Application of rigid intra-oral tooth borne distraction device in dento-alveolar distraction osteogenesis_West China Medical Journal

Authors：

 LI Yongqiang

Department of Stomatology, Hanzhong Central Hospital, Hanzhong, Shaanxi 723000, P. R. China;

Corresponding?author：

LI Yongqiang, Email: liyongqiang1979223@163.com

Keywords：

Distraction osteogenesis; Orthodontic treatment; Canine retraction

DOI：

10.7507/1002-0179.201612050

Video：

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Objective To analyze the application of rigid intra-oral tooth borne distraction device in dento-alveolar distraction osteogenesis. Methods Six patients who underwent orthodontic treatment for maxillary and/or mandibular canine tooth from January to December 2016 in Hanzhong Central Hospital were collected. The bilateral canine tooth was retracted after the first premolar extraction by using the conventional method, and were distracted by the rigid intra-oral tooth borne distraction device, which was made of stainless steel. The tooth movement distance and time, pain and adverse reaction of patients in the process of orthodontics were investigated. Results The number of orthodontic tooth of each patient was 2–4, and the movement range of canine retraction was 6.5–8.0 mm. The time required for canine tooth moving to the second premolar was 13–17 days, and the canine tooth of all the patients were moved, inclined and buccal expanded after three weeks of enhanced fusion. Two patients felt pain and discomfort, one patient experienced buccal mucosa ulcer, and none of the six patients suffered from dysmasesia, dysphagia, periodontitis or tooth enamel loss. Conclusion As an effective tool for orthodontic treatment, the new rigid intra-oral tooth borne distraction device could accelerate the speed of canine movement, and shorten the orthodontic time with few adverse reactions.

Citation： LI Yongqiang. Application of rigid intra-oral tooth borne distraction device in dento-alveolar distraction osteogenesis. West China Medical Journal, 2017, 32(10): 1525-1528. doi: 10.7507/1002-0179.201612050 Copy

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2.	張國華, 商洪濤, 郭宇軒, 等. 曲線牽張成骨的初步實驗研究. 實用口腔醫學雜志, 2015(2): 153-156.
3.	Kurt G, I?eri H, Ki?ni?ci R. Rapid tooth movement and orthodontic treatment using dentoalveolar distraction (DAD). Long-term (5 years) follow-up of a Class Ⅱ case. Angle Orthod, 2010, 80(3): 597-606.
4.	Kumar N, Prashantha G, Raikar S, et al. Dento-Alveolar distraction osteogenesis for rapid Orthodontic Canine Retraction. J Int Oral Health, 2013, 5(6): 31-41.
5.	Xiao XF, Yu HP, Sun T. Rapid canine retraction by distraction of the periodontal ligament. J Clin Orthod, 2016, 50(3): 179-188.
6.	Kateel S K, Agarwal A, Kharae G, et al. A comparative study of canine retraction by distraction of the periodontal ligament and dentoalveolar distraction methods. J Maxillofac Oral Surg, 2016, 15(2):144-155.
7.	Zemann W, Metzler P, Jacobsen CA. Segmental distraction osteogenesis of the anterior alveolar process using tooth-borne devices: is it skeletal movement or mainly dental tipping? J Oral Maxillofac Surg, 2012, 70(6): 1292-1299.
8.	羅啟賢, 劉長庚. 牙周膜和牙槽骨牽張成骨術加速正畸牙移動. 國際口腔醫學雜志, 2014, 41(3): 309-313.
9.	Nevzato?lu S. Kü?ükkele? N, güzel Z. Long-term stability of intra-oral maxillary distraction in unilateral cleft lip and palate: a case report. Aust Orthod J, 2013, 29(2): 200-208.
10.	陳宇軒, 韓小憲, 牛學剛, 等. 牽張成骨技術在治療疑難牙頜面畸形中的應用. 實用口腔醫學雜志, 2015(6): 815-820.
11.	Levine MH, Super S. Modification of a distraction device. J Oral Maxillofac Surg, 2008, 66(6): 1307-1308.
12.	Koteswara Prasad NK, Chitharanjan A, Kailasam V. Rapid maxillary canine retraction by dental distraction: a clinical study. Natl J Maxillofac Surg, 2014, 5(1): 6-13.
13.	韓爽, 楊學文. 牽張成骨中生長因子的研究進展. 口腔醫學研究, 2014, 30(4): 378-379.
14.	Gurgan CA, Iseri H, Kisnisci R. Alterations in gingival dimensions following rapid canine retraction using dentoalveolar distraction osteogenesis. Eur J Orthod, 2005, 27(4): 324-332.

1. 周諾. 牽張成骨研究中的幾個熱點問題. 口腔頜面外科雜志, 2011, 21(4): 229-237.
2. 張國華, 商洪濤, 郭宇軒, 等. 曲線牽張成骨的初步實驗研究. 實用口腔醫學雜志, 2015(2): 153-156.
3. Kurt G, I?eri H, Ki?ni?ci R. Rapid tooth movement and orthodontic treatment using dentoalveolar distraction (DAD). Long-term (5 years) follow-up of a Class Ⅱ case. Angle Orthod, 2010, 80(3): 597-606.
4. Kumar N, Prashantha G, Raikar S, et al. Dento-Alveolar distraction osteogenesis for rapid Orthodontic Canine Retraction. J Int Oral Health, 2013, 5(6): 31-41.
5. Xiao XF, Yu HP, Sun T. Rapid canine retraction by distraction of the periodontal ligament. J Clin Orthod, 2016, 50(3): 179-188.
6. Kateel S K, Agarwal A, Kharae G, et al. A comparative study of canine retraction by distraction of the periodontal ligament and dentoalveolar distraction methods. J Maxillofac Oral Surg, 2016, 15(2):144-155.
7. Zemann W, Metzler P, Jacobsen CA. Segmental distraction osteogenesis of the anterior alveolar process using tooth-borne devices: is it skeletal movement or mainly dental tipping? J Oral Maxillofac Surg, 2012, 70(6): 1292-1299.
8. 羅啟賢, 劉長庚. 牙周膜和牙槽骨牽張成骨術加速正畸牙移動. 國際口腔醫學雜志, 2014, 41(3): 309-313.
9. Nevzato?lu S. Kü?ükkele? N, güzel Z. Long-term stability of intra-oral maxillary distraction in unilateral cleft lip and palate: a case report. Aust Orthod J, 2013, 29(2): 200-208.
10. 陳宇軒, 韓小憲, 牛學剛, 等. 牽張成骨技術在治療疑難牙頜面畸形中的應用. 實用口腔醫學雜志, 2015(6): 815-820.
11. Levine MH, Super S. Modification of a distraction device. J Oral Maxillofac Surg, 2008, 66(6): 1307-1308.
12. Koteswara Prasad NK, Chitharanjan A, Kailasam V. Rapid maxillary canine retraction by dental distraction: a clinical study. Natl J Maxillofac Surg, 2014, 5(1): 6-13.
13. 韓爽, 楊學文. 牽張成骨中生長因子的研究進展. 口腔醫學研究, 2014, 30(4): 378-379.
14. Gurgan CA, Iseri H, Kisnisci R. Alterations in gingival dimensions following rapid canine retraction using dentoalveolar distraction osteogenesis. Eur J Orthod, 2005, 27(4): 324-332.

West China Medical Journal

Application of rigid intra-oral tooth borne distraction device in dento-alveolar distraction osteogenesis

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