Distraction Osteogenesis
Distraction Devices Overview SOPHISTICATED PRODUCTS IN OMF SURGERY
Innovative Technique
Distraction Osteogenesis
Definition and history
Distraction in oral & craniomaxillofacial surgery
The lengthening of bones by gradual distraction has been executed systematically and described for the first time by the Russian surgeon Ilizarow (Ilizarow 1975, Ilizarow 1988). The principle is to stretch callus formed after a corticotomy at a rate of 1 mm per day. This stimulus activates the forces of spontaneous healing of the bone, so that continuously new callus is produced and the bone is lengthened. The smaller the single distraction steps are, the stronger is the effect of triggering callus formation. Continuous stretching will bring an optimum stimulation. Besides the formation of new bone, the simultaneous stretching and augmentation of the surrounding soft tissue (histogenesis) is an important advantage of this method. Furthermore, the slow change allows a better adaptation of the soft tissue (muscles, former scar tissue) which is considered favourable as concerns the avoiding of recidivation.
Since the end of the eighties, the lengthening of bone with the help of distraction osteogenesis has been used in oral & craniomaxillofacial surgery and has become an important option for the treatment of a certain number of anomalies. These include mainly syndromatic diseases, like hemi-facial microsomia, severe cleft cases, but also Crouzon or Apert syndrome. Besides this, the treatment of bone defects after trauma is often only possible by distraction of the respective bone structures. During the past years, consequent miniaturization of the distraction devices has made it possible to use distraction osteogenesis also for the rebuilding of the alveolar ridge in cases of mandibular atrophy.
3
Timetable of distraction: Osteotomy Latency period (3-7 days) Distraction (∼ 1 mm per day) Consolidation (mineralization) period (3-6 weeks) Removal of the distractor Subsequent treatment, remodelling (prosthetic treatment)
Operative approach: The surgical procedure is divided into the following steps, independent of the selected distraction system: Exposing of the bone to be distracted, if possible by intraoral approach with vestibular incision.
Adaptation of the distractor to the bone and the required distraction vector and marking of the position by predrilling of at least two screw holes on each side of the osteotomy line.
Removal of the distractor and osteotomy. It is recommended to separate the bone completely.
Closing of the wound and starting of the distraction after a latency period of 3 to 7 days.
Final fixation of the distractor with cortical screws and intraoperative test of the function of the distractor.
Advantages of the technique
Summary
Compared to the conventional methods of treatment, distraction offers the following advantages:
The current spectrum of distraction devices indicates the wide array of different indications of this technique in oral & craniomaxillofacial surgery.
• No bone transplantation with the difficult resection of the bone graft. • Minimal risk of infection because vital bone is distracted. • Not only the bone but also the soft tissue is distracted, so that the new bone is permanently stabilized. • The results of the distraction can be reproduced. • Simple surgical procedure which does not essentially differ from standard osteosynthesis techniques used in OMF surgery.
And yet the future years will bring many new devices such as internal multidirectional distractors as well as miniaturized systems that can be fixed by outpatient treatment. The functional and aesthetic advantages for the patient are obvious.
