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Applications of Distraction Osteogenesis in Oral and Maxillofacial Surgery

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Minimally Invasive Oral and Maxillofacial Surgery

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Abstract

Distraction osteogenesis (DO) of facial bones provides an excellent system of membranous bone formation. The bone is generated by stretching a callus that develops following corticotomy or an osteotomy of the facial bones. The use of DO in oral and maxillofacial surgery (OMS) has increased enormously in the last two decades especially for severe bone deficiency. DO is used in the hypoplastic retruded maxilla and midface, such as in cleft palate or Crouzon patients and in the mandible for the treatment of facial asymmetries or in patients with a hypoplastic mandible which may cause airway obstruction associated with obstructive sleep apnea (OSA). In addition, alveolar distraction osteogenesis (ADO) is used for augmentation in patients with severe deficient alveolar bone, prior to dental implantation. The aim of this chapter is to review the current application of distraction osteogenesis in oral and maxillofacial surgery upon the authors experience and based on the literature.

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Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Rambam Medical Center, Haifa, Israel

    Adi Rachmiel DMD, PhD & Dekel Shilo DMD, PhD

  2. Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel

    Adi Rachmiel DMD, PhD

Authors
  1. Adi Rachmiel DMD, PhD
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  2. Dekel Shilo DMD, PhD
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Correspondence to Adi Rachmiel DMD, PhD .

Editor information

Editors and Affiliations

  1. Oral and Maxillofacial Surgery, The Barzilai Medical Center, Ashkelon, Israel

    Oded Nahlieli

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Rachmiel, A., Shilo, D. (2018). Applications of Distraction Osteogenesis in Oral and Maxillofacial Surgery. In: Nahlieli, O. (eds) Minimally Invasive Oral and Maxillofacial Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54592-8_6

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  • DOI: https://doi.org/10.1007/978-3-662-54592-8_6

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