Skip Navigation LinksHome > February 2013 - Volume 22 - Issue 1 > Vector-Controlled Alveolar Distraction Osteogenesis Using an...
Implant Dentistry:
doi: 10.1097/ID.0b013e31827e782c
Clinical Science and Techniques

Vector-Controlled Alveolar Distraction Osteogenesis Using an Implant-Fixed Provisional Prosthesis: A Case Report

Kawashima, Wataru DDS*; Takayama, Kenichi DDS, PhD; Fujii, Ryosuke DDS; Matsubara, Yuuri DDS§; Kirita, Tadaaki DDS, DMSc

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Abstract

This is a case report of anterosuperior alveolar distraction using an implant-fixed provisional prosthesis. Osteotomy and placement of a distraction device were performed in a healthy 69-year-old woman. To avoid lingual inclination during the distraction period, the device's rod was buried in the labial side of a provisional prosthesis supported by posterior implants. The mandibular bone was obliquely distracted by 0.3 mm every 2 days. Implant insertion was performed, and a good prognosis was anticipated. Inclination is thought to be caused by soft tissue on the lingual side. Many reports propose methods to avoid inclination, but these methods require established support from the teeth and cannot be adapted for an edentulous case. The method reported here is useful for distraction osteogenesis because it can be adapted for edentulous cases.

© 2013 Lippincott Williams & Wilkins, Inc.

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