Analysis of complications following alveolar distraction osteogenesis and implant placement in the partially edentulous mandible

Enislidis, Georg; Fock, N.; Millesi-Schobel, G.; Klug, Clemens; Wittwer, Gert; Yerit, Kaan; Ewers, Rolf

doi:10.1016/j.tripleo.2004.11.021

Cited by 97 publications

(83 citation statements)

References 25 publications

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“…In a study by Enisdilis et al survival rate of 95.7% after a mean follow-up of 39.4 months (range 4.8-58.3 months) post-implantation was observed which is comparable to the survival rate of 100% reported by Chiapasco et al [22,25]. The results of the investigation by Froum et al documented a similar implant success rate (90.9%) [26].…”

Section: Discussionmentioning

confidence: 54%

“…These figures undermine the theory that distraction osteogenesis is not an uncomplicated procedure [25]. However, dental implants were safely inserted into distracted areas in most instances and long-term survival of loaded implants was satisfactory.…”

Section: Complicationsmentioning

confidence: 95%

“…In 1 patient, implants had to be removed the day after insertion, Removal of 3 implants; Secondary insertion of 4 implants and simultaneous secondary augmentation 21 Enislidis et al [25] 94 implants 2.6 months consolidation. After 5.9 months of initial osseointegration, prosthetic rehabilitation was performed.…”

Section: To 30 Monthsmentioning

confidence: 99%

“…However, dental implants were safely inserted into distracted areas in most instances and long-term survival of loaded implants was satisfactory. Often-mentioned soft tissue complications are dehiscences and failed lengthening of the fixed gingiva, resulting in a reduced vestibular sulcus Soft tissue dehiscences more frequently occur by the use of extraosseous devices which demand a larger covering mucoperiosteal flap and enforce the tension caused by surrounding cheek and tongue muscles [25,41]. According to Ettl et al missing soft tissue extension may be more common with distraction of mandibular bone [46].…”

Section: Complicationsmentioning

confidence: 99%

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Distraction Osteogenesis in Implantology for Ridge Augmentation - A Systematic Review

Sumra¹,

Kulshrestha²

2017

Dent Implants Dentures

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The purpose of this systematic review was to evaluate distraction osteogenesis for ridge augmentation in implant dentistry and also to present the associated advantages and limitations. A Medline and manual search was conducted to identify clinical studies concerning distraction osteogenesis in implant dentistry published between 1998 to 2012. 52 articles were assessed. The articles included evaluated the type of distractor used, augmentation achieved and the success and survival rate of implant placed in the augmented site. It was seen that when comparing methods of regeneration, a decreased treatment time is seen in cases of distraction osteogenesis. The reason for this lies in the fact that within 12 weeks the distraction segments are formed and there is a increase noted in the height of the alveolar bone, from 5 to 15 mm as well as an implant survival rate of 95.7%. It can be concluded that distraction osteogenesis is a relatively simple, effective and reliable technique for alveolar ridge reconstruction in contemporary implant dentistry. It can be considered versatile owing to its simplicity, possibility of avoiding bone grafts, infections and blood transfusions. The fact that graft and membrane exposure or inadequate tissue coverage do not pose complications, makes this an effective method of bone augmentation in implantology.

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Section: Discussionmentioning

confidence: 54%

Section: Complicationsmentioning

confidence: 95%

Section: To 30 Monthsmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

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Distraction Osteogenesis in Implantology for Ridge Augmentation - A Systematic Review

Sumra¹,

Kulshrestha²

2017

Dent Implants Dentures

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“…Although alveolar distraction has proven to be successful for treating alveolar ridge deficiency, it has some intraoperative and post-operative complications [15,[17][18][19][20]. During the distraction process, complications include resorption of the transport segment, difficulty in completing the osteotomy on the lingual side, excessive length of the threaded rod and device failure.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Vertical Bone Gain Following Alveolar Distraction Osteogenesis in the Anterior Edentulous Mandible: A Clinical Study

Kumar

Masrom

Patil

et al. 2013

J. Maxillofac. Oral Surg.

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Aim and Objectives To calculate the gain in bony height and volume of the distracted upper segment using an extraosseous unidirectional device to improve the retention of the future prosthesis. Materials and Methods Ten cases with completely or partially edentulous but severely or considerably resorbed anterior mandibles were managed by vertical alveolar distraction osteogenesis. All the patients were evaluated preoperatively, intraoperatively and post-operatively for various parameters clinically and radiographically i.e. on OPG, lateral cephalogram and on CT scan, at different time intervals. In all cases there was increase in vertical bone height. Results The study showed mean vertical bone gain (VBG) on OPG as 8.2 mm. The mean VBG on lateral cephalogram was 8.1 mm. The mean VBG on CT scan at right canine was 8.35 mm, at left canine was 8.2 mm and at midline was 8.27 mm. Conclusion Alveolar distraction osteogenesis is a predictable method for restoring alveolar ridges prior to implant placement or prosthesis. Distraction osteogenesis is ideally suited for recreating missing tissue in the anterior esthetic zone by increasing vertical bone height as well as good width and soft tissue growth.

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Hard Tissue Reconstruction

Smith¹,

Williams²,

Ward³

2012

Management of Complications in Oral and Maxillofacial Surgery

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Analysis of complications following alveolar distraction osteogenesis and implant placement in the partially edentulous mandible

Cited by 97 publications

References 25 publications

Distraction Osteogenesis in Implantology for Ridge Augmentation - A Systematic Review

Distraction Osteogenesis in Implantology for Ridge Augmentation - A Systematic Review

Evaluation of Vertical Bone Gain Following Alveolar Distraction Osteogenesis in the Anterior Edentulous Mandible: A Clinical Study

Hard Tissue Reconstruction

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