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ISSN 1405-0625 (Print)

2003, Number 1

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Cir Plast 2003; 13 (1)

Postperostioplasty alveolar osteogenesis and orthopedic. How to handle new formed bone tissue

Vallarta RA, Montoya GC, Ayuso AA, Millard DR

Language: Spanish
References: 32
Page: 18-24
PDF size: 177.94 Kb.


ABSTRACT

We present our findings of alveolar osteogenesis after pre and post surgical orthopedic combined with Millard’s alveolar periostoplasty. A non-aleatory controlled clinical trial was performed carried out at the Tacubaya Children’s Hospital and Medica Sur Clinical Foundation, from 1992 up to now. The research group included 105 patients; the a preoperative orthodontic treatment was performed on 95 of them, using the Latham device followed by a complete alveolar closure and two thirds of the hard palate. During the same surgical procedure the lip adhesion or definite closure of the lip was done using the Millard technique, including the nasal tip plasty. One month after the surgery, an intraoral device, called growth regulator plate was used, which gives an active or passive splint, in order to obtain a greater bone development. This plate was left in place for six months after the surgery. The palatoplasty was performed once the gap between the two segments decreased. The maximum follow-up has been of up to 106 months, with an average of 84, obtaining good results in 89.5% of the cases. Our findings, clinically, radiologically and through special research show the degree of alveolar ossification, which avoids alterations in the growth of the middle third of the face. This method provides an adequate nasal platform, reduces the incidence to form anterior fistula, decreases the tension of the suture line, and stabilizes the palate, avoiding maxillary collapse.


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