ALVEOLAR DISTRACTION OSTEOGENESIS FOR ALVEOLAR RIDGE DEFICIENCY: AN UPDATE AND NEW PERSPECTIVES

F. Gaudelli¹, C. Annicchiarico², S.R. Tari³, S.A. Gehrke⁴, A. Maltagnati⁵, A. Scarano³ and F. Mastrangelo¹

¹Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy;
²Private Practice, Bari, Italy;
³Department of Innovative Technologies in Medicine & Dentistry, University of Chieti-Pescara, Italy;
⁴Department of Research, Bioface/PgO/UCAM, Montevideo, Uruguay, Department of Biotechnology, Universidad Católica de Murcia (UCAM), Murcia, Spain;
⁵Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy

Correspondence to:
Antonio Scarano, DDS
University of Chieti-Pescara,
Via Dei Vestini 31,
66100 Chieti Italy
e-mail: ascarano@unich.it

Received: 19 April  2024 Accepted: 10 May 2024

ISSN 2975-1276 [online] Copyright 2024 © by BIOLIFE This publication and/or article is for individual use only and may not be further reproduced without written permission from the copyright holder. Unauthorized reproduction may result in financial and other penalties. Disclosure: all authors report no conflicts of interest relevant to this article.

ABSTRACT

                 Alveolar osteogenic distraction is a bone regeneration technique used in implantology to prepare implant sites, which, through the slow and constant distraction of a bone segment, allows the simultaneous regeneration of hard and soft tissues. The purpose of this review is to analyze the most recent articles in the literature and evaluate the role of modern piezoelectric surgery techniques, guided surgery, and invisible orthodontics. A search was conducted on the Pubmed platform. The initial selection was based on the title and abstract. Subsequently, the articles included in the study were chosen by reading the full text. The mean latency period was 7.26±2.31 days. The mean distraction rate was 0.71±0.27 mm, with one, two, or four daily activations. The mean distraction distance reported was 6.88±2.52 mm. The mean consolidation period was 12.22±5.58 weeks. The average period of osseointegration was 4.59±1.34 months. The overall survival rate of the implants was 97%. Alveolar osteogenic distraction represents a predictable technique for bone regeneration. With the support of guided surgery, piezoelectric instruments, and new invisible bone traction devices, this technique can become even more predictable, minimally invasive, and increasingly aesthetic.

KEYWORDS: distraction osteogenesis, alveolar ridge augmentation, piezoelectric surgery, guided surgery, aligners