Innovative Technique
Vertical Alveolar Distraction (Type Cologne)
Micro TRACK
TRACK 1.0
1:1 scale
1:1 scale
TRACK 1Plus 1 Plus 5:1 scale 4:1
51-500-90
51-505-90
90째
51-505-91 51-520-95 51-525-85 51-525-90 51-525-91
Micro TRACK Distractors
51-525-95
TRACK 1.0 Item Number
Distractors
TRACK 1Plus Item Number
Distractors
Item Number
Distraction length 6 mm
51-523-06
Distraction length 6 mm
51-525-06
Distraction length 6 mm
51-524-06
Distraction length 9 mm
51-523-09
Distraction length 9 mm
51-525-09
Distraction length 9 mm
51-524-09
Distraction length 12 mm
51-523-12
Distraction length 12 mm
51-525-12
Distraction length 12 mm
51-524-12
Distraction length 15 mm
51-525-15
Distraction length 15 mm
51-524-15
Distraction length/turn 0.3 mm Recommended screws
Distraction length/turn 0.3 mm
Distraction length/turn 0.3 mm
1.0 x 4 mm to 1.0 x 6 mm
Recommended screws
Recommended screws
Emergency: 1.2 x 5 mm
1.0 x 4 mm to 1.0 x 6 mm
1.5 x 5 mm to 1.5 x 7 mm
Patient screwdrivers
Emergency: 1.2 x 5 mm
Emergency: 1.8 x 5 mm Drill Free: 1.5 x 5 mm
Straight
51-525-85
Patient screwdrivers
Combination straight & angled
51-525-90
Straight
51-525-85
Patient screwdrivers
Combination straight & angled
51-525-90
Straight
51-525-85
Combination straight & angled
51-525-90
Combination straight & angled for handle 25-402-99
51-525-91
Combination straight & angled
Micro
51-525-95
for handle 25-402-99
51-525-91
Combination straight & angled
Micro
51-525-95
for handle 25-402-99
51-525-91
Leaflet
90-174-02
Micro
51-525-95
Leaflet
90-174-02
Leaflet
90-174-02
5
A A B B
TRACK TRACK 1.51.5
TRACK 2.0
1:1 scale 1:1 scale
1:1 scale
Micro TRACK
TRACK 1.0 with additional support plate 51-525-40
TRACK 1.5 Distractors
TRACK 1Plus
TRACK 1.5
TRACK 2.0 Item Number
Distractors
Item Number
Distraction length 10 mm
51-520-10
Distraction length 10 mm
51-530-10
Distraction length 15 mm
51-520-15
Distraction length 15 mm
51-530-15
Distraction length/turn 0.5 mm
Distraction length/turn 0.5 mm
Recommended screws
Recommended screws transport plate A
1.5 x 3.5 mm to 1.5 x 7 mm
1.5 x 3.5 mm to 1.5 x 7 mm
Emergency: 1.8 x 5 mm
Emergency: 1.8 x 5 mm
Drill Free: 1.5 x 5 mm
Drill Free: 1.5 x 5 mm Recommended screws base plate B
Patient screwdrivers Straight
51-500-90
2.0 x 4 mm to 2.0 x 7 mm
Angled
51-505-90
Emergency: 2.3 x 5 mm
Micro
51-520-95
Drill Free:
Combination straight & angled for handle 25-402-99 Leaflet
2.0 x 5 mm
Patient screwdrivers 51-505-91 90-174-02
Combination straight & angled
51-500-90
Angled
51-505-90
Micro
51-520-95
Combination straight & angled for handle 25-402-99
51-505-91
Leaflet
90-174-02
Innovative Technique
Horizontal Alveolar Distraction
Horizontal Alveolar Distractor 4:1 scale
51-535-95 51-525-91 51-535-90
Horizontal Alveolar Distractor Distraction screws
Item Number
Distraction screw 4 mm
51-536-04
Distraction screw 6 mm
51-536-06
Distraction screw 8 mm
51-536-08
51-536-04 51-536-06 51-536-08 51-536-10
51-536-01
Distraction screw 10 mm
51-536-10
Healing screw for latency period
51-536-03
51-536-02
Fixation plate, straight
51-536-01
51-536-03
Fixation plate, angled
51-536-02
Plates
Distraction length/turn 0.5 mm Recommended screws 1.5 x 4 mm or 1.5 x 5 mm Emergency: 1.8 x 5 mm Drill Free: 1.5 x 5 mm Patient screwdrivers Combination straight & angled
