The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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Distraction osteogenesis in collapsed mandible arch patients by accidents

사고에 의해 하악골 폭경이 붕괴된 환자에서 견인골 신장술

  • Tae, Ki-Chul (Department of Orthodontics, Dental School, Dental Institute, Wonkwang University) ;
  • Kang, Kyung-Hwa (Department of Orthodontics, Dental School, Dental Institute, Wonkwang University)
  • 태기출 (원광대학교 치과대학 교정학교실, 치의학연구소) ;
  • 강경화 (원광대학교 치과대학 교정학교실, 치의학연구소)
  • Published : 2003.04.01
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Abstract

The symphyseal mandibular fractures due to accidents happened in form of collapsed transeverse arch and multiple teeth loss. And the collapsed transverse arch in mandible occurs with unilaterally or bilaterally. So that patient needs to recover arch width. Conventional approaches, however, we difficult to get appropriate transverse arch correction. Distraction osteogenesis is a unique form of clinical tissue engineering and biologic process of new bone formation between bone segments that are gradually separately by incremental traction. Distraction osteogenesis is considered that great potential for correcting transverse mandibular deficiencies. Tn this paper, distraction osteogenesis applied to patients who had a unilateral or bilateral collapsed arch width in mandible. But it was necessary secrutinize consideration about periodontal conditions, biomechanical vectors, TMJ adaptations, and neuromuscular change during distraction osteogenesis period.

하악골 정중부 골절은 종종 폭경의 붕괴를 초래한다. 견인골 신장술을 이용한 폭경의 회복은 교합재건에 만족스런 결과를 유도한다. 편측성과 양측성 하악폭경이 붕괴된 환자에서 견인골 신장술을 적용할 때 벡터와 힘의 적용에서 차이를 보인다. 본 연구는 이러한 차이를 교정학적 관점에서 살펴보고자 한다.

Keywords

References

  1. Archer WH. Oral and maxillofacial surgery, Fracture of facial bones and their treatment. Saunder 1975: 1031-362
  2. 태기출, 오승환, 민승기, 견인골 신장술을 이용한 하악 정중부 확대 치험례. 대치교정지 2001 : 31 : 499-504
  3. Lynch SE. Genco RJ, Marx RE. Tissue engineering. Quintessence 1999 : 131-46
  4. Peltier LF. A brief history of traction. J Bone Joint Surg Am. 1968 : 50. 1963-17
  5. J. Codivilla A. On the means of lengthening in the lower limbs. the muscle. and tissue which are shortened through deformitv. Am J Orthop Surg 1905: 2 : 353-57
  6. Snyder CC, Levine GA. Swanson HM, Browne EZ Jr. Mandibular lengthening by gradual distraction. Preliminary report. Plast Reconstr Surg 1973 : 51 : 506-8
  7. Guerrero CA. Contasti G., Transverse mandibular deficiency. Saunders 1992 : 2383 :97
  8. Samchukov ML, Cope JB, Cherkashin AM. Craniofacial distraction osteogenesis' Mandibulm symphyseal widening hy distraction. Mosby 2001 : 256-62
  9. llizarov GA. The tension stress effect on the genesis and growth of tissues Part 1. The influence of stability of fixation and soft-tissue preservation. Clin Orthop 1989 : 238: 249-81
  10. McCarthy JG. Distraction of the craniofacial skeleton. Springer 1999 : 21-50
  11. Guerrero CA.. Bell WHo Contasti GI. Rodrigue? AM. Mandibular widening by intraoral distraction osteogenesis. Br J Oral Maxillofac Surg 1997. 35 : 383-92
  12. Molina F. Ortiz Monasterio F. Mandibular elongation and remodeling by distraction: Farewell to major osteotomies. Plast Rcconsr Surg 1995 : 96 : 825-40
  13. Chin M. Toth BA. Distraction osteogenesis in maxillofacial surgery using internal device. Review of five cases. J Oral Maxillofac Surg 1996 :54 :45-53
  14. McCarthy JG. Distraction of the craniofacial skeleton. Springer 1999 : 219-48
  15. Bell WH, Gonzalez M, Samchukov ML., Guerrero CA. Intraoral widening and lengthening of the mandible in baboons by distraction osteogenesis J Oral Maxillofac Surg 1999 : 57 : 548-62
  16. Santo MD, Guerrero CA., Buschang PH. et. al. Long-term skeletal and dental effects of mandibular symphyseal distraction osteogenesis. Am J Orthod Dentofac 2000: 118: 485-93
  17. Samchukov ML. Cope JB, Harper RP, Ross JD. Biomechanical considerations of mandibular widening by gradual distraction using a computer model. J Oral Maxillofac Surg 1998 : 56 : 51-59
  18. Mommaerts MY. Bone anchored intraoral device for transmandibular distraction Br J Oral Maxillofac Surg 2001 : 39 : 8-12
  19. Epker BN. Distraction osteogenesis for mandibular widening. Atlas Oral Maxillofac Surg Clin North Am. 1999: 7 : 29-39