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Volume 28 , Issue 2
March/April 2008

Pages 189-196

Distraction Osteogenesis for Implant Site Development Using a Novel Orthodontic Device: A Case Report

Italo Menini, MD, DDS/Claudio Zornitta, MD, DDS/Guido Menini, CDT

PMID: 18546815
DOI: 10.11607/prd.00.0792

The case report describes the distraction osteogenesis of a small bone fragment supporting a maxillary central incisor that had become ankylosed and infraoccluded after trauma. After initial orthodontic treatment, surgery was performed, entailing a trapezoidal osteotomy with minimal periosteal elevation through a horizontal incision. On this occasion, a device was applied, anchored to the tooth, and activated by a micrometer screw. On completion of distraction, the fragment was retained for 5 months. The ankylosed tooth was then removed, and an implant was inserted and provided with an immediate provisional prosthesis without occlusal loading. Five months later, a definitive prosthesis with occlusal loading was applied and is still in place 1 year later without any problems. (Int J Periodontics Restorative Dent 2008;28:189196.)

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