Biomechanics in various mandibular widening procedures

다양한 하악 이부 확장 패턴에 관한 연구

  • Tae, Ki-Chul (Department of Orthodontics, Dental Institute, College of Dentistry, Wonkwang University) ;
  • Kang, Kyung-Hwa (Department of Orthodontics, Dental Institute, College of Dentistry, Wonkwang University) ;
  • Kim, Kyung-Hwan (Department of Orthodontics, Dental Institute, College of Dentistry, Wonkwang University)
  • 태기출 (원광대학교 치과대학 교정학교실, 치의학연구소) ;
  • 강경화 (원광대학교 치과대학 교정학교실, 치의학연구소) ;
  • 김경환 (원광대학교 치과대학 교정학교실, 치의학연구소)
  • Published : 2005.02.01

Abstract

Mandibular widening is one method of mandibular distraction osteogenesis, which has anatomic limitations such as curved surface, mandibular condyle and narrow arch. The purpose of this study was to understand the biomechanics of various mandibular widening procedures Experimental models consisted of 6 groups according to different osteotomy hues and distractor positions. The results of this study showed different expansion patterns. which meant the feed for proper approaches in mandibular widening.

하악 이부 확장은 해부학적으로 가동성인 하악골에서 시행하는 견인골 신장술의 한 형태로 곡면화된 표면과 하악 과두, 좁은 치열궁 형태로 많은 제약을 받게 된다. 본 연구는 이러한 한계를 보완하기 위해 적용되는 다양한 형태의 이부 확장을 이해하기 위해 시도되었다 골 절단선의 위치와 견인 장치의 위치를 다르게 하여. 각 8가지 군으로 구분한 후 이부 확장을 시행하였다. 이부 확장은 견인기의 위치와 골 절단선의 형태에 따라 다르게 이루어지는 결과를 얻었다.

Keywords

References

  1. Molina F, Ortiz Monasterio F. Mandibular elongation and remodeling by distraction; Farewell to major osteotomies. Plast Reconst Surg 1995;96:825-410, 841-2 https://doi.org/10.1097/00006534-199509001-00011
  2. McCarthy JG. Distraction of tbe craniofacial skeleton. Springer 1999;219-48
  3. 태기출, 강경화, 이수행, 유석근. 견인골 신장술을 이용한 안모 비대칭 환자 치험례. 대치교정지. 2003;33:391-8
  4. Snyder CC, Levine GA, Swanson HM, Browne EZ Jr. Mandibular lengtbening by gradual distraction. Preliminary report. Plastic Reconstr Surg 1973;51:500-8
  5. McCarthy JG, Schreiber J, Karp N, Thome CH, Grayson BH. Lengthening the human mandible by gradual distraction. Plast Reconst Surg 1992;89:1-10 https://doi.org/10.1097/00006534-199289010-00001
  6. Hidding J, Lazar F, Zoller JE. Vertical distraction of alveolar process; A new technique for reconstructing the alveolar ridge. Craniofacial distraction osteogenesis. St Louis: Mosby; 2001
  7. Chin M. Alveolar distraction osteogenesis with endosseous devices in 175 cases. In 3rd International congress on cranial and facial bone distraction process. Bologna, Italy. 2001
  8. Block MS, Chang A, Grawford C. Mandibular alveolar ridge augmentation in the dog using distraction osteogenesis. J Oral Maxillofac Surg 1996;54:309-14 https://doi.org/10.1016/S0278-2391(96)90750-8
  9. 태기출, 강경화. 사고에 의해 하악골 폭경이 붕괴된 환자에서 견인골 신장술. 대치교정지. 2003;33:85-90
  10. llizarov GA. The tension-stress effect on tbe genesis and growtb of tissues: Part II. The influence of the rate and frequency of distraction. Clin Ortbop 1989;239:263-85
  11. Guerrero CA, Contasti G. Transverse mandibular deficiency. In Bell WH, editer. Modern practice in ortbognathic and reconstructive surgery. Philadelphia: WE Saunders; 1992, p.2383-97
  12. Del Santo M Jr, Guerrero CA, Buschang PH, English JD, Samchukov ML, Bell WH. Long-term skeletal and dental effects of mandibular symphyseal distraction osteogenesis. Am J Ortbod Dentofacial Ortbop 2000;118:485-93 https://doi.org/10.1067/mod.2000.109887
  13. Guerrero CA., Bell WH,. Contasti GI, Rodriguez AM. Mandibular widening by intraoral distraction osteogenesis. Br J Oral Maxillofac Surg 1997;35:383-92 https://doi.org/10.1016/S0266-4356(97)90712-9
  14. Samchukov ML, Cope JB, Harper RP, Ross JD. Biomechanical considerations of mandibular lengthening andwidening by gradual distraction using a computer model. J Oral Maxillofac Surg 1998;56:51-9 https://doi.org/10.1016/S0278-2391(98)90916-8
  15. Gonzalez M, Bell WH, Guerrero PH, Buschang CA Samchukov ML: Positional changes and stability of bone segments during simultaneous bilateral mandibular lengthening and widening by distraction. Br J Oral Maxillofac Surg. 2001;39:169-78 https://doi.org/10.1054/bjom.2001.0642
  16. Codivilla A. On tbe means of lengtbening in tbe lower limbs, tbe muscles and tissues which are shortened through defonnity. 1094, Clin Ortbop 1994;301:4-9
  17. Swennen G, Schliephake H, Dempf R, Schierle H, Maleves C. Craniofacial distraction osteogenesis; A review of tbe literature. Part 1 Clinical studies. Int J Oral Maxillofac Surg 2001;30:89-103 https://doi.org/10.1054/ijom.2000.0033
  18. Swennen G, Dempf R, Schliephake H. Craniofacial distraction osteogenesis; A review of tbe literature. Part 2 Experimental studies. Int J Oral Maxillofac Surg 2002;31:123-35 https://doi.org/10.1054/ijom.2002.0225
  19. 태기출, 오승환, 민승기. 견인골 신장술을 이용한 하악 정중부 확대 치험례. 대치교정지 2001;31:499-504
  20. Braun S, Bottrel A, Legan HL. Condylar displacement related to mandibular symphyseal distraction. Am J Orthod Dentofacial Ortbop 2002;121:162-5 https://doi.org/10.1067/mod.2002.121560
  21. King JW, Wallace JC. Unilateral Brodie bite treated witb distraction osteogenesis. Am J Ortbod Dentofacial Ortbop 2004;125:500-9 https://doi.org/10.1016/j.ajodo.2003.07.005