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tion, particularly when maximum anchorage is required. Therefore, under normal circumstances, conventional treatment with fixed appliances is likely to
last 20 to 24 months. The duration of orthodontic
treatment is one of the things that orthodontic patients
complain about most especially adult patients. To
address this problem, a technique of rapid canine
retraction in which the concepts of distraction osteogenesis are used has been developed: dentoalveolar
distraction (DAD). In this technique, which has been
described and used by Iseri et al8 and Kisnisci et al,9
osteotomies surrounding the canines are made to
achieve rapid movement of the canines in the dentoalveolar segment, in compliance with the principles of
distraction osteogenesis. The purpose of this study was
to examine the effect of the DAD technique on dentofacial structures.
MATERIAL AND METHODS
534 Iseri et al
Surgical procedure
Iseri et al 535
536 Iseri et al
Table I.
Mean
SD
Minimum
Maximum
16.53
10.05
0.8
3.76
2.01
13.08
8
25.67
14
Iseri et al 537
Table II.
Maxillary measurements
s n ss ()
NSL/NL ()
Mandibular measurements
s n sm ()
NSL/ML ()
Maxillo-mandibular measurements
ss n sm ()
n me (mm)
Overbite (mm)
Overjet (mm)
Dentoalveoler measurements
NSL/can ()
NSL-is (mm)
NSL-ms (mm)
NSLv-is (mm)
NSLv-ms (mm)
Start of distraction
End of distraction
Difference (t test)
77.58 4.08
8.90 3.11
77.60 4.11
9.38 2.45
0.05 0.54
0.49 1.28
73.57 2.31
37.94 5.84
73.29 2.41
38.61 5.91
0.29 0.63
0.67 0.80*
4.10 2.43
127.00 8.12
3.19 2.06
5.83 4.16
4.65 2.73
128.00 8.15
2.71 1.64
5.50 4.08
0.54 0.97
0.99 0.57**
0.48 1.20
0.34 0.44*
93.85 9.82
84.39 3.86
72.63 3.62
101.31 5.40
63.01 7.93
84.20 5.92
84.68 4.08
73.14 3.77
101.31 5.41
62.82 7.91
13.15 4.65**
0.29 0.62
0.51 0.93
0.01 1.01
0.19 0.31
Fig 4. Dentoalveolar distraction of maxillary canines from start to end of distraction, occlusal views
(case 1801). Full distraction of canines completed in 11 days.
538 Iseri et al
Fig 5. Dentoalveolar distraction of maxillary molars, from start (before surgery) to end (after removal
of destraction device), lateral views of 2 patients. Anchorage teeth (first molars and second
premolars) withstood retraction forces almost without anchorage loss.
Fig 6. Radiographic appearance of maxillary canines before and after dentoalveolar distraction in
2 patients. Canines were retracted with combination of tipping and translation. New bone formation
in distraction sites was achieved after dentoalveolar distraction during fixed appliance orthodontic
treatment.
Iseri et al 539
540 Iseri et al
Iseri et al 541