Vertical alveolar distraction osteogenesis with complications in a reconstructed mandible.

Masayuki Fukuda, Mitsuyoshi Iino, Takayoshi Ohnuki, Hirokazu Nagai, Tetsu Takahashi

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)

Abstract

We report here a case of vertical alveolar distraction osteogenesis with many complications that required further surgical interventions. A 54-year-old man underwent mandibular resection followed by iliac bone grafting as the result of large mandibular odontogenic keratocyst. Eleven months later, alveolar vertical distraction osteogenesis was applied to the patient for prosthetic rehabilitation. Fracture of the basal bone occurred in the consolidation period, and the fracture was fixed by the titanium miniplate system. Radiographic examination after completion of distraction osteogenesis confirmed a radiolucent area in half of the distracted area between the basal bone and the transport segment, and when the distractor was removed the radiolucent area was filled with fibrous granulation tissue. The granulation tissue was removed and endosteal implants were inserted together with a bone graft. Ultimately, all implants were osseointegrated, and adequate esthetics and function of the implant-supported prosthesis were achieved.

Original languageEnglish
Pages (from-to)185-188
Number of pages4
JournalThe Journal of oral implantology
Volume29
Issue number4
Publication statusPublished - 2003 Jan 1
Externally publishedYes

ASJC Scopus subject areas

  • Oral Surgery

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