A New Technique in Alveolar Cleft Bone Grafting for Dental Implant Placement in Patients With Cleft Lip and Palate

Nhan, Vo Van; Sơn, Lê Văn; Tuan, Ta Anh; Son, Nguyen Tai; Hai, Trinh Dinh; Lanh, Le Duc; Hà, Nguyễn Ngọc; Phong, Lam Dai

doi:10.1177/1055665617723633

Cited by 16 publications

(23 citation statements)

References 49 publications

(69 reference statements)

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“…The reliability of block bone grafting for alveolar cleft patients was determined by recent studies, while shortcomings were lack of long-term follow-up and control group (Luque-Martin et al, 2014; Du et al, 2018; Van Nhan et al, 2018). In the present study, the cancellous iliac bone graft was set as a control, and all cases were followed up for 2 years.…”

Section: Discussionmentioning

confidence: 99%

“…A trimmed cortical bone was used to cover the particulate bone graft in alveolar cleft, which could prevent excessive bone resorption (Theologie-Lygidakis et al, 2014). Recently, 2 pieces of iliac corticocancellous bone block grafting technique were reported to treat alveolar cleft patients (Van Nhan et al, 2018). In the present study, the block bone we used consisted of outer cortical and inner cancellous bone.…”

Section: Discussionmentioning

confidence: 99%

“…Block bone grafting technique is widely used for bone repairing and augmentation in radius and ulna (Barbieri et al, 1997), cranial wall (Cestari et al, 2009; Hwang et al, 2012), and oral cavity (Sjostrom et al, 2013; Fretwurst et al, 2015). Recently, this technique was applied for ABG in alveolar cleft patients with different modifications (Mikoya et al, 2010; Luque-Martin et al, 2014; Theologie-Lygidakis et al, 2014; Van Nhan et al, 2018). From the year of 2013, block iliac bone graft technique was approved at our center and was performed in older cleft patients.…”

Section: Introductionmentioning

confidence: 99%

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Comparative Outcomes of Block and Cancellous Iliac Bone Grafting in Older Unilateral Alveolar Cleft Patients

Zhou

Pan

Tang

et al. 2019

The Cleft Palate-Craniofacial Journal

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Objective: To compare osseous outcomes of block and cancellous iliac bone grafting in older unilateral alveolar cleft patients. Design: Retrospective and observational follow-up study. Setting: Cleft Lip and Palate Centre, Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Nanjing Medical University, China. Patients: Forty-five nonsyndromic patients with unilateral complete alveolar cleft were enrolled in this study (25 patients in block bone graft group and 20 patients in cancellous bone graft group). Interventions: In cancellous bone graft group, the alveolar cleft was filled with iliac cancellous bone particulate. In group of block bone graft, the harvested bone block was trimmed and fixed in alveolar defect. Main Outcome Measures: A novel method was proposed to investigate the volume and density of residual bone graft at 1-week, 3- and 6-month, 1- and 2-year postoperatively based on cone beam computed tomography scans. Results: No difference in bone graft volume was found between 2 groups at 1-week and 3-month postoperatively; however, the residual volume of block bone graft group was significantly larger than that of cancellous bone graft group at 6-month, 1- and 2-year postoperatively. The bone density of block bone graft group was lower at 1-week and 3-month postoperatively but was comparable at 6-month, 1- and 2-year postoperatively. Our method was reliable and accurate to identify the range of residual bone graft when the boundary of grafted bone could not be identified clearly. Conclusion: Block bone graft could achieve comparable bone density and retain a greater amount of residual bone comparing to cancellous bone graft.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparative Outcomes of Block and Cancellous Iliac Bone Grafting in Older Unilateral Alveolar Cleft Patients

Zhou

Pan

Tang

et al. 2019

The Cleft Palate-Craniofacial Journal

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“…Longevity or success can be assessed from several aspects [18]. In this review, the criteria for implant longevity were osseointegration and preserved function at clinical evaluation.…”

