Analysis of traction force in distraction osteogenesis for the correction of midfacial lateral deviation

• Project/Area Number: 23593019
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Orthodontic/Pediatric dentistry
• Research Institution: Tokyo Medical and Dental University
• Principal Investigator: BABA Yoshiyuki 東京医科歯科大学, 歯学部, 非常勤講師 (70251535)
• Co-Investigator(Kenkyū-buntansha): SUZUKI Shoichi 東京医科歯科大学, 医歯(薬)学総合研究科, 准教授 (90187732) ; TSUJI Michiko 東京医科歯科大学, 医歯(薬)学総合研究科, 助教 (90345281)
• Co-Investigator(Renkei-kenkyūsha): YONEYAMA Takayuki 日本大学, 歯学部, 教授 (00220773)
• Project Period (FY): 2011 – 2013
• Project Status: Completed (Fiscal Year 2013)
• Budget Amount: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000); Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000); Fiscal Year 2012: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000); Fiscal Year 2011: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
• Keywords: 骨延長術 / 牽引力 / 張力センサ / 上顎骨 / 側方偏位

Research Abstract

The objective of this study was to measure the traction force during distraction osteogenesis in patients showing lateral deviation of the maxilla using a RED system. For the study period, a micro tension gauge was customized and minimized to a length of 19 mm.
Tension of traction wires were measured in 6 cleft lip/palate patients treated using maxillary distraction osteogenesis. The mean distance of maxillary advancement was 8.6 mm, while the maximum traction force, which was calculated by averaging the tension of the right and left side, was found to be 18.5 N. A statistically significant positive correlation was observed between the amount of maxillary advancement and traction force.
In a patient with a cleft lip and palate showing lateral maxillary deviation, acceptable occlusion was obtained using the RED system with three traction wires. Application of differential forces was effective for correction of the anteroposterior as well as lateral displacement of the maxilla.

Research Products

• [Journal Article] Long-term maxillomandibular changes after maxillary distraction osteogenesis in growing children with cleft lip and palate (2013)
  • Author(s): Honda A, Baba Y, Ogawa T, Suzuki S, Moriyama K
  • Journal Title: Cleft Palate Craniofac J Volume: 50(2) Issue: 2 Pages: 168-173
  • DOI: 10.1597/11-177
  • Peer Reviewed
• [Journal Article] Dental and maxillofacial characteristics in six Japanese individuals with ectrodactyly-ectodermal dysplasia-clefting(EEC) syndrome (2012)
  • Author(s): Okamura E, Suda N, Baba Y, Fukuoka H, Ogawa T, Ohkuma M, Ahiko N, Yasue A, Tengan T, Shiga M, Tsuji M, Moriyama K
  • Journal Title: Cleft Palate Craniofac J Volume: (印刷中) Issue: 2 Pages: 192-200
  • DOI: 10.1597/11-123
  • Peer Reviewed
• [Journal Article] 成長期における先天性多数歯欠如 (oligodontia) 患者の顎顔面形態についての検討． (2012)
  • Author(s): 茂木和久, 小川卓也, 馬場祥行, 森山啓司
  • Journal Title: Orthodontic Waves-Jpn Ed Volume: 71 Pages: 187-193
  • Peer Reviewed
