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 Harrisonburg 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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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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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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I would like to take this opportunity to give a huge thank you to Dr. Quitmeyer and his entire staff. I recently had a procedure done in the office and could not have asked for better care. The kind and caring attitude shown by both you and your staff are greatly appreciated. Thank you so much!

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Dr. Quitmeyer and his girls were so good to me. I was really nervous and scared, they calmed me down. They explained each thing they'd be doing to me. Dr. Quitmeyer also called me that evening of my surgery to check in on me.

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Thank you for making the process of getting my wisdom teeth taken out as simple as possible. Scheduling appointments was easy, the staff was helpful and efficient, and Dr. Quitmeyer did an excellent job of explaining the procedure and answering all of my questions. I felt very comfortable and relaxed in this office and with Dr. Quitmeyer.

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I have always been terrified of the dentist since I was a kid & I have never felt more comfortable inside of any other office like I felt in this one so thank you so much for that! Everyone was really great and made me feel very calm. Always comforting to feel like you're surrounded by great people when you're a complete bundle of nerves & also when you're being put to sleep haha 🙂 You guys are great! God Bless

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Great experience, was very nervous about getting my wisdom teeth removed but it was great and I had an easy recovery.

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Staff & Doctor were very efficient, courteous, pleasant. The extraction went without a hitch. I like being told the details of what was going on and the strategies involved.

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Probably one of the Very Best Experiences I've ever had with a Dentist/Oral Surgeon. I can make a "4.0" Recommendation: if you need Oral Surgery, this is the place to go.

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Absolutely loved the staff and they made this first experience for my son awesome. Thank u for showing care!!

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I can't speak highly enough about Dr. Quitmeyer and his staff! From the moment I called to the schedule the appointment, I knew that this was the place to go! Dr. Quitmeyer and his staff are top-notch and so personable. They were willing to answer any and all of my questions and went above and beyond to make the entire experience great! Dr. Quitmeyer even called the evening after the surgery to check in -- that speaks volumes to the type of person and professional he is! A+ from me all the way around!!!! A million thanks to Dr. Quitmeyer and staff!

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