implant placement. J Oral Maxillofac Surg 2008;66(2):235–245.
Gutta R, Waite PD. Outcomes of calvarial bone grafting for alveolar ridge reconstruction. Int J Oral Maxillofac Implants 2009;24(1):131–136.
Nocini PF, De Santis D, Ferrari F, et al. A customized distraction device for alveolar ridge augmentation and alignment of ankylosed teeth. Int J Oral Maxillofac Implants 2004;19(1):133–144.
Mendonça G, Mendonça DB, FernandesNeto AJ, et al. Use of distraction osteogenesis for repositioning of an osseointegrated implant: A case report. Int J Oral Maxillofac Implants 2008;23(3):551–555.
Marcantonio E, DelaColeta R, Spin-Neto R, et al. Use of a tooth-implant supported bone distractor in oral rehabilitation: Description of a personalized technique. J Oral Maxillofac Surg 2008;66(11):2339–2344.
Vega LG, Bilbao A. Alveolar distraction osteogenesis for dental implant preparation: An update. Oral Maxillofac Surg Clin North Am 2010; 22:369–385.
Ugurlu F, Sener BC, Dergin G, Garip H. Potential complications and precautions in vertical alveolar distraction osteogenesis: A retrospective study of 40 patients. J Craniomaxillofac Surg 2013;41:569–573.
Marx RE. Platelet-rich plasma: Evidence to support its use. J Oral Maxillofac Surg 2004;62:489.
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