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.

If you have questions about distraction osteogenesis, please call our office at Rockingham Office Phone Number 540-433-1751 and schedule an appointment with Dr. Quitmeyer.

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. Quitmeyer 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.

Shenandoah Oral & Facial Surgery

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Considering that one is getting a tooth pulled, it was much easier than a regular dental appointment. They were well organized, timely and friendly. Highl recommend them.

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My tooth was abcessed and I needed to have it removed asap. I would recommend to everyone!!!

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Everyone in the office is so nice and personable. Dr. Quitmeyer has created a great environment for the patients and staff!

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Dr Quitmeyer and all of his staff were amazing. Very friendly and helpful. So glad we chose them to have my sons wisdom teeth taken out.

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I had a great experience with the entire staff at Dr. Quitmeyer's office. He came highly recommended to me by my dentist, Dr. Anderson. I had a root canal 15 years ago, but the tooth below the crown had a small crack, causing the tooth to fail. The situation worsened pretty quickly, and the office staff was very understanding and tried to give me the earliest appointment even though I was a new patient. They may have been able to see me the same day, but I could not leave work on short notice. The crown cracked more along with the tooth below in the few days I awaited the appointment, and when I called they gave me care instructions and connected me to a dental assistant to answer my questions. Dr. Quitmeyer had his work cut out for him as I had basically shards of tooth that needed to be removed, and not much to grab onto. The process was still quick and painless. He also did a bone graft, and answered all of my questions related to a possible future implant in that back molar. I trust his professional opinion, and the entire staff was courteous and warm, had knowledge of the procedures, and were just generally stellar all around. I highly recommend their office for oral surgery.

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First time I've had an extraction and didn't have ANY pain!!!!

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Thank you for the kindness you ALL showed me!! Dr Quitmyer is great, so glad Dr Hutson recommended you. I have told several people !! Thank you!!!

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It was a great experience thank you all

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The staff was very courteous and Dr Q. was very concerned, thoughtful & appreciative!

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I recommend this group very highly, and Dr. Quitmeyer in particular (the only one of the two doctors there I have seen so far). Quite simply the best bunch I have seen for heavy duty dental work.

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Very pleasant staff and great care

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The service was great. The only thing was the waiting but they were at lunch so it was ok. The doctor was great. He explained everything to me in a way i could understand.

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While I can't say I "enjoyed" having a tooth extracted I can say that the staff made it as comfortable as possible. Everything was done professionally and courteously I would definitely choose to have another tooth extracted by them if it ever comes to that. I hope it doesn't, but at least I know who can take care of it for me..

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Great experience.

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Super friendly stafff nurse was great and Doctor had great bedside manner answered all our questions!

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I'm very pleased with all aspects of Shen Oral and Facial Surgery. If 10 were available, I'd give ya all a ten. Dr. Quitmeyer has my vote!!

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