Distraction Osteogenesis

Distraction osteogenesis (DO) is a relatively new method of treatment for selected deformities and defects of the jaw and skull. Although it was first used in 1903, in the 1950’s the Russian orthopedic surgeon, Dr. Gabriel Ilizarov, slowly perfected the surgical and postoperative management of distraction osteogenesis treatment to correct deformities and repair defects in the arms and legs. His work went mostly unnoticed until he presented to the Western Medical Society in the mid-1960s.

Distraction osteogenesis was first used to treat defects of the oral and facial region in 1990. Since then, the surgical and technological advances made in the field of distraction osteogenesis have provided oral and maxillofacial surgeons with a safe and predictable method to treat selected deformities.

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Frequently Asked Questions About Distraction Osteogenesis

What does the term distraction osteogenesis mean? Simply stated, distraction osteogenesis means the slow movement apart (distraction) of two bony segments in a manner such that new bone is allowed to grow and fill in the gap created by the separating bony segments.

Is the surgery for distraction osteogenesis more involved than “traditional surgery” for a similar procedure? No. Distraction osteogenesis surgery is usually done on an outpatient basis with most of the patients going home the same day of surgery. The surgical procedure itself is less invasive so there is usually less pain and swelling.

Will my insurance company cover the cost of osteogenesis surgical procedure? Most insurance companies will cover the cost of the osteogenesis surgical procedure provided that there is adequate and accurate documentation of the patient’s condition. Of course, individual benefits within the insurance company policy vary. After you are seen for your consultation at our office, we will assist you in determining whether or not your insurance company will cover a particular surgical procedure.

Is distraction osteogenesis painful? Since all distraction osteogenesis surgical procedures are done while the patient is under general anesthesia, pain during the surgical procedure is not an issue. Postoperatively, you will be supplied with appropriate analgesics (pain killers) to keep you comfortable, and antibiotics to fight off infection. Activation of the distraction device to slowly separate the bones may cause mild discomfort. In general, the slow movement of bony segments produces discomfort roughly similar to having braces tightened.

What are the benefits of distraction osteogenesis vs. traditional surgery for a similar condition? Distraction osteogenesis surgical procedures typically produce less pain and swelling than the traditional surgical procedure for a similar condition. Distraction osteogenesis eliminates the need for a second surgical site to harvest bone graft material. Lastly, distraction osteogenesis is associated with greater stability when used in major cases where significant movement of bony segments are involved.

What are the disadvantages of distraction osteogenesis? Distraction osteogenesis requires the patient to return to the surgeon’s office frequently during the initial two weeks after surgery. This is necessary because in this time frame the surgeon will need to closely monitor the patient for any infection and teach the patient how to activate the appliance. In some cases, a second minor office surgical procedure is necessary to remove the distraction appliance.

Can distraction osteogenesis be used instead of bone grafts to add bone to my jaws? Yes. Recent advances in technology have provided the oral and maxillofacial surgeon with a distraction device that can be used to slowly grow bone in selected areas of bone loss that has occurred in the upper and lower jaws. The newly formed bone can then serve as an excellent foundation for dental implants.

Does distraction osteogenesis leave scars on the face? No. The entire surgery is performed within the mouth and the distraction devices used by Dr. Lee or Dr. Sarasin remain inside the mouth. There are no facial surgical incisions made, therefore, no facial scars result.

Are there any age limitations for patients who can receive osteogenesis? No. Distraction osteogenesis works well on patients of all ages. In general, the younger the patient the shorter the distraction time and the faster the consolidation phase. Adults require slightly longer period of distraction and consolidation because the bone regenerative capabilities are slightly slower than those of adolescence or infants.

Spring Park Oral & Maxillofacial Surgeons

5 out of 5 stars based on 42 Distraction Osteogenesis reviews

Our Latest Patient Testimonial

Dr. Sarasin did a great job pulling a bad tooth I had. No pain at all. Six hours after pulling I had no soreness at all. I did not realize how I had become used to the tooth hurting. Thanks so much, Dan

- Dan W

5 out of 5 stars on

Our Latest Patient Testimonial

I had to get my front tooth extracted and then put an implant in. The staff was great and caring. And Dr. Lee was friendly and kind himself. Told me each process of his procedure as he was doing it. I was done in no time. No bleeding when I went home. Just took a few Ibuprofen just to make sure I didn’t get any pain. Get job!

- Debby J

5 out of 5 stars on

Our Latest Patient Testimonial

I have no pain after surgery which was a pleasant surprise

- Alicia E

5 out of 5 stars on

Our Latest Patient Testimonial

Having all four of my wisdom teeth extracted at 43 was definitiely NOT something I wanted to do! I was a nervous, anxious mess going in for my appointment! I was greeted with a smile by the receptionist and taken back fairly quickly by Tiffany who was absolutely wonderful. She was chatty and calming and answered all of my questions. While I waited for Dr. Lee, Tiffany checked on my frequently making sure I was as comfortable as I could be. When Dr. Lee came in, he was equally calming (as much as possible in my tearful state!). I had IV sedation and the whole process was seamless and very quick! I am currently at post-procedure day four and have had almost no pain, no bruising, and very little swelling. I cannot thank Dr. Lee and his team enough for their care and would absolutely recommend them to anyone!

