Continuous Versus Discontinuous Distraction: Evaluation of Bone Regenerate Following Various Rhythms of Distraction

Djasim, Urville M.; Wolvius, Eppo B.; Bos, Joop A.; Neck, Han W. van; Wal, K G van der

doi:10.1016/j.joms.2008.08.016

Cited by 22 publications

(14 citation statements)

References 31 publications

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“…Results of this study have shown the effectiveness of ACDO method compared to conventional discontinuous DO methods. In another study in 2009, Djasim et al [22] performed an investigation on continuous DO of the nasal bones in a rabbit model by using a custom-made hydraulic continuous distractor. The purpose of this study was to evaluate the performance and outcome of the ACDO solution compared to conventional discontinuous DO solutions with regard to the bone regeneration.…”

Section: Hydraulic Distractorsmentioning

confidence: 99%

“…There are key elements significantly influencing a continuous DO procedure: the rate and the rhythm of distraction, the generated DF, and the distraction vector are from those major factors influence the outcome of the treatment [20,22,46]. To achieve a successful treatment and high-quality formed bone tissue by using an ACDO solution, the device should cover all required parameters of a standard DO protocol.…”

Section: Automatic Continuous Distractors and Required Characteristicsmentioning

confidence: 99%

“…The major limitations of manual distractors are unstable movement, large step accuracy, low distraction rate (DR) from 0.25 to 1 mm/day, and low distraction rhythm (once or twice daily). Long treatment period, scar formation, painful distraction phase, and patient compliance are other issues in manual solutions [16,[20][21][22][23][24].…”

mentioning

confidence: 99%

“…Recent animal studies by using automatic continuous distractors have verified the viability of using an ACDO device in a DO treatment; histologic, radiographic, and samples of bone tissue have proved that using an ACDO solution can lead to a more successful treatment compared to manual solutions. Using continuous DF in a DO protocol could significantly increase the DR and expedite the bone healing procedure while increasing the osteogenesis quality [22,[26][27][28][29].…”

mentioning

confidence: 99%

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Review of automatic continuous distraction osteogenesis devices for mandibular reconstruction applications

Hatefi

Roux

et al. 2020

BioMed Eng OnLine

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Distraction osteogenesis (DO) is an emerging method for bone tissue reconstruction. In oral and maxillofacial reconstruction applications, DO is playing an important role as a technique without the need of bone graft. In addition, in a DO treatment procedure, a superior outcome could be achieved compared to conventional reconstruction techniques. Recently, a few automatic continuous distraction osteogenesis (ACDO) devices have been designed and developed to be used in human reconstruction applications. Experiments and animal studies have validated the functionality of the developed ACDO devices. It has shown that by using such ACDO devices in a DO procedure, compared to conventional manual DO methods, superior outcomes could be obtained. However, the application of such ACDO devices is still limited. More research and investigation need to be undertaken to study all requirements of ACDO devices to be used in successful human mandibular DO treatment. It is important to determine all requirements and standards that need to be considered and applied in the design and development of ACDO devices. The purpose of this review paper is to highlight the designed and developed ACDO procedures thus far in terms of their working principles, working parameters, and technical aspects for providing a better perspective of the development progress of ACDO devices for oral and maxillofacial reconstruction applications. In this paper, design principles, device specifications, and working parameters of ACDO devices are compared and discussed. Subsequently, current limitations and gaps have been addressed, and future works for enabling an ultimate automatic DO procedure have been suggested.

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Section: Hydraulic Distractorsmentioning

confidence: 99%

Section: Automatic Continuous Distractors and Required Characteristicsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Review of automatic continuous distraction osteogenesis devices for mandibular reconstruction applications

Hatefi

Roux

et al. 2020

BioMed Eng OnLine

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“…The first is the total length gain in a day, which varies from 0.5 to 1.0 mm/day; the second refers to the number of daily activations to reach the desired length, varying from two to four activations per day. Excessive traction tends to stimulate the formation of cysts and fibrous tissue, reducing the resistance of the regenerated tissue; on the other hand, less traction leads to precocious consolidation, making it impossible to achieve the desired length [5].…”

Section: Lengthening Phasementioning

confidence: 99%

Sonographic Monitoring During Distraction Osteogenesis

Campos¹,

Martins²,

Ferreira³

et al. 2016

Advanced Techniques in Bone Regeneration

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Distraction osteogenesis is a method of bone healing and regeneration widely used to correct bone malformations, shortenings, and other bone defects. Despite its benefits, it is a long-duration therapy with considerable physical and psychological morbidity. Treatment optimization is fundamental and monitoring techniques are being studied. This chapter discusses monitoring methods with a focus on ultrasound evaluation of distraction osteogenesis.

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Histomorphometrical and radiological comparison of low-level laser therapy effects on distraction osteogenesis: experimental study

et al. 2013

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Distraction osteogenesis (DO) is the application of traction to the callus formed between bone segments and stimulation of bone formation by creating stress on the callus with this traction. Shorten the duration of DO and increasing the capacity of bone formation is important to prevent the possible complications of DO. For this reason, it was considered that low-level laser therapy (LLLT) may affect positively DO and it can decrease the complication range by shortening the period. Unilateral mandibular distractors were applied on 16 female white New Zealand rabbit to prove this hypothesis with micro CT, plain radiograph and histomorphometric analyses. Eight rabbits were applied LLLT with GaAlAs laser on the distraction area during the distraction period. On the post-distraction 28th day, four rabbits from study group and four rabbits from control groups were sacrificed. The rest of the rabbits were sacrificed on post-distraction 56th day. As a result of this study, significant positive effects of LLLT on post-distraction 28th day were revealed with all analyses. In histomorphometrical analyses, new bone formation was significantly higher in short-term laser applied group comparing to that of short-term control group (p = 0.029). In both microCT and plain radiograph, the highest radioopacity values were observed in short-term laser group when compared with that of the controls (p = 0.043 and p = 0.025, respectively). Even though LLLT increased the healing capacity on short-term, it was not sufficient on long-term (post-distraction 56th day) healing. LLLT application on distraction period, activate healing on bone so it may decrease DO period. The result of this study should be supported with clinical studies and the most effective laser source, dose and application time should be revealed with experimental and clinical studies.

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Continuous Versus Discontinuous Distraction: Evaluation of Bone Regenerate Following Various Rhythms of Distraction

Cited by 22 publications

References 31 publications

Review of automatic continuous distraction osteogenesis devices for mandibular reconstruction applications

Review of automatic continuous distraction osteogenesis devices for mandibular reconstruction applications

Sonographic Monitoring During Distraction Osteogenesis

Histomorphometrical and radiological comparison of low-level laser therapy effects on distraction osteogenesis: experimental study

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