Implant rehabilitation in cleft patients: A retrospective study in our center

Cembranos, José-Luis López-Cedrún; Neagu, David; Rey, R. Luaces; Castro, Maria Josefa Pombo; Mourelle, Alicia González; Prieto, Francisco Gálvez

doi:10.4103/jclpca.jclpca_74_17

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…1). In the literature, several cases reported implant placement before completion of growth including 10, 14, and 15 years old patients, respectively 21–23. We included cases of when the implant installation surgery was performed at the ages ranging from 12 to 27 years old.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, several cases reported implant placement before completion of growth including 10, 14, and 15 years old patients, respectively. [21][22][23] We included cases of when the implant installation surgery was performed at the ages ranging from 12 to 27 years old. Because of the retrospective study design, the dental implants were placed in a variable period of time for each patient.…”

Section: Advantages Of Delayed Bone Graftingmentioning

confidence: 99%

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Anterior Dental Implant in Grafted Cleft Alveolus: A Clinical Comparison Between Intramembranous and Endochondral Bone Graft

Sodnom-Ish

Park

et al. 2022

Journal of Craniofacial Surgery

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Background: Alveolar bone graft is usually performed during the early mixed dentition phase, at the chronological age of 6 to 8 years old, to reconstruct the cleft alveolus. As the appropriate time for implant placement is after completion of full growth, it can result in a likelihood of resorption. The aim of this study is to compare the clinical outcomes of anterior dental implants with delayed bone grafting using iliac crest (endochondral) and mandibular ramus or symphysis (intramembranous) bone in adolescents to adulthood patients with cleft alveolus. Materials and Methods: This study included 10 patients with cleft alveolus who underwent delayed bone grafting with autogenous block bone and particulate cancellous bone and marrow (PCBM) from the mandibular ramus and symphysis with dental implant placement, and iliac crest. The success of the treatment was evaluated through clinical and radiographic examination including marginal bone loss measurement of the implants. Results: All patients underwent delayed bone grafting between the ages of 11 and 21.1 years (mean age: 15.1±4.3 y). The implant diameters ranged from 3.8 to 4.5 mm and the lengths ranged from 8.0 to 11.5 mm. All of the implants were integrated successfully and survived during the 3-year follow-up period. Conclusions: Delayed bone grafting followed by implant placement showed long-term stability with satisfactory esthetic and functional rehabilitation. One of the main advantages of delayed bone grafting is to achieve adequate bone support for future dental implant placements with less bone resorption compared with those of primary, early secondary, and secondary bone grafting.

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Section: Discussionmentioning

confidence: 99%

Section: Advantages Of Delayed Bone Graftingmentioning

confidence: 99%

Anterior Dental Implant in Grafted Cleft Alveolus: A Clinical Comparison Between Intramembranous and Endochondral Bone Graft

Sodnom-Ish

Park

et al. 2022

Journal of Craniofacial Surgery

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“…Success of dental implants is not only dependent on the achieved primary stability and subsequent osseointegration but also dictated by the soft tissue condition in the implant region. Cembranos et al [ 26 ], in their retrospective analysis of 47 implants, highlighted the importance of periodontal profile assessment along with measurements of bone levels to determine the success of implant-based treatment in cleft patients. Clinical and radiological evaluations of implant and adjacent sites in the form of probing depths, plaque and gingival indices, and marginal bone loss were also given importance in a similar analysis undertaken by Alberga et al [ 10 ].…”

Section: Discussionmentioning

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

Mallick¹,

Pisulkar²,

Reddy³

2020

Preprint

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BACKGROUND Orofacial cleft, one of the most common congenital deformity presents with a plethora of defects, subjecting the patient to multitude of treatments from a young age. Among the oral hard tissue problems, absence of 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 removable or fixed partial denture, however, the treatment modality does not meet patient expectations satisfactorily. 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 The presented protocol is of a single-arm clinical trial, aimed at determining the treatment outcome of immediately loaded dental implants in non-syndromic orofacial cleft patients. METHODS Patients meeting the set criteria will be sequentially enrolled till a sample size of 30 dental implants is met and will be subjected to the proposed treatment according to pre-decided protocol. All patients will be followed up at the designated time intervals for recording of various clinical and radiographic parameters. A quality of life assessment (QoL) questionnaire will also be recorded at the end of patient’s follow-up to know about their acceptance of the treatment. RESULTS A total of 30 dental implants will be placed in non-syndromic orofacial cleft patients in the cleft. Obtained results will be statistically analyzed to know the treatment outcomes and success. CONCLUSIONS This study would help in knowing 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. CLINICALTRIAL Clinical Trial Registry of India trial number CTRI/2020/09/027997; http://ctri.nic.in/Clinicaltrials/showallp.php?mid1=47659&EncHid=&userName=dental%20implants

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Implant rehabilitation in cleft patients: A retrospective study in our center

Cited by 3 publications

References 15 publications

Anterior Dental Implant in Grafted Cleft Alveolus: A Clinical Comparison Between Intramembranous and Endochondral Bone Graft

Anterior Dental Implant in Grafted Cleft Alveolus: A Clinical Comparison Between Intramembranous and Endochondral Bone Graft

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

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

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