Periosteal Distraction Osteogenesis and Barrier Membrane Application: An Experimental Study in the Rat Calvaria

Saulačić, Nikola; Schaller, Benoît; Bosshardt, Dieter D.; Buser, Daniel; Jaun, Pascal; Haeniwa, Hideya; Iizuka, Tetsuya

doi:10.1902/jop.2011.110418

Cited by 15 publications

(11 citation statements)

References 46 publications

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“…Oda et al [31] and Saulacic et al [29] created different groups perforating and not perforating the bone cortical, obtaining better results in the groups with perforations. In a study by Saluacic et al [28] they used the device in a group covered by a collagen membrane and Casap et al [35] used VEGF in a group and obtained a better result in bone formation.…”

Section: Figure 2 Other Devices (A-f)mentioning

confidence: 99%

“…Although the application of distracting forces through OD leads to the formation of sub-periosteal bone, tension in the periosteum is enough to create significant amounts of subperiosteal bone [17]. Therefore, it is possible to produce the formation of new bone through Osteogenetic Periosteal Distraction (OPD) without having to perform an osteotomy [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36].…”

Section: Introductionmentioning

confidence: 99%

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Periosteal distraction as bone regenerative alternative

Garcia¹,

Martín²,

Torreira³

et al. 2018

biomedicalresearch

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The use of endoseus implants is frequently limited by insufficient bone in the reception area as a result of trauma, tooth loss, poor surgical technique or periodontal disease. Several methods have been described to solve problems related to bone atrophy: regeneration with bone grafts, Guided Bone Regeneration (GBR) and Osteogenic Distraction (OD). OD is a technique that induces the formation of hard and soft tissue through a progressive elongation of a gap created by osteotomy. The periosteum plays an active role in osteogenic distraction. Therefore, it is possible to produce the formation of new bone through Osteogenetic Periosteal Distraction (OPD) without having to perform an osteotomy. The goal of this revision is to clarify the matter, revising the used devices, techniques and comparing the results. The bibliographic revision of OPD was performed by searching on PUBMED and SCOPUS for the articles published until December 2013. We included a total of 17 articles that complied with the requirements. Several experimental studies in animals have shown the formation of bone by OPD, however, there is not a clear protocol to develop the intervention due to the diversity of devices, animal models, anatomical regions or variables in the surgical technique in regards to latency periods, activation frequency and consolidation periods. OPD is efficient for the creation of new bone between the remnant bone and the periosteal tissue, although the amount of variables do not allow for the establishment of a predictable result.

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Section: Figure 2 Other Devices (A-f)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Periosteal distraction as bone regenerative alternative

Garcia¹,

Martín²,

Torreira³

et al. 2018

biomedicalresearch

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show abstract

“…1,2 This technique is today recognized as being effective to increase the vertical dimension of edentulous alveolar crests with severe atrophy. 3 Studies on PD in experimental animals for over 22 years have combined several elements to promote neo-osteogenesis: tricalcium phosphate, 4 RTG membranes, 5,6 lipid-lowering drugs, 7 plasma rich fibrin PRF 8 and stem cells 9 among others. According to Zhao and colleagues, it is now possible to start the clinical investigation of this technique.…”

Section: Introductionmentioning

confidence: 99%

Mandibular periosteal vertical distraction before dental implants placement: case report

Estrada¹

2018

JDHODT

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Periosteal Distraction (PD) has been investigated in animals for several years with the purpose of vertically bone augmentations in atrophic areas where osteogenic distraction (OD) is not possible. However, up to date, PD has not been related in humans. A 63-year-old woman, with vertical and transverse atrophy of the left inferior alveolar ridge, was clinically and tomographically assessed. A custom made periosteal distraction device (Tracper 3) was placed under local anesthesia. It was activated 0.25 mm every 12 hours since the fourth day, for 15 days. Four months later, a 7.5 mm vertical bone increase was tomographically confirmed. The PD device was then removed and two dental implants were placed and loaded three months later. This clinical case clearly shows the potential of the PD technique in severe bone atrophy in humans. More extensive clinical studies are necessary to confirm the interest and precise clinical modalities of utilization of periosteal distraction in humans.

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“…Recently, alveolar bone DO has been applied to atrophic mandibular and maxillary alveolar ridges, and the alveolar segment can be distracted in the vertical and horizontal directions according to morphologic features of the atrophic ridge 7 . Compared to bone grafts for the atrophic alveolar ridge, alveolar DO has been applied successfully for the augmentation of the height of the alveolar bone ridge in which the amount of soft tissue uncovered may be limited, and the bone defect is complicated 8,9 . Alveolar bone can be distracted in conjunction with the surrounding soft tissues.…”

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confidence: 99%

“…7 Compared to bone grafts for the atrophic alveolar ridge, alveolar DO has been applied successfully for the augmentation of the height of the alveolar bone ridge in which the amount of soft tissue uncovered may be limited, and the bone defect is complicated. 8,9 Alveolar bone can be distracted in conjunction with the surrounding soft tissues. These adaptive changes reduce the risk of recurring infection in the bone defect and promote regeneration of the alveolar bone.…”

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confidence: 99%

Accelerated Bone Formation in Distracted Alveolar Bone After Injection of Recombinant Human Bone Morphogenetic Protein‐2

Terbish¹,

Yoo²,

Kim³

et al. 2015

Journal of Periodontology

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Periosteal Distraction Osteogenesis and Barrier Membrane Application: An Experimental Study in the Rat Calvaria

Abstract: Within the limitations of the present study, the application of a barrier membrane may be considered beneficial for new bone formation induced by periosteal distraction.

Cited by 15 publications

References 46 publications

Periosteal distraction as bone regenerative alternative

Periosteal distraction as bone regenerative alternative

Mandibular periosteal vertical distraction before dental implants placement: case report

Accelerated Bone Formation in Distracted Alveolar Bone After Injection of Recombinant Human Bone Morphogenetic Protein‐2

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