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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

Alveolar Distraction Osteogenesis
Chapter Two Section VIII

T. The contour of the periodontal attachment is specific to the morphology of each tooth. Interproximal attachment is more coronal than on the facial aspect of the tooth. Maintanence of this contour is important in preserving the natural morphology of the gingiva and height of the interdental papilla. Coronal projection of the interproximal bone supports the soft tissue. The crestal bone is an essential part of the functional and esthetic anatomy. Fixture position should not compromise the gingival attachment to the tooth interproximately. Over countersinking of implants results in a steep ramp of interproximal bone leading apically from the tooth to the implant. If resorption occurs, the tooth may lose periodontal support and the interproximal papilla may decrease in its height.

PRINCIPLE: The fixture head should be placed at a similar vertical height as the periodontal attachment of the adjacent teeth.

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V. Follow-up showing stability of periodontal relationships of both implants and adjacent teeth.

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