Distraction Osteogenesis is one of the methods, largely used, of the restoration of large bone deficits in the jaw, after the removal of a tumor. Following this method, we can increase the bone by one millimeter per day until the desired result.
In this specific case, the tumor has been removed, and the expansion osteogenesis machine was placed to raise the bone to the desired height, performing sandwich osteotomy.
The main advantages of the method include minimal relapse, single operation and preservation of the native cortical bone in the occlusal surface.
The surgeon ought to utilize different augmentation techniques for different severities of deficiency.
The sandwich technique is suggested in moderate deficient cases using alveolar distraction osteogenesis for the severe cases where lack of soft tissue for proper closure is a major limitation.
It is important to choose the appropriate method of augmentation for each patient as the main factor influencing the method of choice is the degree of deficiency. Of course, there are additional factors to be considered such as patient preference, tolerance, and cooperation.
In continuation of this specific case (see latest photos) of Distraction Osteogenesis, we can see here that the patient is in the consolidation phase, where the distraction osteogenesis has been completed. Radiological appearance of the new bone created during the consolidation phase which proves the success of the method.