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Introduction
Overview

  1. Introduction

  2. Historical Perspective

  3. Maxillofacial Application

  4. The Process

  5. The Device

Chapter One
Principles of Alveolar Distraction Osteogenesis
    

     1.  Section I

     2.  Section II

     3.  Section III

     4.  Section IV

     5.  Section V

     6.  Section VI

     7.  Section VII

     8.  Section VIII

     9.  Section IX

   10.  Section X

   11.  Section XI

Chapter Two
Alveolar Distraction Osteogenesis

  1. Section I

  2. Section II

  3. Section III

  4. Section IV

  5. Section V

  6. Section VI

  7. Section VII

  8. Section VIII

  9. Section IX

Chapter Three
Maxillary Alveolar Distraction
Osteogenesis

  1. Section I

  2. Section II

  3. Section III

  4. Section IV

  5. Section V

  6. Section VI

  7. Section VII

Principles of
Alveolar Distraction Osteogenesis
Chapter One Section X

Q. The distraction process may be combined with other reconstructive procedures. If the ridge crest deficiency extends far apically, the distraction process may not result in an alveolar ridge of sufficient width to place an implant without further expansion. Even if this is the case, the distraction process addressed three important objectives. First, the volume of the bone has been increased substantially. Second, the medullary portion of the jaw has been transported into the future implant site. Third, the soft tissue including the periosteum and gingiva have been expanded.

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R. A ridge splitting procedure can be performed to increase the width of the alveolus beyond that achieved through vertical distraction. Vertical transport of the medullary space into the region of the alveolar crest facilitates the process of the ridge splitting. The cortical plates can be easily separated when there is a well formed medullary space between them. The thin, redundant cortical ridge crest may be discarded or saved.

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