Alveolar bone morphology of maxillary central incisors near grafted alveolar clefts after orthodontic treatment

Yatabe, Marília; Natsumeda, Gabriela Manami; Miranda, Felicia; Janson, Guilherme; Garib, Daniela Gamba

doi:10.1016/j.ajodo.2017.01.029

Cited by 11 publications

(5 citation statements)

References 23 publications

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“…A reason for this might be that the cleft orthodontist also considers the quality of the root in the evaluation of prognosis. In 2017, Yatabe et al (2017) found that the maxillary central incisors near the alveolar cleft tended to have thinner labial and lingual bone plates, and an apically displaced labial alveolar crest level compared to the noncleft side. This further proves the need for an evaluation of root anatomy in cases where extraction of an extra lateral incisor is evaluated.…”

Section: Alveolar Bone Graftingmentioning

confidence: 99%

Eighteen-Year Follow-Up of 160 Consecutive Individuals Born With Unilateral Cleft Lip or Cleft Lip and Alveolus Treated by the Oslo Cleft Lip and Palate Team

Mandal

Filip

Andersson

et al. 2019

The Cleft Palate-Craniofacial Journal

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Objective: Describe patients born with unilateral cleft lip with or without cleft alveolus (CL±A) in relation to cleft severity and laterality, gender, associated anomalies and syndromes, number and type of lip- and nose operations, and time of alveolar bone graft (ABG) treatment in relation to dental status in cleft area. Materials and Methods: Patients included 220 children born with unilateral CL±A, born between 1988 and 1997 referred to the Oslo Cleft Lip and Palate Team. The data were collected retrospectively. All patients were followed up until 18 years of age. Results: Among all CL±A, 3.6% had recognized syndromes, 6.8% had associated anomalies, and in 89.6% CL±A was the only malformation. CL±A was more common, but not more severe, on the left side. Among the 160 individuals with CL±A without syndromes and associated anomalies, 66.9% had an isolated soft tissue CL, and 33.1% were diagnosed with a CL alveolus (CL+A). Male predominance was observed. Children with CL+A had more severe soft tissue clefts of the lip and underwent more lip and nose surgeries than children born with CL. The time of ABG was found to be at a younger age when the patient had a lateral incisor in the cleft area than when this tooth was missing. Conclusion: Findings provide a reference for morphologic variations in CL±A, and insight into the surgical burden of care until the age of 18 years.

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Section: Alveolar Bone Graftingmentioning

confidence: 99%

Eighteen-Year Follow-Up of 160 Consecutive Individuals Born With Unilateral Cleft Lip or Cleft Lip and Alveolus Treated by the Oslo Cleft Lip and Palate Team

Mandal

Filip

Andersson

et al. 2019

The Cleft Palate-Craniofacial Journal

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show abstract

“…The spatial resolution is also affected by a scatter lever increasing with FOV size. The recommended reduction of FOV [ 21 ] was used in this study, which was smaller than in other papers assessing SABG effectiveness in CLP patients [ 15 – 17 , 22 – 25 ]. The reduction of the FOV size also correlates with an expected reduction of the radiation dose.…”

Section: Discussionmentioning

confidence: 99%

A novel method for alveolar bone grafting assessment in cleft lip and palate patients: cone-beam computed tomography evaluation

2020

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Objectives This retrospective cross-sectional study aimed to present a new method for secondary alveolar bone grafting (SABG) assessment and to qualitatively evaluate the SABG results in unilateral cleft lip and palate patients. Materials and methods Research was conducted according to the STROBE guidelines. The study group consisted of 21 patients with a mean age of 16 years. High-resolution cone-beam computed tomography (CBCT) was performed at least 1 year after grafting. The experimental side was the cleft side, and the contralateral side without a congenital cleft was the control. Measurements were performed at four levels of the maxillary central incisors’ roots according to the new scale with scores from 0 to 3. The sum of the scores provided a general assessment of bone architecture. The Wilcoxon signed-rank test was used for intergroup comparisons, and a Kappa coefficient was used for reproducibility measurements. Results High individual variability was found, and the bone architecture was significantly worse on the cleft side than on the noncleft side. The results showed 28.57% failure, 33.33% poor, 19.05% moderate, and 19.05% good results from the surgical procedure. Kappa coefficients produced results from 0.92 to 1.00 for intra-rater and from 0.81 to 1.00 for inter-rater reproducibility. Conclusions CBCT provides detailed information about alveolar bone morphology. The new assessment method is useful at every treatment stage and provides excellent repeatability. SABG did not provide good bone morphology, in most cases. Clinical relevance This research presents a new universal alternative for the assessment of SABG by utilizing CBCT.

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“…Fig. 1 depicts the alveolar mandibular bone thickness was evaluated by the following landmarks [4] : C-C' = Distance from alveolar process to mandibular symphysis at labial and lingual crest level. P-B = Labial bone at the middle of mandibular incisor root.…”

Section: Experimental Design Materials and Methodsmentioning

confidence: 99%

Data on alveolar mandibular bone thickness in Class I skeletal patient with bimaxillary protrusion

2021

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The alveolar bone thickness influences both diagnosis and limitation of tooth movement, therefore significance retraction was commonly applied in treating patients with bimaxillary protrusion. This is a retrospective data collection of pre and post treatment lateral cephalographs from 18 to 40 years old patient treated with four premolars extraction. The alveolar mandibular bone thickness was identified in sagittal planes with Image-J software based on cephalometry lateral radiographs. Statistical analysis namely Wilcoxon test and Pearson correlation analysis coefficient were used to understand the correlation of alveolar mandibular bone thickness variables and mandibular incisors position to skeletal profile treated with first premolars extraction are presented. This data is essential for advancing in a further understanding of Class I skeletal patients with bimaxillary protrusion.

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Alveolar bone morphology of maxillary central incisors near grafted alveolar clefts after orthodontic treatment

Cited by 11 publications

References 23 publications

Eighteen-Year Follow-Up of 160 Consecutive Individuals Born With Unilateral Cleft Lip or Cleft Lip and Alveolus Treated by the Oslo Cleft Lip and Palate Team

Eighteen-Year Follow-Up of 160 Consecutive Individuals Born With Unilateral Cleft Lip or Cleft Lip and Alveolus Treated by the Oslo Cleft Lip and Palate Team

A novel method for alveolar bone grafting assessment in cleft lip and palate patients: cone-beam computed tomography evaluation

Data on alveolar mandibular bone thickness in Class I skeletal patient with bimaxillary protrusion

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