Mandibular Widening by Distraction Osteogenesis in the Treatment of a Constricted Mandible and Telescopic Bite

Objective Documentation of the application of mandibular widening by distraction osteogenesis and orthodontics. Patients Three patients with telescopic bite resulting from an extremely constricted mandible related to hypoglossia-hypodactyly syndrome. Intervention Mandibular widening by distraction o...

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Bibliographic Details
Published in:The Cleft palate-craniofacial journal 2004-11, Vol.41 (6), p.664-673
Main Authors: Kita, Hiroki, Kochi, Shoko, Yamada, Atsushi, Imai, Yoshimichi, Konno, Noriaki, Saitou, Chihiro, Mitani, Hideo
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child
Dentistry
Female
Foot Deformities, Congenital
Hand Deformities, Congenital
Humans
Malocclusion - surgery
Malocclusion - therapy
Mandible - abnormalities
Mandible - surgery
Medical sciences
Micrognathism - surgery
Micrognathism - therapy
Oral Surgical Procedures
Orthodontics, Corrective
Osteogenesis, Distraction
Otorhinolaryngology. Stomatology
Syndrome
Tongue - abnormalities
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Summary:Objective Documentation of the application of mandibular widening by distraction osteogenesis and orthodontics. Patients Three patients with telescopic bite resulting from an extremely constricted mandible related to hypoglossia-hypodactyly syndrome. Intervention Mandibular widening by distraction osteogenesis using an extraoral device and subsequent orthodontic treatment. Results The extremely constricted mandible and telescopic bite were dramatically improved by mandibular widening using distraction osteogenesis and subsequent orthodontics. Two of the three patients had transient complications; one reported temporomandibular joint pain and the other showed evidence of periodontal damage. Conclusion Mandibular widening by distraction osteogenesis is an effective technique for the treatment of telescopic bite resulting from an extremely constricted mandible.
ISSN:1055-6656
1545-1569
DOI:10.1597/03-003.1