{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T02:05:24Z","timestamp":1761962724998},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2004,9,8]],"date-time":"2004-09-08T00:00:00Z","timestamp":1094601600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2005,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objectives: <\/jats:bold> Distraction osteogenesis has recently evolved a challenging technique to overcome major drawbacks of conventional augmentation procedures. We, therefore, report the application of miniaturized intraosseous distraction devices for the rehabilitation of mandibular defects due to ablative tumor surgery.<\/jats:p><jats:p><jats:bold>Methods: <\/jats:bold> In 10 patients who had undergone box\u2010shaped or segmental resections, augmentation of the residual mandibular bone or of full thickness iliac crest grafts was performed by intraosseous implant\u2010shaped distractors. Distraction and reconsolidation was monitored by ultrasonography. Implants were inserted within 1 week after active distraction. Median follow\u2010up after implant insertion was 38 months.<\/jats:p><jats:p><jats:bold>Results: <\/jats:bold> On average, a vertical gain of 7.3\u2003mm was obtained by distraction. Except for one case (local infection), all distraction zones showed complete ossification by radiologic and ultrasonographic evaluation. Overall 28 implants were placed in the distracted bone. Two implants were lost at 2.4 and 22 months after placement. The estimated 4\u2010year implant survival rate in this population was 90%. For the endpoint \u2018bone loss\u2019 (&gt;1.5\u2003mm in the first and &gt;1\u2003mm in following years), the estimated 4\u2010year success rate was 59% with four out of seven events occurring in a single patient (patient No. 1 of this series).<\/jats:p><jats:p><jats:bold>Conclusion: <\/jats:bold> Vertical distraction by means of implant distractors could be performed with reasonable success in tumor patients with box\u2010shaped resection defects or undercontoured bone grafts. Overall morbidity was very low. Even though blood supply is continuously maintained in distraction osteogenesis, bone resorption remains a critical issue for this reconstruction technique too.<\/jats:p>","DOI":"10.1111\/j.1600-0501.2004.01073.x","type":"journal-article","created":{"date-parts":[[2010,9,13]],"date-time":"2010-09-13T16:07:08Z","timestamp":1284394028000},"page":"89-97","source":"Crossref","is-referenced-by-count":37,"title":["Reconstruction of mandibular defects following tumor ablation by vertical distraction osteogenesis using intraosseous distraction devices"],"prefix":"10.1111","volume":"16","author":[{"given":"Martin","family":"Kunkel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Wahlmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Torsten E.","family":"Reichert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim","family":"Wegener","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wilfried","family":"Wagner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,9,8]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199505000-00012"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/joms.2002.34986"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-4356(97)90003-6"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-2391(96)90750-8"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(94)90309-3"},{"key":"e_1_2_5_7_1","first-page":"43","article-title":"Vertical distraction osteogenesis of edentulous ridges for improvement of oral implant positioning","volume":"16","author":"Chiapasco M.","year":"2001","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-2391(96)90303-1"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199212000-00006"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1073-8746(99)80042-5"},{"key":"e_1_2_5_11_1","first-page":"49","article-title":"Fracture of the iliac crest following bone grafting","volume":"54","author":"Friend K.D.","year":"1995","journal-title":"Bulletin (Hospital for Joint Diseases (New York, NY))"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-5182(99)80032-8"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1073-8746(99)80040-1"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/PL00014524"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02189048"},{"key":"e_1_2_5_16_1","first-page":"847","article-title":"Donor site morbidity at the iliac crest","volume":"76","author":"Kreibich D.N.","year":"1994","journal-title":"The Journal of Bone and Joint Surgery"},{"key":"e_1_2_5_17_1","first-page":"482","article-title":"Donor site morbidity of anterior iliac crest corticocancellous bone grafts, 78th General Session and Exhibition of the International Association for Dental Research","volume":"79","author":"Kunkel M.","year":"2000","journal-title":"Journal of Dental Research"},{"key":"e_1_2_5_18_1","first-page":"71","article-title":"Die vertikale Distraktion des Alveolarfortsatzes. 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