• [Journal Article] Systemic and maxillofacial characteristics of individuals affected by Beckwith-Wiedemann syndrome who have not received a glossectomy (2011)
  • Author(s): Kawafuji A, Suda N, Suzuki T, Ichikawa N, Kakara S, Baba Y, Ogawa T, Tsuji M, Moriyama K
  • Journal Title: Am J Orthod Dentfacial Orthop Volume: 139 Issue: 4 Pages: 517-25
  • DOI: 10.1016/j.ajodo.2009.07.021
  • Peer Reviewed
• [Journal Article] Systemic and maxillofacial characteristics of individuals affected by Beckwith-Wiedemann syndrome who have not received a glossectomy. (2011)
  • Author(s): Kawafuji A, Suda N, Suzuki T, Ichikawa N, Kakara S, Baba Y, Ogawa T, Tsuji M, Moriyama K
  • Journal Title: Am J Orthod Dentofac Orthop Volume: 139 Pages: 517-525
  • Peer Reviewed
• [Presentation] 創外型固定装置を用いた骨延長法により著しい上顎の劣成長と正中偏位を改善した口唇口蓋裂症例の長期予後 (2013)
  • Author(s): 辻美千子,馬場祥行,片岡恵一,鈴木聖一,森山啓司
  • Organizer: 第72回日本矯正歯科学会
  • Place of Presentation: キッセイ文化ホール・松本市総合体育館(松本)
  • Year and Date: 2013-10-09
• [Presentation] 混合歯列期におけるTurner症候群の顎顔面形態および口腔内の特徴に関する検討 (2013)
  • Author(s): 阿彦希,馬場祥行,辻美千子,佐藤麻緒,堀川玲子,金田一純子,森山啓司
  • Organizer: 第72回日本矯正歯科学会
  • Place of Presentation: キッセイ文化ホール・松本市総合体育館(松本)
  • Year and Date: 2013-10-09
• [Presentation] 上下顎骨切術と梨状孔縁骨切骨延長術の併用により中顔面低形成の改善を行ったラルセン症候群の1例 (2013)
  • Author(s): 長岡亮介,鳥飼勝行,長西裕樹,木島毅,馬場祥行,辻美千子,大村進,森山啓司
  • Organizer: 第53回日本先天異常学会
  • Place of Presentation: 千里ライフサイエンスセンター(大阪)
  • Year and Date: 2013-07-21
• [Presentation] 口唇口蓋裂患者における創外型延長装置による上顎骨延長時の牽引力に関する検討 (2013)
  • Author(s): 澤田紘美,小川卓也,片岡恵一,阿彦希,小林起穂,馬場祥行,森山啓司
  • Organizer: 第37回日本口蓋裂学会
  • Place of Presentation: 佐賀市文化会館(佐賀)
  • Year and Date: 2013-05-31
• [Presentation] Investigation of maxillofacial morphology and dental development in hemifacial microsomia (2013)
  • Author(s): Ahiko N, Baba Y, Sato M, Kanazawa H, Momotoshi S, Tsuji M, Suzuki S, Kaneko T, Kindaichi J, Moriyama K
  • Organizer: 12th International Congress on Cleft Lip/Palate and Related Craniofacial Anomalies
  • Place of Presentation: Hilton Orlando Lake Buena Vista (Orlando, USA)
  • Year and Date: 2013-05-05
• [Presentation] A case of Larsen syndrome treated using combined orthodontic-surgical treatment for improving midfacial hypoplasia and macrognathia (2013)
  • Author(s): Tsuji M, Baba Y, Torikai K, Moriyama K
  • Organizer: 12th International Congress on Cleft Lip/Palate and Related Craniofacial Anomalies
  • Place of Presentation: Hilton Orlando Lake Buena Vista (Orlando, USA)
  • Year and Date: 2013-05-05
• [Presentation] Investigation of maxillofacial morphology and dental development in hemifacial microsomia. (2013)
  • Author(s): Ahiko N, Baba Y, Sato M, Kanazawa H, Momotoshi S, Tsuji M, Suzuki S, Kaneko T, Kindaichi J, Moriyama K
  • Organizer: 12th International Congress on Cleft Lip/Palate and Related Craniofacial Anomalies
  • Place of Presentation: Orlando,America
• [Presentation] Dentocraniofacial morphology of patients with unilateral cleft lip and palate. (2013)
  • Author(s): Sato M, Baba Y, Kaneko T, Kindaichi J
  • Organizer: 12th International Congress on Cleft Lip/Palate and Related Craniofacial Anomalies
