V.V. Soyfer DMD, PhD.Distraction Osteogenesis Surgery-

Following with Implant ReconstructionSurgery performed in 1998

Reconstruction finished in 1999

Patient pre-op 1998

Pre-Op with Maxillary and Mandibular Partial Dentures

10-12% maxillary vertical(#5-8) and 60-70% n is missing(#24-28)

Pre-Op Panorex 1998

Post-Op Maxillary Bone Graft in conjunction with 3(4.1x12mm) implants placement

Maxillary Restored fixed Implant FPD

Computer model of Distraction Apparatus (device) designed for this particular

surgery

Osteotomy of transport segment Facial aspect view.

Lingual soft tissue intact for adequate blood supply.

Laxation of transport segment with the elevator to ensure adequate mobility.

Double Check with Periosteal Elevator for Mobility of Transport Segment

Check for bony segments

Osteotomy Prep for Distraction Device Central Post

View from the OP Side

Central post placement

Plate Placement

Bending of the plate and engagement into the post

Accommodating and verification of post to plate connection

Both Plates Lower and Upper are placed and checked for proper connection

Pre-Op Panorex Film 12/11/1998

Distraction Osteogenesis in action The transport segment and Distracter in

place

Pan with the Finished Case

Mandibular area of#23-28 with three implants 3.75x10mm

Total vertical gain 10mm

Retracted View

Finished Case 1999