Case Study PS

This patient presented to my office on referral from his orthodontist for extraction of his lower premolars in preparation for orthodontics. After my consultation with the patient I discussed widening of the lower jaw with the patient and then the orthodontist. I suggested we do this to eliminate the need for tooth extraction.

A week later the patient returned for the surgery. While he was under general anesthesia I surgically cut the lower jaw down the middle then affixed the distraction device.

A week later the patient returned to my office and the distraction device was activated for 5 consecutive days, 1mm per day. Four months after the distraction was complete the device was removed.

Fig 1: clinical of patient before surgery	Fig 2: Surgery of fractured jaw and device placement
Fig 3: One week after surgery and before distraction has begun	Fig 4: Radiograph at end of distraction
Fig 5: Radiograph at 6 months after distraction	Fig 6: Radiograph 1 year after distraction
Fig 7a & b: Clinical of patient 2 years after surgery	Fig 7a & b: Clinical of patient 2 years after surgery
Fig 8: Panorex 2 years after surgery