Section: Discussionmentioning

confidence: 99%

Longevity and marginal bone loss of narrow-diameter implants supporting single crowns: A systematic review

2019

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To compare the longevity and marginal bone loss of narrow-diameter (�3.3-mm) versus standard-diameter implants supporting single crowns. Material and methods The MEDLINE (via PubMed), Scopus, and SciELO databases were searched for relevant publications. In addition, the scientific references provided by each of the implant companies that appeared in the search were reviewed. Intervention studies comparing longevity and bone loss between narrow-diameter and standard-diameter implants were included. Results The search was limited to in vivo studies in humans. The query returned 1931 results, of which 4 met the inclusion criteria. The implant success rate ranged from 93.8% to 100% over a maximum follow-up of 3 years, with no difference between narrow-and standarddiameter implants. Meta-analysis of all included studies showed greater bone loss in narrow-diameter implants as compared with standard ones; however, when analysis was restricted to randomized trials, no such difference was present.

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“…Prior to tertiary grafting, all patients will have the Oral Hygiene Index-Simplified (OHI-S) recorded followed by conduction of oral prophylaxis [11]. Following standard procedure guidelines, bone grafting will be done by a single operator using either an autologous symphyseal bone graft or iliac bone graft, depending on the amount of bone required [12][13][14]. Before proceeding with implant surgery, the OHI-S will be re-assessed and compared with the previously recorded observations.…”

Section: Operative Assessmentmentioning

confidence: 99%

Assessment of Outcomes of Immediately Loaded Dental Implants in Orofacial Cleft Patients: Protocol for a Single-Arm Clinical Trial

Mallick¹,

Pisulkar²,

Reddy³

2021

JMIR Res Protoc

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Background: Orofacial cleft, one of the most common congenital deformities, presents with a plethora of defects, subjecting the patient to a multitude of treatments from a young age. Among the oral hard tissue problems, absence of a maxillary permanent tooth in the cleft region either due to congenital absence or extraction due to compromised prognosis is a common finding. Conventionally, the missing tooth is replaced using a removable or fixed partial denture; however, the treatment modality does not satisfactorily meet patient expectations. The most recent decade has seen increasing use of dental implants in the cleft region; however, the outcome of an immediately loaded dental implant is still elusive for orofacial cleft patients.Objective: This protocol is for a single-arm clinical trial aimed at determining the treatment outcome of immediately loaded dental implants in patients with a nonsyndromic orofacial cleft. Methods: Patients meeting the set criteria will be sequentially enrolled until a sample size of 30 dental implants is met and will undergo the proposed treatment according to the predecided protocol. All patients will be followed up at the designated time intervals to record various clinical and radiographic parameters. Implant success will be defined based on the criteria elucidated by Misch et al in the Pisa, Italy Consensus. A quality-of-life assessment questionnaire will also be recorded at the end of patient's follow-up to determine their acceptance of the treatment.Results: A total of 30 dental implants will be placed in patients with a nonsyndromic orofacial cleft. Obtained results will be statistically analyzed to determine the treatment outcomes and success.Conclusions: This study will help determine the feasibility of immediately loaded dental implants in compromised bone sites such as those presented in cleft patients and will help in generating findings that can be used to fill the lacunae currently present in the holistic treatment of cleft patients.

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A New Technique in Alveolar Cleft Bone Grafting for Dental Implant Placement in Patients With Cleft Lip and Palate

Abstract: The proposed technique is reliable to reconstruct the alveolar cleft for implant placement in CLP patients.

Cited by 16 publications

References 49 publications

Comparative Outcomes of Block and Cancellous Iliac Bone Grafting in Older Unilateral Alveolar Cleft Patients

Comparative Outcomes of Block and Cancellous Iliac Bone Grafting in Older Unilateral Alveolar Cleft Patients

Longevity and marginal bone loss of narrow-diameter implants supporting single crowns: A systematic review

Assessment of Outcomes of Immediately Loaded Dental Implants in Orofacial Cleft Patients: Protocol for a Single-Arm Clinical Trial

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