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On the other hand, application of OCHS during the osteotomy phase of distraction osteogenesis improved formation of new bone [ 10] while in experimentally created intrabony periodontal defects, the application of OCHS in conjunction with access flap surgery promoted periodontal regeneration [ 11].
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In the rabbit bone defect/lengthening model, local injection of PRP enhanced bone consolidation during the consolidation phase; however, in the early stage of distraction osteogenesis, the combined use of decalcified bone matrix along with PRP did not reveal any additional benefit [ 43].
They found that the expression of these factors is maximal during the phase of active distraction.
Works wonders as a form of distraction.
Early post-operative phase; Distraction phase; Consolidation phase; Post-frame removal phase; Rehabilitation phase.
The post-operative management is divided into five different stages: Early post-operative phase; Distraction phase; Consolidation phase; Post-frame removal phase; Rehabilitation phase.
Delayed consolidation was experienced in 4 patients, and this was treated during distraction phase by slowing the rate to 0.5 mm/day instead of 1 mm/day and at the end of distraction phase by callus message (compression distraction at a rate 0.25 mm/day).
Lengthening was checked at each visit clinically using a measuring tap and at the end of distraction phase by a teleoroentgenogram.
Varization in the distal osteotomy is done either acutely intraoperatively or gradually at the end of distraction phase through the laterally placed motor or by slowing the differential distraction at the 2 medial rods.
Phase of gradual and controlled distraction.
One solution to some of these complications is the insertion of an intramedullary nail in order to support the regenerated bone during the consolidation phase and facilitate the removal of the external fixator after the distraction phase of lengthening.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com