Interest and outcomes of alveolar distraction osteogenesis for dental implant rehabilitation following mandibular reconstruction

Introduction: Alveolar distraction osteogenesis (ADO) is one of vertical bone augmentation technique used to restore the vertical bone discrepancy between the transplanted graft and the residual alveolar bone after mandibular reconstruction. The aim of this article is to present the clinical outcome...

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Autores principales:	Callies Philippine, Gellée Timothée, Samama Mickael
Formato:	article
Lenguaje:	EN
Publicado:	EDP Sciences 2021
Materias:	alveolar distraction dental implant mandibular reconstruction free flap Dentistry RK1-715 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/7f0c7ac4eee84992b092652b9669a4b8
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spelling	oai:doaj.org-article:7f0c7ac4eee84992b092652b9669a4b82021-12-02T17:13:48ZInterest and outcomes of alveolar distraction osteogenesis for dental implant rehabilitation following mandibular reconstruction2608-132610.1051/mbcb/2021023https://doaj.org/article/7f0c7ac4eee84992b092652b9669a4b82021-01-01T00:00:00Zhttps://www.jomos.org/articles/mbcb/full_html/2021/04/mbcb200194/mbcb200194.htmlhttps://doaj.org/toc/2608-1326Introduction: Alveolar distraction osteogenesis (ADO) is one of vertical bone augmentation technique used to restore the vertical bone discrepancy between the transplanted graft and the residual alveolar bone after mandibular reconstruction. The aim of this article is to present the clinical outcomes of ADO applied to reconstructed mandible for three patients. Observation: Three patients underwent alveolar distraction osteogenesis procedure on mandibula reconstructed by fibula free flap (n = 2) or iliac crest free flap (n = 1). The mean bone height increase was 11 mm. 16 implants have been placed in all patients, with a success rate of 100% and a mean follow-up of 25 months. Two complications occurred without compromising the final outcome of the procedure: one fracture of the basal bone and one bony interference, both during activation phase. Commentaries: ADO can be performed on reconstructed mandible with free flap to restore alveolar height. An acceptable implant-to-crown ratio allows an optimal supported implant prosthesis. The particular antecedent of our patients can lead to uncommon complications such as basal bone fracture, but doesn't seem to compromise implant placement with good success rate. Conclusions: ADO performed on reconstructed mandible allows appropriate dental implant rehabilitation, achieving good esthetics and occlusal outcomes.Callies PhilippineGellée TimothéeSamama MickaelEDP Sciencesarticlealveolar distractiondental implantmandibular reconstructionfree flapDentistryRK1-715SurgeryRD1-811ENJournal of Oral Medicine and Oral Surgery, Vol 27, Iss 4, p 56 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	alveolar distraction dental implant mandibular reconstruction free flap Dentistry RK1-715 Surgery RD1-811
spellingShingle	alveolar distraction dental implant mandibular reconstruction free flap Dentistry RK1-715 Surgery RD1-811 Callies Philippine Gellée Timothée Samama Mickael Interest and outcomes of alveolar distraction osteogenesis for dental implant rehabilitation following mandibular reconstruction
description	Introduction: Alveolar distraction osteogenesis (ADO) is one of vertical bone augmentation technique used to restore the vertical bone discrepancy between the transplanted graft and the residual alveolar bone after mandibular reconstruction. The aim of this article is to present the clinical outcomes of ADO applied to reconstructed mandible for three patients. Observation: Three patients underwent alveolar distraction osteogenesis procedure on mandibula reconstructed by fibula free flap (n = 2) or iliac crest free flap (n = 1). The mean bone height increase was 11 mm. 16 implants have been placed in all patients, with a success rate of 100% and a mean follow-up of 25 months. Two complications occurred without compromising the final outcome of the procedure: one fracture of the basal bone and one bony interference, both during activation phase. Commentaries: ADO can be performed on reconstructed mandible with free flap to restore alveolar height. An acceptable implant-to-crown ratio allows an optimal supported implant prosthesis. The particular antecedent of our patients can lead to uncommon complications such as basal bone fracture, but doesn't seem to compromise implant placement with good success rate. Conclusions: ADO performed on reconstructed mandible allows appropriate dental implant rehabilitation, achieving good esthetics and occlusal outcomes.
format	article
author	Callies Philippine Gellée Timothée Samama Mickael
author_facet	Callies Philippine Gellée Timothée Samama Mickael
author_sort	Callies Philippine
title	Interest and outcomes of alveolar distraction osteogenesis for dental implant rehabilitation following mandibular reconstruction
title_short	Interest and outcomes of alveolar distraction osteogenesis for dental implant rehabilitation following mandibular reconstruction
title_full	Interest and outcomes of alveolar distraction osteogenesis for dental implant rehabilitation following mandibular reconstruction
title_fullStr	Interest and outcomes of alveolar distraction osteogenesis for dental implant rehabilitation following mandibular reconstruction
title_full_unstemmed	Interest and outcomes of alveolar distraction osteogenesis for dental implant rehabilitation following mandibular reconstruction
title_sort	interest and outcomes of alveolar distraction osteogenesis for dental implant rehabilitation following mandibular reconstruction
publisher	EDP Sciences
publishDate	2021
url	https://doaj.org/article/7f0c7ac4eee84992b092652b9669a4b8
work_keys_str_mv	AT calliesphilippine interestandoutcomesofalveolardistractionosteogenesisfordentalimplantrehabilitationfollowingmandibularreconstruction AT gelleetimothee interestandoutcomesofalveolardistractionosteogenesisfordentalimplantrehabilitationfollowingmandibularreconstruction AT samamamickael interestandoutcomesofalveolardistractionosteogenesisfordentalimplantrehabilitationfollowingmandibularreconstruction
_version_	1718381327736111104

Interest and outcomes of alveolar distraction osteogenesis for dental implant rehabilitation following mandibular reconstruction

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