Maxillary Tuberosity Reconstruction with Transport Distraction Osteogenesis
Severe bone loss due to pathology in the maxillary tuberosity region is a challenging problem both surgically and prosthetically. Large bone grafts have a poor survival rate due to the delicate bony architecture in this area and presence of the maxillary sinus. Our case presentation describes a new...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2012/816572 |
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| _version_ | 1832547162566688768 |
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| author | F. Ugurlu B. Basel B. Cem Sener A. Sertgöz |
| author_facet | F. Ugurlu B. Basel B. Cem Sener A. Sertgöz |
| author_sort | F. Ugurlu |
| collection | DOAJ |
| description | Severe bone loss due to pathology in the maxillary tuberosity region is a challenging problem both surgically and prosthetically. Large bone grafts have a poor survival rate due to the delicate bony architecture in this area and presence of the maxillary sinus. Our case presentation describes a new technique for reconstructing severe bony defect in the maxillary tuberosity with horizontal distraction osteogenesis in a 45-year-old man. A 4×6×3cm cyst was discovered in the left maxillary molar region and enucleated. Three months postoperatively, the area had a severe bone defect extending to the zygomatic buttress superiorly and hamular notch posteriorly. Three months later, a bone segment including the right upper second premolar was osteotomised and distracted horizontally. The bone segment was distracted 15 mm distally. After consolidation, implants were placed when the distractor was removed. A fixed denture was loaded over the implants after 3 months. Complete alveolar bone loss extending to the cranial base can be reconstructed with transport distraction osteogenesis. Distalisation of the alveolar bone segment adjacent to the bony defect is an easy method for reconstructing such severe defects. |
| format | Article |
| id | doaj-art-9212ca799bfe44f2a6345da44a5e4c93 |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-9212ca799bfe44f2a6345da44a5e4c932025-02-03T06:45:56ZengWileyCase Reports in Dentistry2090-64472090-64552012-01-01201210.1155/2012/816572816572Maxillary Tuberosity Reconstruction with Transport Distraction OsteogenesisF. Ugurlu0B. Basel1B. Cem Sener2A. Sertgöz3Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Marmara University Nişantaşı Kampuşı, Büyük Çiftlik Sokak No. 6, Nişantaşı, Şişli, 34365 Istanbul, TurkeyDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Marmara University Nişantaşı Kampuşı, Büyük Çiftlik Sokak No. 6, Nişantaşı, Şişli, 34365 Istanbul, TurkeyDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Marmara University Nişantaşı Kampuşı, Büyük Çiftlik Sokak No. 6, Nişantaşı, Şişli, 34365 Istanbul, TurkeyDepartment of Prosthodontics, Faculty of Dentistry, Marmara University, 34365 Istanbul, TurkeySevere bone loss due to pathology in the maxillary tuberosity region is a challenging problem both surgically and prosthetically. Large bone grafts have a poor survival rate due to the delicate bony architecture in this area and presence of the maxillary sinus. Our case presentation describes a new technique for reconstructing severe bony defect in the maxillary tuberosity with horizontal distraction osteogenesis in a 45-year-old man. A 4×6×3cm cyst was discovered in the left maxillary molar region and enucleated. Three months postoperatively, the area had a severe bone defect extending to the zygomatic buttress superiorly and hamular notch posteriorly. Three months later, a bone segment including the right upper second premolar was osteotomised and distracted horizontally. The bone segment was distracted 15 mm distally. After consolidation, implants were placed when the distractor was removed. A fixed denture was loaded over the implants after 3 months. Complete alveolar bone loss extending to the cranial base can be reconstructed with transport distraction osteogenesis. Distalisation of the alveolar bone segment adjacent to the bony defect is an easy method for reconstructing such severe defects.http://dx.doi.org/10.1155/2012/816572 |
| spellingShingle | F. Ugurlu B. Basel B. Cem Sener A. Sertgöz Maxillary Tuberosity Reconstruction with Transport Distraction Osteogenesis Case Reports in Dentistry |
| title | Maxillary Tuberosity Reconstruction with Transport Distraction Osteogenesis |
| title_full | Maxillary Tuberosity Reconstruction with Transport Distraction Osteogenesis |
| title_fullStr | Maxillary Tuberosity Reconstruction with Transport Distraction Osteogenesis |
| title_full_unstemmed | Maxillary Tuberosity Reconstruction with Transport Distraction Osteogenesis |
| title_short | Maxillary Tuberosity Reconstruction with Transport Distraction Osteogenesis |
| title_sort | maxillary tuberosity reconstruction with transport distraction osteogenesis |
| url | http://dx.doi.org/10.1155/2012/816572 |
| work_keys_str_mv | AT fugurlu maxillarytuberosityreconstructionwithtransportdistractionosteogenesis AT bbasel maxillarytuberosityreconstructionwithtransportdistractionosteogenesis AT bcemsener maxillarytuberosityreconstructionwithtransportdistractionosteogenesis AT asertgoz maxillarytuberosityreconstructionwithtransportdistractionosteogenesis |