We are using cookies to implement functions like login, shopping cart or language selection for this website. Furthermore we use Google Analytics to create anonymized statistical reports of the usage which creates Cookies too. You will find more information in our privacy policy.
OK, I agree I do not want Google Analytics-Cookies
Orthodontics
Dear readers,

our online journals are moving. The new (and old) issues of all journals can be found at
www.quintessence-publishing.com
In most cases you can log in there directly with your e-mail address and your current password. Otherwise we ask you to register again. Thank you very much.

Your Quintessence Publishing House
Orthodontics 8 (2007), No. 1     15. Jan. 2007
Orthodontics 8 (2007), No. 1  (15.01.2007)

Page 19-29


Segmental Distraction Osteo-genesis of the Anterior Mandible for Improving Facial Esthetics. Preliminary Results
Merli, Mauro / Merli, Monica / Triaca, Albino / Esposito, Marco
Aim: To report preliminary results of treatment with gradual repositioning of the anterior mandibular segment using distraction osteo-genesis in patients with anterior tooth crowding and/or an unfavorable anteroposterior relationship between the anterior dentoalveolar area and the skeletal base.
Methods: The following outcome measures were considered: ability of the technique to achieve the desired skeletal jaw position, resolution of the crowding, periodontal condition (recessions and probing pocket depths), temporomandibular joint symptoms, tooth sensitivity, permanent nerve injury, additional complications, and patient satisfaction. Four patients were treated.
Results: All outcome measures indicated that the therapy goal was achieved and the results maintained to date. Periodontal conditions were slightly improved. Two patients were very satisfied; 2 were only partially satisfied with the therapy. In 1 patient the root of the mandibular right first premolar was damaged during the vertical osteotomy procedure and the mandibular right central incisor did not respond to the postoperative sensitivity test. Another patient reported tension at the temporomandibular joint when chewing hard food.
Conclusion: The preliminary results are encouraging. However, larger trials are needed to acquire sufficient knowledge of the efficacy, predictability, and ideal indications for the mandibular osteo-distraction technique.