  • Place of Presentation: Orlando,America
• [Presentation] A case of Larsen syndrome treated using combined orthodontic-surgical treatment for improving midfacial hypoplasia and macrognathia. (2013)
  • Author(s): Tsuji M, Baba Y, Torikai K, Moriyama K
  • Organizer: 12th International Congress on Cleft Lip/Palate and Related Craniofacial Anomalies
  • Place of Presentation: Orlando,America
• [Presentation] 口唇口蓋裂患者における創外型延長装置による上顎骨延長時の牽引力に関する検討． (2013)
  • Author(s): 澤田紘美,小川卓也,片岡恵一,阿彦 希,小林起穂,馬場祥行,森山啓司
  • Organizer: 第37回日本口蓋裂学会
  • Place of Presentation: 佐賀市文化会館、佐賀
• [Presentation] 上下顎骨切術と梨状孔縁骨切骨延長術の併用により中顔面低形成の改善を行ったラルセン症候群の1例． (2013)
  • Author(s): 長岡亮介,鳥飼勝行,長西裕樹,木島 毅,馬場祥行,辻 美千子,大村 進,森山啓司
  • Organizer: 第53回日本先天異常学会
  • Place of Presentation: 千里ライフサイエンスセンター、大阪
• [Presentation] 混合歯列期におけるTurner症候群の顎顔面形態および口腔内の特徴に関する検討. (2013)
  • Author(s): 阿彦 希,馬場祥行, 辻 美千子,佐藤麻緒,堀川玲子,金田一 純子,森山啓司
  • Organizer: 第72回日本矯正歯科学会
  • Place of Presentation: キッセイ文化ホール、松本
• [Presentation] 創外型固定装置を用いた骨延長法により著しい上顎の劣成長と正中偏位を改善した口唇口蓋裂症例の長期予後. (2013)
  • Author(s): 辻 美千子,馬場祥行,片岡恵一,鈴木聖一,森山啓司
  • Organizer: 第72回日本矯正歯科学会
  • Place of Presentation: キッセイ文化ホール、松本
• [Presentation] 梨状孔縁骨切骨延長術により中顔面の低成長の改善を行ったラルセン症候群の1例 (2012)
  • Author(s): 長岡亮介,鳥飼勝行,長西裕樹,木島毅,馬場祥行,辻美千子,大村進,森山啓司
  • Organizer: 第30回日本頭蓋顎顔面外科学会
  • Place of Presentation: 千里ライフサイエンスセンター(大阪)
  • Year and Date: 2012-11-02
• [Presentation] Hemifacial microsomiaの顎顔面形態および歯の形成・発育に関する検討 (2012)
  • Author(s): 阿彦希,馬場祥行,佐藤麻緒,金沢英恵,志賀百年,辻美千子,小川卓也,鈴木聖一,金田一純子,森山啓司
  • Organizer: 第71回日本矯正歯科学会
  • Place of Presentation: 盛岡市民文化ホール・盛岡地域交流センター・アイーナ・アイスアリーナ(盛岡)
  • Year and Date: 2012-09-27
• [Presentation] Use of palatal plate with nasal stent for treatment of 3 bilateral cleft lip/palate patients. (2012)
  • Author(s): Baba Y, Shiga M, Kanazawa H, Sato M, Kaneko T, Kindaichi J
  • Organizer: American Association of Orthodontists
  • Place of Presentation: Honolulu
• [Presentation] Comparison of craniodentofacial characteristics of monozygotic twins discordant for Russell-Silver syndrome. (2012)
  • Author(s): Sato M, Baba Y, Kindaichi J
  • Organizer: American Association of Orthodontists
  • Place of Presentation: Honolulu
• [Presentation] ラッセル・シルバー症候群の一卵性双生児不一致症例における頭蓋顎顔面形態の検討. (2012)
  • Author(s): 佐藤麻緒,馬場祥行,志賀百年,金沢英恵,金田一 純子
  • Organizer: 日本口蓋裂学会
  • Place of Presentation: 京都
• [Presentation] Hemifacial microsomiaの顎顔面形態および歯の形成・発育に関する検討． (2012)
  • Author(s): 阿彦 希,馬場祥行,佐藤麻緒,金沢英恵,志賀百年,辻美千子,小川卓也,鈴木聖一,金田一 純子,森山啓司
  • Organizer: 日本口蓋裂学会
  • Place of Presentation: 京都
• [Presentation] Noonan症候群患者に関する検討(第2報)－顎顔面形態の特徴について－ (2012)
  • Author(s): 187.植野智子,片岡恵一,宮本 順,村本慶子,辻 美千子,佐藤麻緒,馬場祥行,金田一 純子,森山啓司
  • Organizer: 日本矯正歯科学会
  • Place of Presentation: 盛岡
• [Presentation] Hemifacial microsomiaの顎顔面形態および歯の形成・発育に関する検討． (2012)
  • Author(s): 阿彦 希,馬場祥行,佐藤麻緒,金沢英恵,志賀百年,辻美千子,小川卓也,鈴木聖一,金田一 純子,森山啓司
  • Organizer: 日本矯正歯科学会
  • Place of Presentation: 盛岡
• [Presentation] 梨状孔縁骨切骨延長術により中顔面の低成長の改善を行ったラルセン症候群の1例. (2012)
  • Author(s): 長岡亮介,鳥飼勝行,長西裕樹,木島 毅,馬場祥行,辻 美千子,大村 進,森山啓司
