Ideal treatment protocol for cleft lip and palate patient from mixed to permanent dentition

Rocha, Roberto; Locks, Arno; Paula, Leonardo Koerich de; Santana, Regis Meller

doi:10.1016/j.ajodo.2011.03.024

Cited by 22 publications

(27 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The most widely accepted time for repair protocol is during the mixed-dentition when the canine adjacent to the cleft has completed half to three quarters of its root formation [9] . Currently intermediate secondary bone grafting between 8-12 years of age is the procedure of choice for most cleft centers.…”

Section: Introductionmentioning

confidence: 99%

Sonic Weld Biodegradable Plating System for Bone Graft Fixation in Alveolar Cleft Repair

Nowair

2017

Egyptian Dental Journal

View full text Add to dashboard Cite

Cleft lip and/or palate is the most widely known congenital malformation of the orofacial region. Secondary bone grafting of alveolar clefts combined with subsequent orthodontic treatment, designed to obtain a nonprosthodontic dental rehabilitation and also eliminate the other deficiencies attributable to the osseous defect. This study aimed to evaluate the role of graft fixation by using sonic weld biodegradable plating system on alveolar cleft repair Patients and methods Ten patients with unilateral alveolar clefts ( right and left) were included in this study. The patients were evaluated with age ranging between (7-12) years. They were treated by secondary grafting procedures of their alveolar clefts using chin bone block fitted in the cleft and fixed by sonic weld biodegradable bone plates. The patients were followed up for 6 months both clinically and radiographically Results: Uneventful soft tissue healing regarding soft tissue wounds. The alar base was augmented for all patients and the soft tissue scar had been matured (no tenderness) by about the third month postoperatively. The postoperative radiological results were excellent in all patients, regarding the alveolar bone height bordering the teeth mesially and distally, the incorporation of the graft material with the surrounding bone or the degree of eruption of the cleft related permanent teeth (lateral and canine) through the graft. Conclusion:By the end of this study the author concluded that the fixation of monoblock corticocancellous bone graft in alveolar cleft repair using sonic weld plating system is useful as it maintain the graft volume and height.

show abstract

Section: Introductionmentioning

confidence: 99%

Sonic Weld Biodegradable Plating System for Bone Graft Fixation in Alveolar Cleft Repair

Nowair

2017

Egyptian Dental Journal

View full text Add to dashboard Cite

show abstract

“…Secondary bone grafting is considered the gold standard for repairing the cleft region [1]. It is indicated for most patients with an alveolar cleft, the best stage for this procedure is in the mixed dentition when the canine adjacent to the cleft has completed half to three quarters of its root formation [2]. Its major benefit is to restore alveolar integrity to induce spontaneous migration of permanent teeth adjacent to the cleft in the newly formed bone [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…The outcome of the surgery is considered satisfactory when sufficient volume of normally remodeled bone tissue is obtained [5]. Secondary bone grafting enhances the dental alveolus for eruption and periodontal support of the teeth adjacent to the cleft, usually the canine and the lateral incisor [2,6,7]. This allows, through orthodontic treatment, the closing of the residual space, and in many cases it does not require rehabilitation with prosthesis or implants.…”

Section: Introductionmentioning

confidence: 99%

Assessment of alveolar defect volume in unilateral cleft lip and palate patients using a free software program

Picolli¹,

Menezes

Brücker³

et al. 2013

OJST

View full text Add to dashboard Cite

The purpose of this study was to assess the alveolar defect volume in unilateral cleft lip and palate (UCLP) subjects using computed tomography (CT) and a free software program to evaluate the intra-and interrater measurements, and to compare the cleft volume between age and affected side. The sample of this retrospective study consisted of 20 UCLP individuals, 12 boys and 8 girls, mean age 10.3 ± 2.4 years at the beginning of orthodontic treatment. All subjects required alveolar bone grafting. CT scans of the cleft area were obtained prior to secondary bone grafting, and were analyzed using Image J. software program. The cleft volume was calculated based on axial crosssectional CT images by two raters (orthodontist and radiologist) and by the same rater (orthodontist) at two different moments. Linear mixed model, Bland-Altman, Pearson's and intraclass correlation coefficient (ICC) were used. The mean cleft volume was 7.53 ± 1.55 mm³. The intra-and inter-rater measurements were reproducible (ICC = 0.976 and 0.963, respectively) with no significant difference between them. There were no statistically significant differences in the cleft volume related to age or cleft location. The assessment of cleft volume in UCLP using CT images and a free software program was a reproducible method. There was no significant relation between alveolar defect volume and age or cleft location.

show abstract

“…The protocols differ as to the ideal period for the beginning of the orthopedic treatment in individuals with cleft, although some studies indicate that the treatment onset occurs at the late mixed dentition (8 to 12 years) [9,22] or at early mixed dentition (6 to 8 years) [3]. Although the literature lacks studies on this subject, some authors advocate that the orthopedic treatment at late mixed dentition reduces treatment time and cost, keeping the effectiveness [9,24].…”

Section: Introductionmentioning

confidence: 99%

Association of the profile of individuals with cleft lip/palate with the beginning of orthopedic/ orthodontic treatment

Moreira¹,

Rebouças²,

Chagas³

et al. 2017

RSBO

View full text Add to dashboard Cite

Introduction: Cleft lip and palate (CLP) is the most frequent congenital malformation among the anomalies of the head and neck. The orthopedic/orthodontic treatment is included in the rehabilitation of these individuals, however there is no consensus in the literature regarding the ideal time for its beginning. Objective: To verify and characterize the profile of individuals with CLP treated at a reference hospital of the northeast of Brazil from 1998 to 2013 and its association with the beginning of the orthopedic/ orthodontic treatment. Material and methods: Through direct observation of medical records, panoramic radiograph, and study casts of 323 individuals, data regarding sex, cleft type, origin and age of beginning of the orthopedic/orthodontic treatment were surveyed and analyzed using the chi-square test, considering a 5% level of significance. Results: Most of the individuals had transforamen and the unilateral cleft was the most prevalent (p<0.05). Females were statistically more affected by post-foramen cleft and males by trans-foramen cleft (p<0.05). Most individuals with trans-foramen cleft and post-foramen cleft started the orthopedic/ orthodontic treatment between 8 and 12 years old (p<0.05). No statistically significant differences occurred relating the beginning

show abstract

Ideal treatment protocol for cleft lip and palate patient from mixed to permanent dentition

Cited by 22 publications

References 23 publications

Sonic Weld Biodegradable Plating System for Bone Graft Fixation in Alveolar Cleft Repair

Sonic Weld Biodegradable Plating System for Bone Graft Fixation in Alveolar Cleft Repair

Assessment of alveolar defect volume in unilateral cleft lip and palate patients using a free software program

Association of the profile of individuals with cleft lip/palate with the beginning of orthopedic/ orthodontic treatment

Contact Info

Product

Resources

About