Dentofacial rehabilitation by osteodistraction, augmentation and implantation despite osteogenesis imperfecta

International Journal of Oral and Maxillofacial Surgery
T BingerW J Spitzer

Abstract

Osteogenesis imperfecta-- a heritable systemic disorder characterized by enhanced bone fragility-- is frequently associated with a Class III malocclusion and distinct dental disorders. This patient, suffering from a late form of osteogenesis imperfecta, displayed early loss of teeth and severe maxillary hypoplasia. Bone grafting of the alveolar ridge was assumed not to guarantee a neutral basal relation before dental implantation. Due to the risk of atypical fractures conventional orthognathic surgery was excluded in the atrophic maxilla. In contrast to a conventional Le Fort I osteotomy, osteodistraction of the maxilla can be performed omitting the precarious down-fracture procedure. Despite a lack of reports on this technique in patients with osteogenesis imperfecta, dysgnathia was corrected by osteodistraction of the upper jaw. The loss of teeth was treated by augmentation of the alveolar crest using autogenous bone from the iliac crest followed by placement of dental implants. Stable normocclusion of the implant-supported overdentures was achieved without any detectable relapse over 4 years. For the first time it has been demonstrated that advanced surgical techniques like osteodistraction, alveolar crest augmentation and d...Continue Reading

References

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Citations

Jan 8, 2013·The Journal of Oral Implantology·Sompop BencharitJohn T Wright
Oct 25, 2014·British Dental Journal·N Donos, E Calciolari
Jan 15, 2013·Journal of Dentistry·Pedro DizMariano Sanz
Mar 15, 2011·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Hiroki TashimaLun-Jou Lo
Jun 6, 2008·International Journal of Oral and Maxillofacial Surgery·Y MurakiJ Fukuda
Feb 27, 2007·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Neeta PrabhuAngus Cameron
Aug 8, 2008·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Kelly Muhney, Patricia Regener Campbell
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Jan 8, 2015·The Journal of Craniofacial Surgery·Jonathan S Black, Arlen D Denny
Oct 15, 2019·The Journal of Craniofacial Surgery·Ryan KunkelBarbu Gociman
Aug 18, 2020·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Shi ShiJianfeng Ma
Nov 24, 2018·International Journal of Implant Dentistry·Shamit S PrabhuUday N Reebye
Jun 15, 2019·Case Reports in Dentistry·Guilherme José Pimentel Lopes de OliveiraLuis Eduardo Marques Padovan
May 1, 2021·International Journal of Environmental Research and Public Health·Marcel HanischJohannes Kleinheinz

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