• Pier Francesco Nocini, Massimo Albanese, Editta Buttura da Prato, and Antonio D'Agostino.
• Department of Odontostomatology and Maxillo-Facial Surgery, University of Verona, Verona, Italy. pierfrancesco.nocini@univr.it
• Clin Oral Implants Res. 2004 Jun 1;15(3):366-70.

ObjectivesThis clinical case represents a particular application of vertical distraction osteogenesis of the mandible. The surgical technique was applied to an iliac crest bone graft previously positioned on an anterior mandibular defect with the aim to restore the vertical height after a partial resorption in a trauma patient.Case ReportDistraction osteogenesis was applied because it was necessary to restore the mandibular height in a young male patient who presented with a post-trauma anterior mandibular bony deficiency. Because of the irregularity of the mandibular surface and the depth of the defect, the patient first underwent an iliac crest bone grafting that, after 3 months, showed partial resorption. Vertical distraction osteogenesis was performed on the grafted mandible in order to obtain a satisfactory bony height of the mandibular ridge. Then the patient was successfully rehabilitated by means of an implant-supported prosthesis.ConclusionVertical distraction osteogenesis appears to be a versatile surgical procedure, which can be applied as a secondary treatment in patients presenting with mandibular trauma sequelae.

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