6200 Sunset Drive,
South Miami, FL 33143
4308 Alton Road,
Miami Beach, FL 33140
Distraction osteogenesis is a surgical method that corrects skeletal deformities and repairs defects by forming new bone tissue. First developed in the early 1900s, the procedure was refined and improved in the 1950s and 1960’s thanks to the efforts of the Russian orthopedic surgeon, Dr. Gabriel Ilizarov. While initially limited to the surgical correction of skeletal deficiencies in the arms and legs, in the past few decades, distraction osteogenesis has emerged as a safe and predictable technique for the treatment of a wide range of craniofacial and jaw defects.
Distraction osteogenesis is a surgical method used to generate new bone while making a shorter bone significantly longer. It’s based upon the “tension-stress” principle. By cutting the involved bone, then gradually and gently distracting the two segments, a biological response to create new bone in the developed space is stimulated. Distraction osteogenesis produces stable, functional, and aesthetically pleasing results of care.
As skilled and experienced surgeons, Drs. Garri, Alcade, and Borges customize treatment to address each patient’s specific needs. A distraction osteogenesis procedure is an excellent option in cases involving moderate to severe bone defects such as those associated with certain craniofacial syndromes, a deficient upper jaw and depressed midface, an underdeveloped and recessed lower jaw, or to reconstruct the alveolar ridge to support dental implants.
A Distraction osteogenesis surgery is usually done on an outpatient basis, with most patients going home the very same day. The procedure, which is performed under general anesthesia, involves cutting the bone via a corticotomy, or an osteotomy, and then placing the distraction appliances as indicated. Because distraction osteogenesis is not as invasive as other types of surgery, post-operative swelling and pain are typically less than other procedures. Following surgery, appropriate pain control medications to help ensure patient comfort and antibiotics to ward off potential infection are provided.
Because our surgeons, Drs. Garri, Alcaide, and Borges perform the procedure entirely within the mouth; there’s no extraoral or facial scarring. And, since the distraction devices are placed internally at the surgical site, there’s no need for a highly visible, ungainly and uncomfortable external armature while the bone is gradually being distracted.
The only caveat with distraction osteogenesis is the requirement that patients come in for frequent visits in the two weeks following the procedure. In this way, our oral and maxillofacial surgeons can closely monitor their post-op healing and provide detailed instructions on how to activate the distraction device.
Distraction is performed gradually. With a distraction rate of .5mm to 1mm per day, patients described their level of discomfort as being comparable to getting dental braces adjusted.
While many bone defects can be successfully addressed with a bone grafting procedure, in situations where a more substantial correction is involved, multiple grafting procedures may be involved. Sufficient bone development may also require surgically harvested bone graft material from elsewhere in the body. However, with distraction osteogenesis, a significant increase in bone length can be achieved with just a single surgical procedure followed by the gradual distraction of the segments. If and when the distraction appliance needs to be removed, only a second and minor in-office procedure is required.
At the office of Mosa Oral Surgery, we want every patient to begin care without additional stress or delay. While many insurance companies cover the costs of distraction osteogenesis, it’s essential to provide sufficient documentation to demonstrate the medical necessity of the procedure. Our office team understands the complexities of navigating insurance benefits and works with patients to provide the required documentation and to optimize coverage as possible.
If you’d like to hear more about this procedure or would like to speak with us regarding any questions or concerns you may have, give us a call today.