Review Article

Periosteal Distraction Osteogenesis: An Effective Method for Bone Regeneration

Table 1

Summary of preclinical animal experiments.

AuthorsDistractorAnimalPositionLatency periodDistraction periodConsolidation periodFactorYearReference number

Kostopoulos and KarringPTFE capsuleRatMandibular ramus0 daysImmediate distraction7, 14 days and 1, 2, 4 weeksDifferent opening direction1995[15]

Schmidt et al.Titanium meshRabbitLateral surface of the mandible7 days7 mm over 15 daysDays 28, 35, 42, 56None2002[7]

Stevens et al.Calcium-alginate gelRabbitAnteromedia aspect of metaphyseal and diaphyseal tibia0 daysImmediate distraction6, 8, 12 weeksTGF-β/FGF-22005[16]

Kessler et al.Titanium meshMinipigForehead region5 days0.5 mm/d for 10 days7, 17, 45 daysIn comparison with IE2007[17]

Sencimen et al.Stainless steel deviceRabbitLateral surface of the mandible7 days0.25 mm twice a day for 10 days15, 30, 60 daysIn comparison with DO2007[18]

Estrada et al.Plate supported by a screwRabbitForehead10 days0.25 mm/d or 0.5 mm/d until 8 mm10, 20, 30, 40, 50, 60 days after distractionDifferent distraction rates2007[19]

Estrada et al.Distraction rod with basel staple and titanium plateDogIntraoral in the four quadrants10 days0.22 mm/d for 22 days90 daysNone2007[19]

Yamauchi et al.Highly purified β-TCP blockDogLateral surface of the mandible8 days0.5 mm/d for 8 days8 weeksNone2008[20]

Casap et al.U-shaped device Made of stainless steel and titaniumRabbitMandible2 weeks1 mm/d for 7 days60 daysVEGF2008[21]

Abrahamsson et al.Osmotic self-inflatable expanderRabbitLower border of the mandible0 daysDepend on the inflation rate of the expander2 weeksNone2009[22]

Oda et al.Titanium meshRabbitMandible7 days0.5 mm/d for 8 days4 and 8 weeksCortical bone perforation2009[23]

Lethaus et al.Laser-perforated titaniumMinipigForehead region3 days0.5 mm twice per day for periods 5, 10, 15 days, respectively14, 28, 42 daysVersus static shielding2010[24]

Sato et al.Mesh plateRabbitParietal bone7 days20 days3 weeksBone marrow stem cell administration2010[25]

Altuğ et al.U-shaped distractor built from stainless steelRabbitLateral aspect of the mandible1 day or 7 days0.25 mm twice a day for 10 days15, 30, 60 daysDifferent latency periods2011[26]

Zakaria et al.Biodegradable mesh (PLLA/HA)RabbitCalvarial bone7 days0.5 mm every 12 hours for 5 days4 and 6 weeksDifferent distraction rates2012[27]

Zakaria et al.Titanium meshRabbitCalvarial bone7 days0.5 mm every 12 hours for 5 days4 and 6 weeksDifferent distraction rates2012[28]

Saulacic et al.Hemispherical discRatCalvarial bone7 days0.4 mm/d for 10 days10, 20 daysNone2013[29]

Saulacic et al.Occlusive distraction plate or perforation of the distraction plateRatCalvaria7 days0.2 mm/d for 10 days7 daysDifferent distractors2013[30]

Yamauchi et al.Ni-Ti SMARabbitForehead14 daysDepend on the elasticity of SMA3 and 6 weeksNone2013[31, 32]

Suer et al.Custom-design deviceRabbitLateral surface of the mandibular corpus7 days0.25 mm Twice a day for 6 days4 and 8 weeksHBO2014[33]

Kahraman et al.A new periosteal distractorRabbitPeriosteumeum at the forehead7 days0.35 mm/d for 10 days, 45 daysSimvastatin2015[34]

Pripatnanont et al.Modified Hyrax deviceRabbitRamus and body of mandible3 days0.5 mm twice a day for 7 days4 and 8 weeksPRF2015[35]

Saulacic et al.Custom made distraction deviceRabbitCalvaria7 days0.25 or 0.5 mm/d for 10 days1 week, 2 weeks, 2 monthsDifferent distraction rates2016[36]

Dziewiecki et al.Nondegradable titanium device and degradable devices (poly-DL-lactide and polyglycolic acid)MinipigCalvarial bone0 daysImmediate distraction12, 28, 42 daysNone2016[37]

Yamauchi et al.SMA mesh device and absorbable threadRabbitUnder the periosteum at the forehead0 daysTime-released dynamic distraction4 and 8 weeksNone2016[38]

IE = Immediate Elevation; DO = distraction osteogenesis; SMA = self-activated memory alloy; HBO = hyperbaric oxygen; PRF = platelet-rich fibrin; PTFE = Polytetrafluoroethylene; TGF-β = transforming growth factor-β; FGF-2 = fibroblast growth factor-2.