A Comparative Study of Skeletal and Dental Outcome between Transcutaneous External Maxillary Distraction Osteogenesis and Conventional Rigid External Device in Treating Cleft Lip and Palate Patients
Background: Traditional distraction osteogenesis (DO) with the tooth-borne rigid external device (RED) system was regularly used in treating patients with cleft-related maxillary hypoplasia. However, the bone-borne RED system with miniplates and bone screws has currently become an effective treatmen...
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| Format: | Article |
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MDPI AG
2022-06-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/12/7/1062 |
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| author | Chi-Yu Tsai Yi-Hao Lee Te-Ju Wu Shiu-Shiung Lin Jui-Pin Lai Yu-Jen Chang |
| author_facet | Chi-Yu Tsai Yi-Hao Lee Te-Ju Wu Shiu-Shiung Lin Jui-Pin Lai Yu-Jen Chang |
| author_sort | Chi-Yu Tsai |
| collection | DOAJ |
| description | Background: Traditional distraction osteogenesis (DO) with the tooth-borne rigid external device (RED) system was regularly used in treating patients with cleft-related maxillary hypoplasia. However, the bone-borne RED system with miniplates and bone screws has currently become an effective treatment. This retrospective study was to compare bone-borne RED with traditional tooth-borne RED in distraction effectiveness, blood loss, operative time, and long-term stability. Methods: Twenty-two growing patients who underwent RED therapy were divided into two groups: eleven patients utilizing the bone-borne RED system with the transcutaneous wire attached with skeletal anchorage; another eleven patients using the traditional tooth-borne RED system with the intra-oral device attached with dental anchorage. Serial lateral cephalograms were analyzed for comparing treatment outcomes and stability in 1 month, 6 months, and 1.5 years after distraction. Results: In bone-borne RED group, the maxilla was advanced by 19.98 mm with slight clockwise rotation of 0.40° and minimal palatal inclination change of incisor by −3.94°. In traditional tooth-borne RED group, the maxilla showed less advancement by 14.52 mm, with significant counter-clockwise rotation of −11.23° and excessive palatal inclination change of incisor by −10.86°. Although operative time was longer in the bone-borne RED group by 38.4 min, this did not bring about greater blood loss. Conclusions: the bone-borne RED via transcutaneous wire system provides an easy, simple, and comfortable procedure as well as favorable long-term stability in maxillary distraction. |
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| issn | 2075-4426 |
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| publishDate | 2022-06-01 |
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| spelling | doaj.art-8b15f0cf6d524e0db30bb7c9a5c8cefc2023-12-03T15:16:20ZengMDPI AGJournal of Personalized Medicine2075-44262022-06-01127106210.3390/jpm12071062A Comparative Study of Skeletal and Dental Outcome between Transcutaneous External Maxillary Distraction Osteogenesis and Conventional Rigid External Device in Treating Cleft Lip and Palate PatientsChi-Yu Tsai0Yi-Hao Lee1Te-Ju Wu2Shiu-Shiung Lin3Jui-Pin Lai4Yu-Jen Chang5Department of Craniofacial Orthodontics, Kaohsiung Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung City 83340, TaiwanDepartment of Craniofacial Orthodontics, Kaohsiung Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung City 83340, TaiwanDepartment of Craniofacial Orthodontics, Kaohsiung Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung City 83340, TaiwanDepartment of Craniofacial Orthodontics, Kaohsiung Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung City 83340, TaiwanDepartment of Plastic and Reconstructive Surgery, Kaohsiung Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung City 83340, TaiwanDepartment of Craniofacial Orthodontics, Kaohsiung Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, No. 123, Dapi Rd., Niaosong Dist., Kaohsiung City 83340, TaiwanBackground: Traditional distraction osteogenesis (DO) with the tooth-borne rigid external device (RED) system was regularly used in treating patients with cleft-related maxillary hypoplasia. However, the bone-borne RED system with miniplates and bone screws has currently become an effective treatment. This retrospective study was to compare bone-borne RED with traditional tooth-borne RED in distraction effectiveness, blood loss, operative time, and long-term stability. Methods: Twenty-two growing patients who underwent RED therapy were divided into two groups: eleven patients utilizing the bone-borne RED system with the transcutaneous wire attached with skeletal anchorage; another eleven patients using the traditional tooth-borne RED system with the intra-oral device attached with dental anchorage. Serial lateral cephalograms were analyzed for comparing treatment outcomes and stability in 1 month, 6 months, and 1.5 years after distraction. Results: In bone-borne RED group, the maxilla was advanced by 19.98 mm with slight clockwise rotation of 0.40° and minimal palatal inclination change of incisor by −3.94°. In traditional tooth-borne RED group, the maxilla showed less advancement by 14.52 mm, with significant counter-clockwise rotation of −11.23° and excessive palatal inclination change of incisor by −10.86°. Although operative time was longer in the bone-borne RED group by 38.4 min, this did not bring about greater blood loss. Conclusions: the bone-borne RED via transcutaneous wire system provides an easy, simple, and comfortable procedure as well as favorable long-term stability in maxillary distraction.https://www.mdpi.com/2075-4426/12/7/1062cleft lip and palatedistraction osteogenesisrigid external devicetranscutaneous maxillary distractionlong-term stabilitysoft tissue profile |
| spellingShingle | Chi-Yu Tsai Yi-Hao Lee Te-Ju Wu Shiu-Shiung Lin Jui-Pin Lai Yu-Jen Chang A Comparative Study of Skeletal and Dental Outcome between Transcutaneous External Maxillary Distraction Osteogenesis and Conventional Rigid External Device in Treating Cleft Lip and Palate Patients Journal of Personalized Medicine cleft lip and palate distraction osteogenesis rigid external device transcutaneous maxillary distraction long-term stability soft tissue profile |
| title | A Comparative Study of Skeletal and Dental Outcome between Transcutaneous External Maxillary Distraction Osteogenesis and Conventional Rigid External Device in Treating Cleft Lip and Palate Patients |
| title_full | A Comparative Study of Skeletal and Dental Outcome between Transcutaneous External Maxillary Distraction Osteogenesis and Conventional Rigid External Device in Treating Cleft Lip and Palate Patients |
| title_fullStr | A Comparative Study of Skeletal and Dental Outcome between Transcutaneous External Maxillary Distraction Osteogenesis and Conventional Rigid External Device in Treating Cleft Lip and Palate Patients |
| title_full_unstemmed | A Comparative Study of Skeletal and Dental Outcome between Transcutaneous External Maxillary Distraction Osteogenesis and Conventional Rigid External Device in Treating Cleft Lip and Palate Patients |
| title_short | A Comparative Study of Skeletal and Dental Outcome between Transcutaneous External Maxillary Distraction Osteogenesis and Conventional Rigid External Device in Treating Cleft Lip and Palate Patients |
| title_sort | comparative study of skeletal and dental outcome between transcutaneous external maxillary distraction osteogenesis and conventional rigid external device in treating cleft lip and palate patients |
| topic | cleft lip and palate distraction osteogenesis rigid external device transcutaneous maxillary distraction long-term stability soft tissue profile |
| url | https://www.mdpi.com/2075-4426/12/7/1062 |
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