J Dentofacial Anom Orthod
Volume 19, Number 3, 2016
|Number of page(s)||19|
|Published online||14 December 2018|
Contribution of mandibular symphyseal distraction osteogenesis to our therapeutic strategies
Specialist certified in dentofacial orthopedics
2 University lecturer, hospital practitioner, Dentistry department, University of Bordeaux 2
Address for correspondence: Laurie Pascon – 10 rue Jean-Renaud Dandicolle 33000 Bordeaux email@example.com
Accepted: 25 February 2016
Distraction osteogenesis helps create new bone by using the natural bone repair process. This technique, applied to the symphysis, affords a new perspective: increasing the mandibular transverse dimension in a stable way due to a simultaneous expansion of the skeletal structure. In this respect, it represents a potential alternative to therapy conventionally implemented to remedy dental crowding and mandibular transverse deficiency. All the same, the technique remains marginal as it is considered to be too invasive and risky. With the exception of the patient’s cooperation, the success of mandibular symphyseal distraction osteogenesis (MSDO) relies on three main points: good knowledge of indications, strict compliance with the protocol, and lastly the prevention and management of possible complications. After reviewing these three sections, we will cover a few clinical applications.
Key words: Midsymphyseal distraction osteogenesis / mandible widening / transverse mandibular deficiency / anterior crowding
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