51-535-95
Micro
51-535-90
Comb. straight & angled f. handle 25-402-99
51-525-91
Leaflet
90-174-02
7
Maxillary Distraction
Zürich Pediatric Maxillary Distractor (flex. activator)
Zürich Pediatric Maxillary Distractor (rigid activator)
1:1 scale
2:1 scale
TS-MD Distractor 1:1 scale
51-500-90
51-505-90
90°
51-505-91
Zürich Pediatric Maxillary Distractor (flex. activator)
Zürich Pediatric Maxillary Distractor (flex. activator)
Zürich Pediatric Maxillary Distractor (rigid activator)
Distractors
Distractors
Item Number
Item Number
TS-MD Distractor
TS-MD Distractor Distractors
Item Number
Distraction length 15 mm, left
51-550-15
Distraction length 15 mm, left
51-552-15
Distraction length 20 mm
51-540-20
Distraction length 15 mm, right
51-551-15
Distraction length 15 mm, right
51-553-15
Distraction length 25 mm
51-540-25
Distraction length 30 mm
51-540-30
Distraction length/turn 0.5 mm
Distraction length/turn 0.5 mm
Recommended screws
Recommended screws
Distraction length/turn 0.5 mm
1.5 x 5 mm to 1.5 x 7 mm
1.5 x 5 mm to 1.5 x 7 mm
Recommended screws
Emergency: 1.8 x 5 mm
Emergency: 1.8 x 5 mm
1.5 x 3.5 mm to 1.5 x 7 mm
Drill Free: 1.5 x 5 mm
Drill Free: 1.5 x 5 mm
Emergency: 1.8 x 5 mm
Patient screwdrivers
Patient screwdrivers
Drill Free: 1.5 x 5 mm
Straight
51-500-90
Straight
51-500-90
Patient screwdrivers
Angled
51-505-90
Angled
51-505-90
Straight
51-500-90
Angled
51-505-90
Combination straight & angled
Combination straight & angled
for handle 25-402-99
51-505-91
for handle 25-402-99
51-505-91
Leaflet
90-756-02
Leaflet
90-756-02
Combination straight & angled for handle 25-402-99
51-505-91
Leaflet
90-895-02
Innovative Technique
Horizontal-/Mandibular Distraction
Zürich Pediatric Ramus Cloverleaf design (flex. activator)
Zürich Pediatric Ramus Y-shaped design (flex. activator)
1:1 scale
1:1 scale
Zürich Pediatric Ramus Cloverleaf design (flex. activator)
Zürich Pediatric Ramus Cloverleaf design (flex. activator)
Zürich Pediatric Ramus Y-shaped design (flex. activator)
Distractors
Distractors
Item Number
Item Number
15 mm, left
51-515-15
15 mm, left
51-517-15
20 mm, left
51-515-20
20 mm, left
51-517-20
25 mm, left
51-515-25
25 mm, left
51-517-25
15 mm, right
51-516-15
15 mm, right
51-518-15
20 mm, right
51-516-20
20 mm, right
51-518-20
25 mm, right
51-516-25
25 mm, right
51-518-25
Distraction length/turn 0.5 mm
Distraction length/turn 0.5 mm
Recommended screws
Recommended screws
1.5 x 3.5 mm or 1.5 x 7 mm
1.5 x 3.5 mm or 1.5 x 7 mm
Emergency: 1.8 x 5 mm
Emergency: 1.8 x 5 mm
Drill Free: 1.5 x 5 mm
Drill Free: 1.5 x 5 mm
Patient screwdrivers
Patient screwdrivers
Straight
51-500-90
Straight
51-500-90
Angled
51-505-90
Angled
51-505-90
Combination straight & angled
Combination straight & angled
for handle 25-402-99
51-505-91
for handle 25-402-99
51-505-91
Leaflet
90-758-02
Leaflet
90-758-02
9
Zürich Pediatric Ramus Cloverleaf Design (rigid activator)
Zürich Pediatric RamusY-shaped design (rigid activator)
3:1 scale
1:1 scale
51-500-90
51-505-90
90°
51-505-91
Zürich Pediatric Ramus Cloverleaf design (rigid activator)
Zürich Pediatric Ramus Y-shaped design (rigid activator)
Distractors
Distractors
Item Number
Item Number
15 mm, left
51-511-15
15 mm, left
51-514-15
20 mm, left
51-511-20
20 mm, left
51-514-20
25 mm, left
