Alveolar Bone Formation in Patients with Unilateral and Bilateral Cleft Lip and Palate after Early Secondary Gingivoalveoloplasty: Long-Term Results

Meazzini, Maria Costanza; Tortora, Chiara; Morabito, Alberto; Garattini, G.; Brusati, Roberto

doi:10.1097/01.prs.0000256064.74938.72

Cited by 47 publications

(64 citation statements)

References 31 publications

(20 reference statements)

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“…In a previous study on younger patients, we have noted that none of the patients who had reached the age for bone grafting needed any secondary bone grafting (Meazzini et al, 2007). In this study with patients at the age of implant substitution again no secondary or pre-implant bone grafting was needed.…”

Section: Ossificationmentioning

confidence: 56%

“…Type II: slightly asymmetrical notched. Type III: severely asymmetrical notched nasal floor (Meazzini et al, 2007).…”

Section: Evaluation Of Ossificationmentioning

confidence: 99%

“…The reliability of the use of panoramic radiographs instead of periapical films was demonstrated previously (Meazzini et al, 2007).…”

Section: Evaluation Of Ossificationmentioning

confidence: 99%

“…The repair of the hard palate with simultaneous ESGAP was executed at about 18e24 months (Brusati and Mannucci, 1992) (Table 1). In a previous study, we demonstrated on 118 patients in deciduous, mixed and permanent dentition that ESGAP ensured adequate ossification in all patients (Meazzini et al, 2007).…”

Section: Introductionmentioning

confidence: 97%

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Early Secondary Gingivo-Alveolo-Plasty in the treatment of unilateral cleft lip and palate patients: 20 years experience

Meazzini

Rossetti

Garattini

et al. 2010

Journal of Cranio-Maxillofacial Surgery

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Section: Ossificationmentioning

confidence: 56%

“…Type II: slightly asymmetrical notched. Type III: severely asymmetrical notched nasal floor (Meazzini et al, 2007).…”

Section: Evaluation Of Ossificationmentioning

confidence: 99%

“…The reliability of the use of panoramic radiographs instead of periapical films was demonstrated previously (Meazzini et al, 2007).…”

Section: Evaluation Of Ossificationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

See 2 more Smart Citations

Early Secondary Gingivo-Alveolo-Plasty in the treatment of unilateral cleft lip and palate patients: 20 years experience

Meazzini

Rossetti

Garattini

et al. 2010

Journal of Cranio-Maxillofacial Surgery

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“…Alveolar ossification after early secondary gingivoalveoloplasty was studied in 87 patients with UCLP and it was shown that there was no need for subsequent secondary bone grafting in any patients in the sample [17]. Although quality of ossification is an important aspect, another important question that still needs to be answered is whether early secondary gingivoalveoloplasty has any negative influence on the growth and development of the maxillary arch.…”

Section: Introductionmentioning

confidence: 98%

Comparison of growth results in patients with unilateral cleft lip and palate after early secondary gingivoalveoloplasty and secondary bone grafting: 20 years follow up

Meazzini

Capasso

Morabito

et al. 2008

Scandinavian Journal of Plastic and Reconstructive Surgery and

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The Milan surgical protocol from 1988 has included repair of lip, nose, and soft palate at 6-9 months of age, and closure of the hard palate and alveolus with an early secondary gingivoalveoloplasty at 18-36 months. The goal of this study was to evaluate the long-term maxillary growth in patients with unilateral cleft lip and palate (UCLP) who had had the early secondary gingivoalveoloplasty, compared with the growth in a sample treated before 1988, by the same surgeon, with a surgical protocol that differed only by the method and the timing of alveolar closure. In the second group they were repaired by secondary bone grafting. The samples consisted of lateral cephalograms of the UCLP early secondary gingivoalveoloplasty sample (15 patients with a mean age of 18 (1.2) years) and of the UCLP bone graft sample (10 patients with a mean age of 19 (1.1) years). The early secondary gingivoalveoloplasty patients showed that maxillary growth was inhibited compared with the secondary bone graft group. Although the early secondary gingivoalveoloplasty allowed for early repair of the alveolus together with palatal repair, eliminating the need for secondary bone grafting, it seemed to have an inhibiting influence on maxillary growth that increased the need for Le Fort I osteotomies. Even with a Le Fort I osteotomy, the early secondary gingivoalveoloplasty allows the total number of operations to be kept down to three, as in most European protocols.

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Orthodontic preparation for alveolar bone grafting in unilateral cleft lip and palate

Shetye¹

2022

Cleft and Craniofacial Orthodontics

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Alveolar Bone Formation in Patients with Unilateral and Bilateral Cleft Lip and Palate after Early Secondary Gingivoalveoloplasty: Long-Term Results

Abstract: Early secondary gingivoalveoloplasty seems to allow for adequate ossification in both the alveolar and the nasal regions. Permanent tooth eruption occurs at a normal rate. None of the patients has required a secondary alveolar bone graft.

Cited by 47 publications

References 31 publications

Early Secondary Gingivo-Alveolo-Plasty in the treatment of unilateral cleft lip and palate patients: 20 years experience

Early Secondary Gingivo-Alveolo-Plasty in the treatment of unilateral cleft lip and palate patients: 20 years experience

Comparison of growth results in patients with unilateral cleft lip and palate after early secondary gingivoalveoloplasty and secondary bone grafting: 20 years follow up

Orthodontic preparation for alveolar bone grafting in unilateral cleft lip and palate

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