RECONSTRUCTION USING MANDIBULAR HORIZONTAL DISTRACTION OSTEOGENESIS AND IMPLANT PROSTHESIS IN MANDIBULAR DEFICIENCY : A CASE REPORT

하악골 결손환자에서 수평적 골 신장술과 임프란트 보철수복 : 증례보고

  • Shin, Min-Young (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • An, Jun-Hyun (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Han, Jung-Hwan (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Shin, Sung-Soo (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Park, Yang-Ho (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Park, Young-Ju (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Park, Jun-Woo (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
  • Rhee, Gun-Joo (Sam Dental Clinic)
  • 신민영 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 안준현 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 한정환 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 신성수 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 박양호 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 박영주 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 박준우 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 이건주 (샘치과)
  • Published : 2003.12.31

Abstract

Distraction osteogenesis is a biologic process in which new bone is formed between bone fragments being separated by a tractional force. This technique has the advantage of initiating new bone growth without bone transplantation and promoting the growth of soft tissue. Mandibular distraction osteogenesis has shown to be effective to treat congenital or acquired mandibular hypoplasias. On the basis of positive results with implant-supported prostheses, the use of implants in the distracted site can significantly help stabilize the prosthesis. We obtained good result in the patient with mandibular deficiency due to trauma, who have been reconstructed with distraction osteogenesis and implant. We report our experiences with literature view.

Keywords

References

  1. Codivilla A: Onthe means of lengthening in the lower limbs,the muscle,and tissue which are shortened through deformity. Am J Orthop Surg 1905;2:353-359.
  2. Ilizalov GA: The tension-stress effect on the genesis and growth of tissue : Part I The influence of stability of fixation and soft tissue preservation. Clin Orthop 1989;238:249-281.
  3. Ilizalov GA: The tension-stress effect on the genesis and growth of tissue : Part II The influence of the rate and frequency of distraction. Clin Orthop 1989;239:263-285.
  4. Snyder CC. Levine GA, Swanson HM, Browne EZ Jr. : Mandibular lengthening by gradual distraction. Plast Reconstr Surg 1973;51:506-508.
  5. McCarthy JG, Schreiber J, Karp N, Thorne CH, Grayson BH. : Lengthening of the human mandible by gradual distraction. Plast Reconstr Surg 1992;89:1-10. https://doi.org/10.1097/00006534-199289010-00001
  6. 지유진,송현철,김여갑,김진,김창현 : 신연 골형성술에 있어서의 분자생물학적 최신 지견. 대구외지 2002;28:456-463.
  7. Kojimoto H, Yasui N, Goto T, Matsuda S, Shimomura Y : Bone lengthening in rabbits by callus distraction-The role of periosteum and endosteum. J Bone Joint Surg 1988;70B:543-549.
  8. Oda T, Sawaki Y, Ueda M : Alveolar ridge augmentation by distraction osteogenesis using titanium implant : an experimental study. Int J Oral Maxillofac Surg 1999;28:151-156.
  9. Oda T, Sawaki Y, Ueda M : Experimental alveolar ridge augmentation by distraction osteogenesis using a simple device that permits secondary implant placement. Int J Oral Maxillofac Implants 2000;15:95-102.
  10. 정현,오희균,유선열 : 치조골 신연후 임프란트 매식 시기에 따른 골유착 효과. 대구외지 2000;26:238-244.
  11. Bell WH, Fonseca RJ, Kenneky JW III : Bone healing and revascularization after total maxillary osteotomy. J Oral Surg 1975;33:253.
  12. Ole T. Jensen, Rex Cockrell, Lee kuhlke, Charles Reed : Anterior maxillary alveolar distraction osteogenesis: A prospective 5-year clinical study. Int J Oral Maxillofac Implants 2002;17:52-67.
  13. 김욱규,신상훈,정인교,이광호,박봉수 : 백서 하악골에서 신연골형성술시 신장력과 수축력 복합적용후의 조직반응. 대구외지 2002; 28:103-113.
  14. Block MS, Cervini D, Chang A, Gottsegen GB : Anterior maxillary advancement using tooth-supported distraction osteogenesis. J Oral Maxillofac Surg 1995;53;561.
  15. Block MS, Chang A, Crawford CH : Mandibular alveolar ridge augmentation in the dog using distraction osteogenesis. J Oral Maxillofac Surg 1996;54;309.
  16. 김한석,김명래,이성근,강상원,김기환,김형섭 : 구내 골신장술 후 식립된전치부 임프란트보철 치험보고. 대악성외지 2003;25:88-93.
  17. C.Klein, M.Papageorge, A.Kovacs, J.E.Carchidi. Initial experiences using a new implant based distraction system for alveolar ridge augmentation. Int J Oral Maxillofac Surg. 2001;30:167-169.
  18. Nosaka Y, Tsunokuma M, Hayashi H, Kakudo K. : Placement of implants in distraction osteogenesis: A pilot study in dogs. Int J Oral Maxillofac Implants 2000;15:185-192.
  19. Block MS, Almerico B, Crawford C, Gardiner D, Chang A : Bone response to funtioning implants in dog mandibular alveolar ridges augmented with distraction osteogenesis. Int J Oral Maxillofac Implants 1998;13:342-351.
  20. Squier CA : The stretching of mouse skin in vivo : effect on epidermal proliferation and thickness. J Invest Dermatol 1980;74:68.