Evaluation of distraction osteogenesis of membranous onlay bone graft: An experimental animal study

Ahmed Hussien Elfekey; Wessam I Shehabeldin; Amany A Alaraby; Ahmed Mohammed Saaduddin Sapri; Galal Abou Elyazied Nasr; Abdelrahman Mohamed Galal Abdelhameed; Wael Badawy Abdelhameed Elsaid; Alsayed Abdulkarem Mehana; Yasser F Habaka

doi:10.53730/ijhs.v5nS1.15066

Authors

Ahmed Hussien Elfekey Assistant professor of oral and maxillofacial surgery faculty of dental medicine, Al-Azhar University for boys, Cairo Egypt
Wessam I. Shehabeldin Lecturer of periodontology, oral medicine Department, Faculty of Dentistry, October 6 University. 6th of October City, Giza Governorate, Egypt
Amany A. Alaraby Lecturer of periodontology, oral medicine Department, Faculty of Dentistry, October 6 University. 6th of October City, Giza Governorate, Egypt
Ahmed Mohammed Saaduddin Sapri Clinical Assistant Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mansoura University, Egypt
Galal Abou Elyazied Nasr Assistant professor Oral biology department, Al-Azhar University for boys, Cairo Egypt
Abdelrahman Mohamed Galal Abdelhameed Lecturer of Oral Biology, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt
Wael Badawy Abdelhameed Elsaid Lecturer of oral biology, faculty of dental medicine, Al-Azhar University (Assiut, Boys) Egypt
Alsayed Abdulkarem Mehana Lecturer of Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Al Azhar University, Cairo, Egypt
Yasser F. Habaka Lecturer of oral and maxillofacial surgery, Oral Surgery Department, Faculty of Dentistry, October 6 University. 6th of October City, Giza Governorate, Egypt.

Keywords:

Mandible, Dogs, Distraction, onlay graft

Abstract

Purpose: This study aimed to assess the changes of membranous bone onlay grafting in the mandible of dogs after application of distraction osteogenesis. Materials and Methods: Twenty adult Mongrel dogs were divided into four groups; each with five dogs. A 3–4 cm zygomatic arch membrane onlay graft were secured on the lateral side of the mandible. Vertical osteotomy was performed after 1, 2, 3, and 4 weeks for Groups I, II, III, and IV, respectively. One week after osteotomy, distraction osteogenesis was initiated at a rate of 1 mm/day for ten days using an external apparatus. The apparatus remained for six weeks to stabilize the bone. Radiographs were taken at 2, 4, and 6 weeks post-distraction, and the dogs were euthanized six weeks after distraction for analysis. Results: The results showed new bone formation between the distracted mandibular segments in all dogs. Groups II, III, and IV showed new bone formation beneath the onlay graft, but this was not observed in Group I. In Group IV, the onlay graft partially reabsorbed, but the newly formed bone had a near-normal cortical structure.

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