Abstract
Our aim was to investigate the efficacy of correction of an alveolar cleft with distraction
osteogenesis using anchorage with a tooth–microimplant joint in a canine model, which
was established in 12 adult mongrel dogs that were subsequently randomised into two
groups (n = 6 in each). The first group comprised dogs that had osteogenesis using anchorage with
a tooth (tooth group), while in the second, anchorage with tooth–microimplant joint
(microimplant group) was used. All animals were killed one month after completion
of distraction. Samples were collected for gross observation and histological examination.
There was a significant difference in the degree of movement of the anchorage teeth
in the transport discs between the 2 groups (p < 0.01). There was less prominent inclination and shift of the natural teeth in the
transport disc and less bony resorption around the root in the microimplant group
than in the tooth group. These changes were less remarkable in the microimplant group.
Treatment of alveolar cleft by distraction osteogenesis using anchorage with a tooth–microimplant
joint is practical, and yields better results.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to British Journal of Oral and Maxillofacial SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Distraction osteogenesis of the craniofacial skeleton.Plast Reconstr Surg. 2001; 107: 1812-1827
- Closure of a large alveolar cleft by bony transport of a posterior segment using orthodontic archwires attached to bone: report of a case.J Oral Maxillofac Surg. 2001; 59: 688-691
- Multidimensional distraction osteogenesis: the canine zygoma.Plast Reconstr Surg. 1994; 94: 753-758
- Interdental distraction osteogenesis and rapid orthodontic tooth movement: a novel approach to approximate a wide alveolar cleft or bony defect.Plast Reconstr Surg. 2000; 105: 1262-1272
- Management of alveolar clefts using dento-osseous transport distraction osteogenesis.Angle Orthod. 2003; 73: 723-729
- Animal experimental study on repairing alveolar clefts by using rectilinear distraction osteogenesis.J Plast Reconstr Aesthet Surg. 2009; 62: 1573-1579
- Maxillary bone transportation in alveolar cleft-transport distraction osteogenesis for treatment of alveolar cleft repair.Br J Plast Surg. 2005; 58: 619-625
- Transpalatal distraction osteogenesis prior to alveolar bone grafting in cleft lip and palate patients.Int J Oral Maxillofac Surg. 2010; 39: 761-766
- Segment distraction to reduce a wide alveolar cleft before alveolar bone grafting.Cleft Palate Craniofac Surg. 2003; 40: 561-565
- Closure of vertical alveolar bone defects with guided horizontal distraction osteogenesis: an experimental study in pigs and first clinical results.J Craniomaxillofac Surg. 2001; 29: 249-253
- Success rate of mini- and micro-implants used for orthodontic anchorage: a prospective clinical study.Clin Oral Implants Res. 2007; 18: 263-267
- Clinical applications of orthodontic microimplant anchorage in craniofacial patients.Cleft Palate Craniofac Surg. 2009; 46: 136-146
- Clinical application of micro-implant anchorage.J Clin Orthod. 2002; 36: 298-302
- Simultaneous maxillary distraction osteogenesis using a twin-track distraction device combined with alveolar bone grafting in cleft patients: preliminary report of a technique.Angle Orthod. 2006; 76: 164-172
- Experimental tooth movement through mature and immature bone regenerates after distraction osteogenesis in dogs.Am J Orthod Dentofacial Orthop. 2002; 121: 385-395
- Experimental tooth movement through regenerate alveolar bone: a pilot study.Am J Orthod Dentofacial Orthop. 1999; 116: 501-505
- Anterior maxillary advancement using tooth-supported distraction osteogenesis.J Oral Maxillofac Surg. 1995; 53: 561-565
Article info
Publication history
Published online: January 03, 2012
Accepted:
November 15,
2011
Identification
Copyright
© 2011 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