51-511-25
25 mm, left
51-514-25
15 mm, right
51-513-15
15 mm, right
51-519-15
20 mm, right
51-513-20
20 mm, right
51-519-20
25 mm, right
51-513-25
25 mm, right
51-519-25
Distraction length/turn 0.5 mm
Distraction length/turn 0.5 mm
Recommended screws
Recommended screws
1.5 x 3.5 mm or 1.5 x 7 mm
1.5 x 3.5 mm or 1.5 x 7 mm
Emergency: 1.8 x 5 mm
Emergency: 1.8 x 5 mm
Drill Free: 1.5 x 5 mm
Drill Free: 1.5 x 5 mm
Patient screwdrivers
Patient screwdrivers
Straight
51-500-90
Straight
51-500-90
Angled
51-505-90
Angled
51-505-90
Combination straight & angled
Combination straight & angled
for handle 25-402-99
51-505-91
for handle 25-402-99
51-505-91
Leaflet
90-758-02
Leaflet
90-758-02
Innovative Technique
Horizontal-/Mandibular Distraction
Wood Z端rich Intraoral Distractor
Horizontal Distractor
1:1 scale
3:1 scale
51-500-90
51-505-90
90属
51-505-91 Wood Z端rich Intraoral Distractor
Wood Z端rich Intraoral Distractor Distractors 10 x 15 mm, left
Item Number 51-300-15
20 x 20 mm, left
51-300-20
10 x 15 mm, right
51-301-15
20 x 20 mm, right
51-301-20
Distraction length/turn 0.5 mm Recommended screws 1.5 x 3.5 mm or 1.5 x 7 mm Emergency: 1.8 x 5 mm Drill Free: 1.5 x 5 mm Patient screwdrivers Straight
51-500-90
Angled
51-505-90
Comb. straight & angled f. handle 25-402-99
51-505-91
11
Ramus Distractor 2:1 scale
Horizontal Distractor
Ramus Distractor
Horizontal Distractor Distractors
Ramus Distractor
Item Number
Distractors
Item Number
10 mm
51-500-10
15 mm
15 mm
51-500-15
20 mm
51-510-20
20 mm
51-500-20
25 mm
51-510-25
Distraction length/turn 0.5 mm
Distraction length/turn 0.5 mm
Recommended screws
Recommended screws
1.5 x 3.5 mm or 1.5 x 7 mm
1.5 x 3.5 mm or 1.5 x 7 mm
Emergency: 1.8 x 5 mm
Emergency: 1.8 x 5 mm
Drill Free: 1.5 x 5 mm
Drill Free: 1.5 x 5 mm
51-510-15
Patient screwdrivers
Patient screwdrivers Straight
51-500-90
Straight
51-500-90
Angled
51-505-90
Angled
51-505-90
Comb. straight & angled f. handle 25-402-99
51-505-91
Comb. straight & angled f. handle 25-402-99
51-505-91
Leaflet
90-755-02
Leaflet
90-755-02
Innovative Technique
Further Applications
Please refer to page 100 to 113 “ThreadLock System” in our Level One product catalog.
Liou Cleft Distractor
ThreadLock Transport Distractor
1:1 scale
1:1 scale
Liou Cleft Distractor
ThreadLock Transport Distractor
Liou Cleft Distractor Distractors
ThreadLock Transport Distractor Item Number
Distractors
Item Number
15 mm, left
51-650-15
30 mm
51-700-30
20 mm, left
51-650-20
40 mm
51-700-40
15 mm, right
51-651-15
50 mm
51-700-50
20 mm, right
51-651-20
Distraction length/turn 0.3 mm
Distraction length/turn 0.5 mm Additional att. arm*
51-700-10
Recommended screws
Additional att. screw Centre Drive®
51-709-55
1.5 x 4 mm to 1.5 x 5 mm
Additional att. screw Cross Drive
51-710-55
Emergency: 1.8 x 5 mm
Recommended screws
Drill Free: 1.5 x 5 mm
1.5 x 4 mm to 1.5 x 7 mm
Patient screwdrivers
Emergency: 1.8 x 5 mm
Straight
51-525-85
Combination straight & angled
51-525-90
Comb. straight & angled f. handle 25-402-99
51-525-91
Drill Free: 1.5 x 5 mm Patient screwdrivers Straight
51-500-90
Angled
51-505-90
Comb. straight & angled f. handle 25-402-99
51-505-91
Leaflet
90-124-02
* incl. 51-709-55 and 51-710-55
13
Please refer to page 100 to 113 “ThreadLock System” in our Level One product catalog.
