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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
   

N. As a result of resecting the cortical ridge crest, a wider aspect of the alveolus becomes available for implant placement. This bone segment is not regenerated or grafted tissue, it is native, mature bone.

N.

O. Osseointegrated implants are placed in a standard manner. In this case, implants were placed eight weeks after the distraction procedure was initiated. Because the resection of the original cortical crest has exposed the cancellous space, the labial and lingual cortices are not continuous. If additional ridge width is desired, the cortical plates are readily separated and expanded. Horizontal, bicortical microscrews (1.2mm diameter) are used to compress the labial and lingual plates after the implants have been positioned.

PRINCIPLE: Reconstruction of the site depends upon transport of healthy, viable bone and soft tissue into the deficient site from an adjacent area. The original tissue occupying the deformity site is resected and discarded.

O.

P. Five months after placement of osseointegrated implants, the site is entered for abutment connection. Note that the width of the ridge has been restored.

P.

 

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