A STUDY ON THE VERTICAL AUGMENTATION OF THE ALVEOLAR RIDGE BY DISTRACTION OSTEOGENESIS IN DOGS

성견에서 치조골 신장술을 이용한 수직적 골 증강에 관한 연구

  • Lee, Joo-Ho (Department of Prosthodontics, College of Dentistry, Dankook University) ;
  • Lim, Ju-Hwan (Department of Prosthodontics, College of Dentistry, Dankook University) ;
  • Cho, In-Ho (Department of Prosthodontics, College of Dentistry, Dankook University)
  • 이주호 (단국대학교 치과대학 보철학교실) ;
  • 임주환 (단국대학교 치과대학 보철학교실) ;
  • 조인호 (단국대학교 치과대학 보철학교실)
  • Published : 2007.02.28

Abstract

Statement of problem: Implant-type distractor uses a removable distraction device that has an appearance similar to that of a dental implant and utilizes many of the same techniques for placement as are used for dental implants. Material and method: In this study, 48 implant type titanium distractors were inserted into the osteotomized alveolar bone of 12 beagle dogs. After a 7-day latency period, the alveolar bone was augmented by 5mm vertically at a rate of 1.0 mm/day. The dogs were sacrificed after 4weeks, 8weeks and 12 weeks for radiographic, histologic, and histomorphometric analysis. Result: Copper equivalent value showed significant difference between 4 weeks and the other weeks(8, 12 weeks)(p<0.05). But there was no significant difference between maxillary and mandibular groups. In the bone to metal contact analysis, there was a significant difference between 4 weeks and 12 weeks(p<0.05). On the contrary, there was no significant difference between maxilla and mandible. The bone area showed significantly higher values in 12 weeks compared to 4 weeks(p<0.05). Histologically mineralization began at the host bone margins. At 12 weeks, increasing accumulation of $Ca^{++}$ element was confirmed. Conclusion: From the results above, the new bone formation was increased according to consolidation period. Especially there was significant difference between 4 weeks and 12 weeks(p<0.05). Implant type distractors used in this study to augment vertical ridge defect may prove to be a clinically useful treatment option in selected cases.

Keywords

References

  1. Adell R, Lekholm U, Rockler B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981;10:387-416 https://doi.org/10.1016/S0300-9785(81)80077-4
  2. Adell R. Long-term treatment results. In :Branemark PI , Zarb G, Albrektsson T . Tissue-Integrated Prosthesis : Osseointegration in Clinical Dentistry. Chicago : Quintessence, 1985;175-186
  3. Jemt T. Modified single and short-span restorations supported by osseointegrated fixtures in the partially edentulous jaw. J Prosthet Dent 1986;55:243-246 https://doi.org/10.1016/0022-3913(86)90352-5
  4. Jemt T, Lekholm U, Adell R. Osseointegrated implants in the treatment of the partially edentulous patients. A preliminary study of 876 consecutively installed fixtures. J Oral Maxillofac Implants 1989;4:211-217
  5. Andersson B, Odman P, Lindvall AM, Branemark PI. Cemented single crowns on osseointegrated implants after 5 years' results from a prospective study on CeraOne. Int J Prosthodont 1998;11:212-218
  6. Jemt T, Lekholm U, Grondahl K. A 3-year follow-up study of early single implant restorations. Int J Periodont Rest Dent 1990;5:341-349
  7. Lewis S, Beumer J, Hornburg W, Perri G. Single tooth implant-supported restorations. Int J Oral Maxillofac Implants 1988;3:25-30
  8. Ohrnell LO, Hirsch J, Ericsson I, Branemark PI . Single tooth rehabilitation using osseo -integration. A modified surgical and prosthodontic approach. Quintessence Int 1988; 19:871-876
  9. Simon M, Jovanovic SA , Trisi P, Scarano A, Piattelli A. Vertical ridge augmentation around dental implants using a membrane technique and autogenous or allografts in humans Int J Periodont Rest Dent 1998;18: 8-23
  10. Simon M, Trisi P, Piatelli A. Vertical ridge augmentation using a membrane technique associated with osseointegrated implants. Int J Periodont Rest Dent 1994;14;497-511
  11. Snyder CC, Levine GA, Swanson HM, Browne EZ Jr. Mandibular lengthening by gradual distraction. Plast Reconstr Surg 1992;89:1-10 https://doi.org/10.1097/00006534-199289010-00001
  12. Chin M, Toth BA. Distraction osteogenesis in maxillofacial surgery using internal devices: Review of five cases. J Oral Maxillofac Surg 1996;54:45-53 https://doi.org/10.1016/S0278-2391(96)90303-1
  13. Hidding J, Lazar F, Zoller JE. Initial outcome of vertical distraction osteogenesis of the atrophic alveolar ridge [in German]. Mund Kiefer Gesichtschir 1999;3(suppl 1):S79-S83 https://doi.org/10.1007/PL00014524
  14. Hidding J, Lazar F, Zoller JE. Vertical distraction of the alveolar process: A new technique for reconstructing the alveolar ridge. In: Samkuchov ML,Cope JB, Cherkashin AM. Craniofacial Distraction Osteogenesis. St. Louis: Mosby, 2001:393-400
  15. Ilizarov GA. The tension-stress effect on the genesis and growth of tissues. Part I. The influence of stability of fixation and soft tissue preservation. Clin Orthop 1989;238: 249-280
  16. Ilizarov GA. The tension-stress effect on the genesis and growth of tissues. Part II. The influence of the rate and frequency of distraction. Clin Orthop 1989 ;239:263-285
  17. Ilizarov GA. Clinical application of the tension- stress effect for limb lengthening. Clin Orthop 1990;250:8-26
  18. Ruttimann UE, Webber RL. Volumetry of localized bone lesions by subtraction radiography. J Periodont Res 1987;22: 215-216 https://doi.org/10.1111/j.1600-0765.1987.tb01571.x
  19. Garcia AG, Martin MS, Vila PG, Maceiras JL. Minor complications arising in alveolar distraction osteogenesis. J Oral Maxillofac Surg 2002;60:496-501 https://doi.org/10.1053/joms.2002.31844
  20. Eppley BL. Use of a resorbable fixation technique for maxillary fractures. J Craniofac Surg 1998;9:317-321 https://doi.org/10.1097/00001665-199807000-00005
  21. Klein C, Papageorge M, Kovacs A, Carchidi JE. Initial experiences with a new distraction implant system for alveolar ridge augmentation [in German]. Mund Kiefer Gesichtschir 1999;3:74-78 https://doi.org/10.1007/PL00014523
  22. Montag ME, Morales L Jr. Daane S. Bioabsorbables: Their use in pediatric craniofacial surgery. J Craniofac Surg 1997;8: 100-102 https://doi.org/10.1097/00001665-199703000-00007