Herford Transport Distractor (plate guided) 1.5:1 scale
51-525-85
51-525-90
51-525-91 51-500-90
90° 51-505-90 51-505-91
Herford Transport Distractor (plate guided)
Herford Transport Distractor (plate guided) Distractors
Item Number
30 mm, left
51-710-30
40 mm, left
51-710-40
50 mm, left
51-710-50
60 mm, left
51-710-60
30 mm, right
51-711-30
40 mm, right
51-711-40
50 mm, right
51-711-50
60 mm, right
51-711-60
Distraction length/turn 0.5 mm Recommended screws 1.5 x 4 mm to 1.5 x 7 mm Emergency: 1.8 x 5 mm Drill Free:
1.5 x 5 mm
Patient screwdrivers Straight
51-500-90
Angled
51-505-90
Comb. straight & angled f. handle 25-402-99
51-505-91
Leaflet
90-124-02
Innovative Technique
Le Fort III & Monobloc
➀
➁
Riediger Distractor
Molina Orbital Malar Distractor
1:1 scale
1:2 scale
51-560-90
51-600-90
Riediger Distractor
51-500-90
Molina Orbital Malar Distractor
51-525-85 51-525-91 51-505-91
Riediger Distractor Distractors
Item Number
15 mm, left
51-560-15
20 mm, left
51-560-20
15 mm, right
51-561-15
20 mm, right
51-561-20
Molina Orbital Malar Distractor
➀ Distractor 35 mm
Distraction length/turn 0.1 mm
Item Number 51-605-25
Pivot fig. 2
Distraction length/turn 0.5 mm
to order seperately Soft tissue protection sleeve, 6 mm
51-562-06
Soft tissue protection sleeve, 9 mm
51-562-09
Soft tissue protection sleeve, 12 mm
51-562-12
➁ to order separately Soft tissue protection sleeve
Pivot fig. 1
51-605-01
Pivot fig. 2
51-605-02
Recommended screws
Pivot fig. 3
51-605-03
1.5 x 3.5 mm to 1.5 x 7 mm
Pivot fig. 4
51-605-04
Emergency: 1.8 x 5 mm
Recommended screws
Drill Free: 1.5 x 5 mm
1.5 x 5 mm and 1.5 x 7 mm
Patient screwdrivers
Pivot fig. 1
Patient screwdrivers
Straight
51-560-90
Straight
51-600-90
Leaflet
90-123-02
Leaflet
90-777-02
Pivot fig. 3
Pivot fig. 4
15
➀ ➂
➁
Marchac Temporal Distractor
Arnaud Cranio-orbital Distractor
1:1 scale
1:1 scale
B
Marchac Temporal Distractor
➀ Distractors
51-620-25
51-620-35
25 mm
35 mm
X X X X X X X
X X X X X X X
max. distraction length
A Item Number
25 mm, for babies
51-620-25
35 mm, for children & adults
51-620-35
Distraction length/turn 0.5 mm
➁ to order separately Pin for babies, 40 mm
51-621-40
Pin for babies, 50 mm
51-621-50
Pin for babies, 60 mm
51-621-60
Pin for babies, 70 mm
51-621-70
Pin for children & adults, 50 mm
51-622-50
Pin for children & adults, 60 mm
51-622-60
Pin for children & adults, 70 mm
51-622-70
Pin for children & adults, 80 mm
51-622-80
➂ to order separately
51-621-40 51-621-50 51-621-60 51-621-70 51-622-50 51-622-60 51-622-70 51-622-80 51-605-01 51-605-02 51-605-03
Pin for babies, 40 mm Pin for babies, 50 mm Pin for babies, 60 mm Pin for babies, 70 mm Pin for children, 50 mm Pin for children, 60 mm Pin for children, 70 mm Pin for children, 80 mm Pivot, fig. 1 Pivot, fig. 2 Pivot, fig. 3
Note: A complete temporal distractor always comprises the distractor itself (ref. no. 51-620-xx), an appropriate pin (ref. no. 51-621-xx or 51-622-xx, depending on the patient to be treated), and one pivot (these products have their own reference numbers, as mentioned).
