PMID- 18416427 OWN - Quintessenz Verlags-GmbH CI - Copyright Quintessenz Verlags-GmbH OCI - Copyright Quintessenz Verlags-GmbH TA - Int J Oral Maxillofac Implants JT - The International Journal of Oral & Maxillofacial Implants IS - 1942-4434 (Electronic) IS - 0882-2786 (Print) IP - 1 VI - 23 PST - ppublish DP - 2008 PG - 147-152 LA - en TI - Alveolar Cleft Closure by Distraction Osteogenesis with Skeletal Anchorage During Consolidation FAU - Pektas, Zafer Özgür AU - Pektas Z FAU - Kircelli, Beyza Hancioglu AU - Kircelli B FAU - Bayram, Burak AU - Bayram B FAU - Kircelli, Cem AU - Kircelli C FAU - Uckan, Sina AU - Uckan S CN - OT - alveolar cleft OT - dental implant OT - distraction osteogenesis OT - skeletal anchorage AB - Intraoral distraction osteogenesis (DO) has been widely used for the reconstruction of various dentoalveolar defects. However, its use in the management of alveolar clefts is relatively new. This method allows the closure of the cleft via the regeneration of new alveolar bone and attached gingiva through the distraction of a dento-osseous segment. It eliminates the need for a donor site for autogenous bone grafting and possible graft failure. However, the relatively long consolidation period required for the use of intraoral DO devices may result in soft tissue irritation that would compromise patient cooperation, especially in children. In the case presented, the intraoral DO technique was used for the treatment of a unilateral residual alveolar cleft and an implant was subsequently placed in the regenerated bone. A miniplate was also placed to serve as a skeletal anchor to enable the early removal of the distractor device. The distractor was removed before the beginning of the consolidation phase. AID - 845261