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J Craniomaxillofac Surg ; 36(3): 143-151, 2008 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-18359239

RESUMEN

OBJECTIVES: To study the effect of two different frequencies of distraction on the quantity and architecture of bone regenerate using micro-computed tomography, and to determine whether radiographic and ultrasonographic bone-fill scores provide reliable predictive value for the amount of new bone in the distraction area. MATERIAL AND METHODS: Twenty-six skeletally mature rabbits underwent three full days of latency, after which midface distraction was started. Low-frequency group (n=12): a distraction rate of 0.9 mm/d achieved by one daily activation for 11 days to create a 10mm distraction gap. High-frequency group (n=12): idem, but three daily activations were used instead of one. Control group (n=2) underwent no distraction. After 21 days of consolidation, bone-fill in the distraction area was assessed by means of ultrasonography and radiography. Micro-computed tomography was used to quantify new bone formation and bone architecture. RESULTS: Relative bone volume (BV/TV) showed a tendency towards a difference (P=0.09) between the low and high-frequency groups. No significant differences were found for bone architecture. No significant correlation between BV/TV values and bone-fill scores was found. CONCLUSIONS: An increase in rhythm from one to three activations daily does not create significantly more bone. Bone-fill score values provided no reliable predictive value for the amount of new bone formation.


Asunto(s)
Regeneración Ósea/fisiología , Hueso Nasal/cirugía , Osteogénesis por Distracción/métodos , Animales , Densidad Ósea/fisiología , Fijadores Externos , Femenino , Procesamiento de Imagen Asistido por Computador , Modelos Animales , Hueso Nasal/diagnóstico por imagen , Hueso Nasal/patología , Osteogénesis/fisiología , Osteogénesis por Distracción/instrumentación , Valor Predictivo de las Pruebas , Conejos , Distribución Aleatoria , Reproducibilidad de los Resultados , Factores de Tiempo , Tomografía Computarizada por Rayos X , Ultrasonografía
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