  • Organizer: 日本頭蓋顎顔面外科学会
  • Place of Presentation: 豊中
• [Presentation] Ultrasonographic monitoring for bonny healing after maxillary distraction osteogenesis in an adult cleft lip and palate case (2011)
  • Author(s): Kataoka K, Ogawa T, Baba Y, Higashihori N, Suzuki S, Moriyama K
  • Organizer: 9th European Craniofacial Congress
  • Place of Presentation: Salzburg Exhibition Centre (Saltsburg, Austria)
  • Year and Date: 2011-09-15
• [Presentation] 上顎骨延長法適用後に超音波画像を用い延長部硬組織の治癒過程を経時的に観察した口唇口蓋裂の一症例 (2011)
  • Author(s): 片岡圭一,小川卓也,馬場祥行,東堀紀尚,鈴木聖一,森山啓司
  • Organizer: 第35回日本口蓋裂学会
  • Place of Presentation: 朱鷺メッセ(新潟)
  • Year and Date: 2011-05-26
• [Presentation] Three BCLP patients treated using palatal plate with nasal stent. (2011)
  • Author(s): Kanazawa H, Baba Y, Shiga M, Kaneko T, Kindaichi J
  • Organizer: 87th Congress of European Orthodontic Society
  • Place of Presentation: Istanbul
• [Presentation] Clinical survey on associated anomalies in cases with isolated cleft palate. (2011)
  • Author(s): Takuya Ogawa T, Ohya A, Sato M, Baba Y, Moriyama K
  • Organizer: 9th European Craniofacial Congress
  • Place of Presentation: Saltsburg
• [Presentation] Ultrasonographic monitoring for bonny healing after maxillary distraction osteogenesis in an adult cleft lip and palate case. (2011)
  • Author(s): Kataoka K, Ogawa T, Baba Y, Higashihori N, Suzuki S, Moriyama K
  • Organizer: 9th European Craniofacial Congress
  • Place of Presentation: Saltsburg
• [Presentation] 上顎骨延長法適用後に超音波画像を用い延長部硬組織の治癒過程を経時的に観察した口唇口蓋裂の一症例． (2011)
  • Author(s): 片岡圭一,小川卓也,馬場祥行,東堀紀尚,鈴木聖一,森山啓司
  • Organizer: 第35回日本口蓋裂学会
  • Place of Presentation: 新潟
• [Presentation] 成長期に顔面非対称となった症例の長期的な顎態の変化． (2011)
  • Author(s): 志賀百年,馬場祥行,金沢英恵,徳山英二郎,金子剛,森山啓司,金田一純子
  • Organizer: 第21回日本顎変形症学会
  • Place of Presentation: 東京
• [Presentation] 国立成育医療研究センターを受診したラッセル・シルバー症候群３症例に対する歯科矯正治療． (2011)
  • Author(s): 志賀百年,馬場祥行,金沢英恵,佐藤麻緒,森山啓司,堀川玲子,金田一純子
  • Organizer: 第70回日本矯正歯科学会
  • Place of Presentation: 名古屋
• [Presentation] Russell-Silver症候群の頭部X線規格写真を用いた顎顔面形態に関する検討. (2011)
  • Author(s): 佐藤智美,澤田紘美,小川卓也,吉崎正子,大隈瑞恵,志賀百年,辻美千子,佐藤麻緒,馬場祥行,金田一純子,須田直人,森山啓司
  • Organizer: 第70回日本矯正歯科学会
  • Place of Presentation: 名古屋
• [Presentation] 当分野の口蓋裂症例における合併症状に関する検討. (2011)
  • Author(s): 大宅彩,小川卓也,阿彦希,佐藤麻緒,片岡恵一,井口隆人,小林起穂,東堀紀尚,春山直人,馬場祥行,森山啓司
  • Organizer: 第70回日本矯正歯科学会
  • Place of Presentation: 名古屋
• [Presentation] 放射線治療から小児の口腔組織を防護する-電子線から歯を守る装置と材料についての検討. (2011)
  • Author(s): 金沢英恵,宮新美智世,馬場祥行,工藤みふね,北村正幸,藤渕智康,正木英一,金田一純子,三浦雅彦, 高木裕三
  • Organizer: 第65回国立病院総合医学会
  • Place of Presentation: 岡山
• [Book] Pfeiffer syndrome (2012)
  • Author(s): Baba Y
  • Publisher: In : Atlas of orthodontic treatment for patients with birth defects, eds KurodaT, Ohyama K, Motohashi N, Moriyama K, Needham Press, Inc., Ann Arbor
• [Book] Wildervanck syndrome (2012)
  • Author(s): Baba Y
  • Publisher: In : Atlas of orthodontic treatment for patients with birth defects, eds KurodaT, Ohyama K, Motohashi N, Moriyama K, Needham Press, Inc., Ann Arbor