Arnaud Cranio-orbital Distractor B
Pivots fig. 1 (see page 14)
51-605-01
Pivots fig. 2 (see page 14)
51-605-02
Distractor
Pivots fig. 3 (see page 14)
51-605-03
20 mm
Recommended screws
Distraction length/turn 0.5 mm
1.5 x 3.5 mm to 1.5 x 7 mm
Recommended screws
Emergency: 1.8 x 5 mm
1.5 x 3.5 mm to 1.5 x 7 mm
Drill Free: 1.5 x 5 mm
Emergency: 1.8 x 5 mm
Patient screwdrivers
Drill Free: 1.5 x 5 mm
Straight
51-500-90
Combination straight & angled 51-505-91
Leaflet
90-166-02
51-630-20
Patient screwdrivers Straight
for handle 25-402-99
Item Number
51-525-85
Combination straight & angled for handle 25-402-99
51-525-91
Leaflet
90-166-02
A
Marchac Temp. Distractor Arnaud Cranio-orbital Distractor
Innovative Technique
Transversal Vertical Alveolar Distraction (Type Cologne) Distraction
Rotterdam Micro Palatal TRACK Distractor
TRACK Rotterdam 1.0 Palatal Distractor TRACK 1 Plus
1:1 scale
1:1 scale 4:1 scale
1:1 scale
5:1 scale
51-555-90
51-555-85
51-555-95
90째
Rotterdam Palatal Distractor
Rotterdam Palatal Distractor Distractors
Item Number
9 mm
51-555-09
13 mm
51-555-13
Distraction length/turn see distraction diagram Screws are not required! Patient screwdrivers Hockey stick-like
51-555-90
Straight
51-555-85
Angled
51-555-95
Leaflet
90-239-02
17
External Distraction ➀
A
➃ ➁
➂
➄
Molina Uni-direct. Distractors
TRACK 1.5
Molina Bi-direct. TRACKDistractors 2.0
1:1 scale
1:1 scale
1:1 scale
1:1 scale
51-600-85
51-600-90
Molina Uni-direct. Distractor
➀ Distractor for babies & infants 28 mm
Molina Uni-direct. Distractor
Molina Bi-direct. Distractor
Item Number 51-600-28
Distraction length/turn 0.5 mm
Molina Bi-direct. Distractor
to order seperately Pins, 2 x 40 mm (2 each)
51-606-40
Pin, 2 x 120 mm (1 each)
51-606-12
Pins, 2.7 x 60 mm (2 each)
51-608-60
➁ Distractor for children 43 mm
Item Number 51-600-43
Distraction length/turn 0.5 mm
➃ Distractors for children
Item Number
56 x 40 mm, left
51-601-56
56 x 40 mm, right
51-602-56
Distraction length/turn 0.5 mm to order seperately Pins, 2.7 x 60 mm (2 each)
51-608-60
to order seperately Pins, 2.7 x 60 mm (2 each)
➂ Distractor for adults 53 mm
51-608-60 Item Number 51-600-53
51-601-76
76 x 40 mm, right
51-602-76
to order seperately
to order seperately 51-610-60
Pins, 3.2 x 60 mm (2 each)
51-610-60
Patient screwdrivers
Patient screwdrivers Screwdriver for Pins
Item Number
76 x 40 mm, left
Distraction length/turn 0.5 mm
Distraction length/turn 0.5 mm
Pins, 3.2 x 60 mm (2 each)
➄ Distractors for adults
51-600-85
Activator and Fixation-SD
51-600-90
Leaflet
90-777-02
Screwdriver for Pins
51-600-85
Activator and Fixation-SD
51-600-90
Leaflet
90-777-02
Innovative Technique
ExternalAlveolar Vertical Distraction Distraction (Type Cologne) Vertical plane -6° to 98°
y-axis different x-axis different
Angle between y-x axis 75° to 180°
Micro TRACK
TRACK 1.0
1:1 scale
1:1 scale
TRACK 1 Plus Distraction System 3D Xternal 5:1 scale reduced illustration
51-600-75
51-600-80
51-600-85
3D Xternal Distraction System 3D X basic set
51-601-00
Distraction length/turn 0.5 mm to order separately Pin 2.0 X 50 mm, steel (4 each)
51-620-50
Pin 2.7 X 60 mm, steel (4 each)
51-627-60
Pin 2.0 X 40 mm, titanium (2 each)
51-606-40
Pin 2.7 X 60 mm, titanium (2 each)
51-608-60
Instruments Patient screwdriver, hexagonal
51-600-75
Angular adjustment driver
51-600-80
Pindriver
51-600-85
Leaflet
90-241-02
Transversal plane +/- 20°
19
TRACK 1.5
Polley / RED II System TRACK 2.0
1:1 scale
reduced illustration
51-580-85
51-575-90
51-575-90
Polley/ RED II System Rigid External Distraction System (complete)
51-580-00
Distraction length/turn 0.5 mm to order separately Pack Fixation Screws 45 mm (10 ea.)
51-575-10
Pack Fixation Screws 55 mm (10 ea.)
