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CC BY-NC-ND 4.0 · Eur J Dent 2009; 03(04): 335-342
DOI: 10.1055/s-0039-1697454
Original Article
Dental Investigation Society

Correction of Mandibular Retrognathia and Laterognathia by Distraction Osteogenesis: Follow up of 5 cases

Dogan Dolanmaz
a   Associate Professor, Selcuk University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Konya, Turkey
,
Ali Ihya Karaman
b   Professor, Kocaeli University, Faculty of Dentistry, Department of Orthodontics, Kocaeli, Turkey
,
Hakan Gurcan Gurel
c   Research Fellow, GATA Military Research and Training Hospital, Dental Clinic, Section of Orthodontics, Istanbul, Turkey
,
Abdullah Kalayci
d   Assistant professor, Selcuk University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Konya, Turkey
,
Hasan Kucukkolbasi
e   Assistant professor, Selcuk University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Konya, Turkey
,
Serdar Usumez
e   Assistant professor, Selcuk University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Konya, Turkey
› Author Affiliations
Further Information

Publication History

Publication Date:
11 March 2020 (online)

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ABSTRACT

This article evaluates the use of distraction osteogenesis in the treatment of mandibular retrognathia and laterognathia and the long term treatment results of the patients treated with this technique. The procedure was carried out in 5 subjects (3 males and 2 females, mean age 18.4 years) aged between 14 years and 27 years. In patients treated with bilateral mandibular distraction, it was observed that the ANB angle decreased by a mean of 5°, the mandibular corpus length increased by a mean of 14.5 mm and the overjet decreased by a mean of 12.2 mm after treatment. In patients treated with unilateral mandibular distraction, a mean of 3.5° reduction was achieved in ANB angle, the mandibular corpus length increased by a mean of 5.5 mm and a mean of 7 mm correction was achieved in relation to craniofacial midline with treatment. One of these patients showed an increase of 10 mm in ramus height on the affected side and a decrease of 5° in gonial angle whereas the other one showed an increase of 12.5° in gonial angle and an increase of 11 mm in ramus height on the affected side after treatment. The most significant long term relapse was observed in one of the patients treated with bilateral mandibular distraction. Long term relapse seen in the rest of the patients was within clinically acceptable limits. It can be concluded that distraction of the deformed mandible is a feasible and effective technique for treating mandibular retrognathia and laterognathia. However, it must be borne in mind that accurate placement of the distractors and determining the correct distraction vector are crucial factors that have an influence on long term clinical success. (Eur J Dent 2009;3:335-342)

Key words:

Distraction osteogenesis - Mandibular retrognathia - Laterognathia - Orthodontic treatment
 

