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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

Maxillary Alveolar Distraction Osteogenesis
Chapter Three Section II

D. This surgical plan involves distraction of an alveolar segment including the cuspid site and the lateral incisor tooth. A horizontal incision in the vestibule exposes the site. Subperiosteal dissection does not reflect the gingiva covering the ridge crest or the periodontal attachments of the adjacent teeth. The osteotomy was outline with a #701 bur and completed through the palatal cortex with a microsaggital saw. The osteotomy through the ridge crest was completed with corticotomy osteotomes. Using a wide osteotome in the horizontal component of the osteotomy, the fragment was mobilized.

D.Wong3.jpg (12917 bytes)

E. The model illustrates the alveolar segment with the distraction device positioned. The two plate components are introduced into the horizontal component of the osteotomy. The threaded rod is placed through a vertical hole drilled transmucosally through the distraction fragment.

E.Wong4.jpg (11807 bytes)

F. Distraction device in place to transport the alveolar segment.

F.Wong5.jpg (14883 bytes)

 

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