51-575-12
Hexagonal Screwdriver
51-575-90
Instruments Patient screwdriver, hexagonal
51-580-85
O.R. screwdriver, hexagonal
51-575-90
Leaflet
90-791-02
Leipzig Retention Plate Set 1.5 mm (complete)
51-582-50
Set 1.8 mm (complete)
51-582-55
Leaflet
90-842-02
1:1 scale
Innovative Technique
Storage Alveolar Distraction Vertical (Type Cologne)
Micro TRACK
TRACK 1.0
1:1 scale
1:1 scale
TRACK 1 Plus 5:1 scale
Storage Item Number Insert module, purple
55-962-08
Storage module, purple
55-962-18
Screw storage module, purple
55-962-28
Twin insert module, purple
55-962-38
Lid for screw storage module
55-963-08
Lid for storage module
55-963-09
Lid for distraction module
55-963-17
Lid for 3DX system
55-963-20
Insert empty, universal (low height)
55-964-17
Insert empty, 2 sections (double height)
55-964-20
Insert for TRACK distractors (low height)
55-964-23
Insert empty, 2 sections (low height)
55-964-24
Insert empty, 3 sections (low height)
55-964-25
Insert for complete 3DX devices
55-964-33
Insert for 3DX single components
55-964-34
Insert for Horzizontal Alveolar Distractor (low height)
55-964-36*
Insert for TRACK distractors (low height)
55-964-37*
* Please use together.
âœ
3 - 7 days
3 - 7 days
3 - 7 days
1 - 5 days
0 - 15 days
Orthognathic Cases
Mandibular/Maxillary Widening
Alveolar Ridge Distraction
LeFort III
Monobloc
Compromized Vascularity Insufficient volume and quality of bone Irradiated patient (> 40 Gy) Heavy smoking Non complient patient
DOG-Contraindications
Intra-operative antibiotic treatment Complete osteotomy Stable and controlled vector Pay attention to parallel vectors in case of bilateral distraction
Comments
Latency Period
Indications for DOG
Please note: The following recommendations are based on the experiences of the members of the S.O.R.G.* Distraction Section. The values listed are average values and might differ depending on each specific case and the treatment following distraction.
Distraction Protocol
3 - 12 months
3 - 6 months
3 months
3 months
3 months
Retention Period
* S.O.R.G. – Strasbourg Osteosynthesis Research Group www.sorg-group.com
0.3 - 1 mm/day
0.5 - 1 mm/day
0.5 - 1 mm/day
0.2 - 1 mm/day
0.5 - 1 mm/day
Distraction per day
Patient Name:
Distractor Location 1:
Type of Distractor:
Patient Chart
Surgeon in charge:
Distractor Location 2:
4
5
6
1 2 3
7
1 2 3
8
1 2 3
9
1 2 3
10
1 2 3
11
1 2 3
12
1 2 3
13
1 2 3
14
1 2 3
15
Next Check (date)
3
1 2 3
R
2
1 2 3
L
Day of Surgery: Observe Latency Period: Start of Distraction: End of Distraction: Rotations/Activations per Day:
1
1 2 3
example
1 2 3
✗
1 2 3
Left
1 2 3
Further Doctor’s Orders:
Day Rotations
Right
Left
Please note: Always comply fully with your doctor’s instructions. Observe arrow direction when operating the distractor. Be sure to follow a soft diet during the entire distraction period. Careful oral hygiene is indicated during the entire treatment. Smoking can impair distraction results. So never smoke during treatment.
Innovative Technique
23
If you still have any questions... ... please ask for our product catalogs.
Level One Catalog
Patient Leaflet (available in German & English)
General Catalog
Dental Catalog
Gebrüder Martin GmbH & Co. KG Ludwigstaler Str. 132 · D-78532 Tuttlingen Postfach 60 · D-78501 Tuttlingen Tel. +49 7461 706-0 · Fax +49 7461 706-193 info@klsmartin.com · www.klsmartin.com
09.06 . 90-173-02-04 . Printed in Germany · Copyright by Gebrüder Martin GmbH & Co. KG · Alle Rechte vorbehalten · Technische Änderungen vorbehalten We reserve the right to make alterations · Cambios técnicos reservados · Sous réserve de modifications techniques · Ci riserviamo il diritto di modifiche tecniche