  • REFERENCES

  • 1 Paley D, Catagni MA, Argnani F, Villa A, Benedetti GB, Cattaneo R. Illizarov treatment of tibial nonunions with bone loss. Clin Orthop Relat Res 1989;241:146-165.
  • 2 Samchukov ML, Ezaki M, Tucker WF, Ross JD. Restoration of apposition function in residual hand by Illizarov method: a case report. Bull Hosp Jt Dis Orthop Inst 1993;53:13-16.
  • 3 Cope JB, Harper RH. Significant mandibular deficiency treated by osteodistraction: an alternative to traditional orthognathic surgery. World J Orthod 1999;5:25-34.
  • 4 Bengi AO, Gürton AU, Okcu KM, Aydintug YS. Premaxillary distraction osteogenesis with an individual tooth-borne appliance. Angle Orthod 2004;74:420-431.
  • 5 Sayin S, Bengi AO, Gurton AU, Ortakoglu K. Rapid canine distalization using distraction of periodontal ligament: a preliminary clinical validation of the original technique. Angle Orthod 2004;74:304-315.
  • 6 Stucki MC, Cormick SU. Reconstruction of the mandibular condyle using transport distraction osteogenesis. J Craniofac Surg 1997;8:48-52.
  • 7 Snyder CC, Levine GA, Swanson HM, Browne EZ Jr. Mandibular lengthening by gradual distraction: preliminary report. Plast Reconstr Surg 1973;51:506.
  • 8 McCarthy JG, Schreiber J, Karp N, Thorne CH, Grayson BH. Lengthening the human mandible by gradual distraction. Plast Reconstr Surg 1992;89:1-8.
  • 9 Cope JB, Samchukov ML. Mineralization dynamics of regenerate bone during mandibular osteodistraction. J Maxillofac Surg 2001;30:234-242.
  • 10 Hopper RA, Altug AT, Grayson BH, Barillas I, Sato Y, Cutting CB, McCarthy JG. Cephalometric analysis of the consolidation phase following bilateral pediatric mandibular distraction. Cleft Palate Craniofac J 2003;40:233-240.
  • 11 Ilizarov GA. The principles of the Ilizarov method. Bull Hosp Joint Dis Orthop Inst 1988;48:1-11.
  • 12 Karp NS, Schreider JS, Thorne CH, McCarthy JG. Membranous bone lengthening: a serial histologic study. Ann Plast Surg 1992;29:2-7.
  • 13 Van Sickels JE. Distraction osteogenesis versus orthognathic surgery. Am J Orthod Dentofacial Orthop 2000;118:482-484.
  • 14 Van Sickels JE, Richardson DA. Stability of orthognathic surgery: a review of rigid fixation. Br J Oral Maxillofac Surg 1996; 34:279-285.
  • 15 van Strijen PJ, Perdijk FB, Becking AG, Breuning KH. Distraction osteogenesis for mandibular advancement. Int J Oral Maxillofac Surg 2000;29:81-85.
  • 16 van Strijen PJ, Perdijk FBT, Breuning KH. Osteo-distraction in Class II deficiencies, the treatment of choice? 2nd International Congress on Cranial and Facial Bone Distraction Processes Bologna, Italy: Mondruzzi. 1999; 259-263.
  • 17 Breuning KH, van Strijen PJ. Orthodontic indications for mandibular distraction. In: Samchukov ML, Cope JL, Cheraskhin AM, editors. Craniofacial distraction osteogenesis St. Louis: Mosby; 2001; 278-285.
  • 18 Mommaerts MY. Mandibular distraction with a dynamic osteosynthesis system (MD-DOS). J Craniomaxillofac Surg 1996;24(suppl 1):7.
  • 19 Razdolsky Y, Dressner S, El-Bialy T. Clinical application of ROD intraoral custom distraction devices. In: Samchukov ML, Cope JL, Cheraskhin AM, editors. Craniofacial distraction osteogenesis St. Louis: Mosby; 2001; 269-277.
  • 20 Aronson J. Biological and clinical evaluation of distraction histogenesis. Clin Orthop 1994;301:2-3.
  • 21 Tavakoli K, Stewart KJ, Poole MD. Distraction osteogenesis in craniofacial surgery: a review. Ann Plast Surg 1998;40:88- 99.
  • 22 Gosain AK. Plastic Surgery Educational Foundation DATA Committee. Distraction osteogenesis of the craniofacial skeleton safety and efficacy report. Plast Reconstr Surg 2001;17:278-280.
  • 23 Luchs JS, Stelnicki EJ, Rowe NM, Naijher NS, Grayson BH, McCarthy JG. Molding of the regenerate in mandibular distraction: part 1: laboratory study. J Craniofac Surg 2002;13:205-210.
  • 24 Kunz C, Hammer B, Prein J. Manipulation of callus after linear distraction: a “lifeboat” or an alternative to multivectoral distraction osteogenesis of the mandible? Plast Reconstr Surg 2000;105:674-679.
  • 25 McCarthy JG, Hopper RA, Hollier LH, Peltomaki T, Katzen T, Grayson BH. Molding of the regenerate in mandibular distraction: clinical experience. Plast Reconstr Surg 2003; 112:1239-1246.
  • 26 Fritz MA, Sidman JD. Distraction osteogenesis of the mandible. Curr Opin Otolaryngol Head Neck Surg 2004;12: 513-518.
  • 27 van Strijen PJ, Breuning KH, Becking AG, Perdijk FB, Tuinzing DB. Complications in bilateral mandibular distraction osteogenesis using internal devices. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96:392-397.
  • 28 Schreuder WH, Jansma J, Bierman MW, Vissink A. Distraction osteogenesis versus bilateral sagittal split osteotomy for advancement of the retrognathic mandible: a review of the literature. Int J Oral Maxillofac Surg 2007;2:103-110.
  • 29 American Association of Oral and Maxillofacial Surgeons (AAOMS). Distraction osteogenesis. Statements by the American Association of Oral and Maxillofacial Surgeons Concerning the Management of Selected Clinical Conditions and Associated Clinical Procedures Rosemont, IL: AAOMS; 2003.
  • 30 Fujimori Y, Ueda K, Oba S. Additional distraction osteogenesis after conventional fronto-orbital advancement. J Craniofac Surg 2005;6:1064-1069.
  • 31 Ko EW, Figueroa AA, Guyette TW, Polley JW, Law WR. Velopharyngeal changes after maxillary advancement in cleft patients with distraction osteogenesis using a rigid external distraction device: a 1-year cephalometric follow-up. J Craniofac Surg 1999;312-320.
  • 32 Figueroa AA, Polley JW. Management of severe cleft maxillary deficiency with distraction osteogenesis: procedure and results. Am J Orthod Dentofacial Orthop 1999;115:1-12.
  • 33 Maull DJ. Review of devices for distraction osteogenesis of the craniofacial complex. Semin Orthod 1999;1:64-73.
  • 34 Hawkinson RT: Retrognathia correction by means of an arcing osteotomy in the ascending ramus. J Prosthet Dent 1968;20:77-86.
  • 35 Liou EJ, Huang CS. Rapid canine retraction through distraction of the periodontal ligament. Am J Orthod Dentofacial Orthop 1998;114:372-382.
  • 36 Gateño J, Teichgraeber JF, Aguilar E. Computer planning for distraction osteogenesis. Plast Reconstr Surg 2000;105:873-882.
  • 37 Makarov MR, Harper RP, Cope JB, Samchukov ML. Evaluation of inferior alveolar nerve function during distraction osteogenesis in the dog. J Oral Maxillofac Surg 1998;56:1417-1423.