- Jamie H

5 out of 5 stars on

Our Latest Patient Testimonial

All of the staff was very nice but especially, Tiffany. Her patient care skills went above and beyond expectations. Dr. Lee was also very nice and did a great job.

- Carol H

5 out of 5 stars on

Our Latest Patient Testimonial

I would highly recommend this practice. I had a consultation and the same day my wisdom tooth was extracted. Dr. Sarasin was very comforting and calming by explaining exactly what he was going to do. His assistants were reassuring and encouraging by making sure I was comfortable the entire time. I found everyone to be friendly and helpful from the front desk to Dr. Sarasin and his team of assistants. Thank you to all who had a part in my experience.

- Sheila G

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Dan is one of kindest, genuine men that you will be lucky enough to interact with. His philosophy of The Golden Rule has served him and many in his life well. He has helped so many because it was the right thing to do. I believe Watch one, Do one, Teach one along with slow and steady win the race. He thinks of others before himself. He has made a lasting impression on my family!

- DANA M

5 out of 5 stars on

Our Latest Patient Testimonial

Going in for a tooth extraction and implant with Dr Lee was the best dental experience I've ever had. Dr Lee is exceptional both in skill and in his warm, upbeat, positive manner. The outstanding staff went out of their way to ensure my comfort while waiting for surgery, patiently and thoroughly answering questions. I will recommend Dr Lee and Spring Park without hesitation. It is rare to find a team that works so well together. Thanks to everyone at Spring Park.

- Jan H

5 out of 5 stars on

Our Latest Patient Testimonial

From the time I stepped into the office, from the front office staff, nurses and doctor was a wonderful experience. The entire office staff was phenomenal. Very friendly atmosphere and they explain everything to you. I would definitely recommend this facility.

- John H

5 out of 5 stars on

Our Latest Patient Testimonial

I grew up in a time that going to the dentist was a very painful and unpleasant experience. When told that I needed a dental implant I was extremely apprehensive about the upcoming procedure. Spring Park got me in quickly for an appointment. The front office was friendly and helpful. Dr Lee and his staff were very thorough in explaining the procedure and put me very much at ease. It was over before I knew it. I had no problems following the procedure. I would highly recommend Dr Lee at Spring Park for Oral Surgery.

- Pam D

5 out of 5 stars on

Our Latest Patient Testimonial

Very kind staff and was taken care of without any problems whatsoever. They were very descriptive with pre/post surgery instructions that made everything go easier

- Nathaniel E

5 out of 5 stars on

Our Latest Patient Testimonial

What a wonderful team, caring, friendly. They explained everything and made my little girl, and I feel at ease. Dr. Smith and his team are excellent. Thank You!

- Giselle C

5 out of 5 stars on

Our Latest Patient Testimonial

Great customer care started when I entered . Everyone is professional and compassionate. I had a dental implant and I was well informed of procedure, cost and aftercare. The doctors are wonderful as well as everyone who helped me thru my process. I received follow up call after the surgery and also a bouquet of flowers . I have NEVER received flowers from a medical procedure. They have a beautiful facility, with wonderful people. Highly recommended. I even contacted my dentist to share this great experience , to refer his future patients that require surgery.

- Vicki W

5 out of 5 stars on

Our Latest Patient Testimonial

They were out of my dental plan insurance but everyone is kind courteous and caring. I would go back if they were in my dental plan.

- Daniel S

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Lee and his team were wonderful when our children had to have their wisdom teeth removed. The care before, during and after the procedure were great! Would highly recommend to anyone that has to have extensive dental work done!

- Kim W

5 out of 5 stars on

Our Latest Patient Testimonial

I am a big baby when it comes to all medical treatments and especially dental ones. They were incredibly patient and explained this thoroughly. That team today rocked! I made a decision to have more teeth extracted than I had planned and it was the right decision. Thank you so much to all of you who worked with me today!

- Julie A

5 out of 5 stars on

Our Latest Patient Testimonial

I have used Dr. Lee and his staff a number of times over the years and my wife recently had an implant and experienced the same level of treatment as I had over the years. I was amazed at while they treat many patients they remember you and make you feel like a valued friend versus just a paying customer. My granddaughter is scheduled for a visit in the coming month and I feel confident in the care she will be given. I wish all medical care facilities operated in the same fashion since the bar has been set pretty high by Dr. Lee and his team

- Mike S

5 out of 5 stars on

Our Latest Patient Testimonial

Dr. Smith is a very caring and mild mannered man. I never had a front tooth extraction before and he did a great job. He was always asking if I was ok through the whole procedure. Painless, which to me meant the world.

- Renee P

5 out of 5 stars on

Our Latest Patient Testimonial

Sincerely, this was the best facility I have ever been to. The staff were so friendly, welcoming and professional. Dr. Smith was great! He and his staff made this whole process seamless. He is genuinely an awesome surgeon. I highly recommend him.

- Terry H

5 out of 5 stars on

Our Latest Patient Testimonial

This was the second time that I'd had a procedure done at Springpark, both with Dr. Smith. Each time I've been treated well, from the time that I walked in until I left. Everyone is friendly, professional, and knows what they're doing. Dr. Smith and his staff are amazing, working efficiently, checking on my comfort level frequently, and doing a great job. The follow-up is good, also. I have nothing but positive things to say about my experiences at Springpark.

- Janice F

5 out of 5 stars on