Browsing by Author "Acar,Y.B."

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Alveolar and anterior maxillary distraction in patients with orofacial clefts
(wiley, 2023) Motro,M.; Erverdi,N.; Acar,Y.B.
Distraction osteogenesis is a commonly used process in the treatment of patients with craniofacial disorders, especially in those with cleft lip and palate (CLP) having severe maxillary deficiency. This chapter discusses the use of alveolar distraction osteogenesis in the treatment of CLP with large defects. Major goals in the treatment of CLP include achieving labial, palatal, and velopharyngeal closure; a balanced profile; a harmonious facial appearance; and a good occlusion. One of the most critical aspects in the preparation of the dental arch for alveolar distraction osteogenesis is creating enough space to facilitate interdental vertical osteotomies. Compared to tooth-borne appliances, bone-anchored systems can present challenges in positioning the distraction device with the correct force vector. Bone-anchored distraction appliances are often preferred over tooth-borne systems when segmental anterior maxillary distraction is required and may also be used as an alternative to tooth-borne appliances in alveolar transport distraction. © 2023 John Wiley & Sons, Inc.
Citation Count: 0
A novel approach in orthodontics: Archwise distraction osteogenesis
(W.B. Saunders, 2024) Erverdi,A.N.; Acar,Y.B.; Mert,B.
Distraction osteogenesis can be described as a procedure that is based on the principles of physiologic remodeling and indirect fracture healing. In dentoalveolar level, conventional appliances may present some difficulties such as the need for multiple stages of DO to achieve a good occlusion due to distraction on a straight vector; incompetency to reduce the oronasal fistula in cleft patients; and the difficulty in achieving complete hard and soft tissue reconstruction, especially in cases with large alveolar defects. ArchWise Distraction Appliance (AWDA) have been developed to overcome these limitations and obtain a regenerated bone curvilinear in shape, similar to the original alveolar bone configuration. This article aims to introduce and explain the AWDA method in detail so that every clinician will be able to perform the treatment. The reader can observe the application of the procedure on a variety of cases including cleft lip and palate, trauma, and bone pathology. Possible complications and their solutions are also explained on actual cases. © 2024 Elsevier Inc.