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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
   

A. Alveolar ridge deficiency is a common clinical finding. A common etiology is traumatic avulsion of mandibular incisor teeth. This condition represents a typical application for alveolar distraction osteogenesis. This deformity includes: (1) deficiency in ridge height, (2) deficiency in ridge width, and (3) periodontal compromise of adjacent teeth. The three dimensional deficiency involves both bone and soft tissue.

A.

B. Clinical appearance of a 16-year-old with the history of avulsion of mandibular incisors at age 12. The alveolar crest has a knife-edge configuration. The overlying mucosa is also deficient. This represents a challenging surgical problem because multiple pathologic conditions coexist in a small region. Healing potential of the surgical reconstruction site is complicated by: (1) primary bone mass deficiency, (2) simultaneous deficiency in investing soft tissue, (3) periodontal compromise of adjacent teeth, and (4) unavoidable microflora contamination. The criteria for success is also challenging. To be considered successful, the reconstruction must meet biomechanical, functional, and esthetic requirements. To be clinically useful, the reconstruction should remain stable for many years. If the reconstruction fails, the result should allow for retreatment.

B.

 

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