Secondary Alveolar Bone Grafting

Nadal, Emmanuela; Sabás, Mariana; Dogliotti, Pedro; Espósito, Raquel

doi:10.1097/scs.0b013e3181cf6084

Cited by 15 publications

(3 citation statements)

References 19 publications

(15 reference statements)

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“…There have been numerous attempts to avoid the iliac crest donor site for graft harvest. Alternate autograft donor sites have been proposed, 44–46 but in our dataset, 97% of surgeons still favored the iliac crest as the optimal source of autograft. One of the potentially greatest changes in bone graft practices in recent years has been the introduction of numerous alternatives for the use of autograft.…”

Section: Discussionmentioning

confidence: 86%

A Survey of Bone Grafting Practice Patterns in North American Cleft Surgeons

Qamar

Cray

Halsey

et al. 2022

The Cleft Palate Craniofacial Journal

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Introduction Alveolar bone grafting aims to restore bony continuity of the alveolus and provide optimal periodontal support for teeth adjacent to the cleft. We created a survey of cleft surgeons to assess the current standard of care regarding this procedure. Methods A multiple choice survey was implemented using Qualtrics software and emailed to a list of 708 surgeons from the ACPA membership directory. Correlation between various provider factors and treatment practices was assessed with Fisher's exact test and likelihood ratio tests. Results The response rate was 17.5%. Eighty-seven percent of providers preferred to perform grafts prior to secondary canine eruption while 10% favored before central incisor eruption. Eighty-one percent favored palatal expansion prior to bone grafting. Wide variability existed regarding the time to initiate postoperative orthodontics; 43% waited 4 to 6 months. Sixty-four percent of surgeons now utilize cone beam CT to assess graft take. The majority of respondents utilized cancellous bone autograft (92%) from the anterior iliac crest (97%) as graft material. Seventy percent used three or more modalities for post-operative pain control management. Early career surgeons (0–5 years) appeared more likely to use non-autologous materials ( p < .01) for grafting. Conclusion Alveolar bone grafting prior to secondary canine eruption remains the most common strategy but other protocols are employed. Surgeons utilize multiple modalities for radiographic evaluation and most often use autologous cancellous bone as the primary grafting material. There is no true consensus on the perioperative timing and sequencing of orthodontic manipulation while principles of multimodal perioperative pain control appear widely accepted.

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Section: Discussionmentioning

confidence: 86%

A Survey of Bone Grafting Practice Patterns in North American Cleft Surgeons

Qamar

Cray

Halsey

et al. 2022

The Cleft Palate Craniofacial Journal

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“…These results indicate that Notch1 signals play a role in ABD repair, and PRF + BMSCs composites can more effectively promote the activation of the Notch1 signaling pathway (22). As a member of the Wnt signaling pathway family, Wnt3a signaling protein is a cysteine-rich secreted glucoprotein that binds to receptors on adjacent cell membranes through paracrine or autocrine action to activate signals at all levels in cells, regulates the related genes and the proliferation and differentiation of target cells (23). It was found that Wnt3a in rabbits in the combination group was greatly higher based on that in the PRF group and BMSC group at 5 and 10 weeks after surgery, showing statistically great differences (P<0.05), suggesting that the Wnt signaling pathway played a regulatory role in ABD repair.…”

Section: Discussionmentioning

confidence: 89%

The repair and regeneration mechanism of platelet-rich fibrin-promoting tissue after alveolar bone defect through the notch pathway

Tao Li,

Hui Long,

Wei Niu

et al. 2023

Cell Mol Biol (Noisy-le-grand)

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“… 9 , 12 , 14 Furthermore, the OP has gained support among maxillofacial surgeons as an effective structural graft source with few and transient donor-site complications, including wound seroma and forearm paresthesias. 19 , 21 , 22 , 27 …”

Section: Discussionmentioning

confidence: 99%

Comparing Morbidities of Bone Graft Harvesting from the Olecranon Process and the Distal Radius

Micev

Kalainov

Slikker

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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Background:The aim of this study is to compare donor-site morbidities between patients who underwent bone graft harvesting from either the olecranon process (OP) or the distal radius (DR).Methods:We evaluated 44 patients who underwent bone graft harvesting from the OP (25 cases) or the DR (19 cases) for various procedures in the ipsilateral upper extremity. Follow-up averaged 14 (OP group) and 19 months (DR group). Outcome measures included visual analog scales (VAS) for graft harvest-site pain and scar appearance, joint motion, and x-rays of the graft harvest and recipient sites. The VAS scores ranged from 0 to 10 with a low score reflecting no pain and excellent satisfaction and a high score reflecting severe pain and poor satisfaction.Results:The VAS scores for pain averaged 0.4 (OP) and 0.5 (DR), and the VAS scores for scar appearance averaged 0.3 (OP) and 0.7 (DR). These differences were not significant. Within each group, there were no significant differences between the operative and nonoperative limbs for elbow or wrist motion. Early graft harvest-site complications involved 1 superficial wound infection (OP) and 1 wound dehiscence (DR). A graft harvest-site defect was detected by x-ray in 84% of OP cases and in 67% of DR cases. Bone healing at the graft recipient sites was observed in more than 87% of cases in both groups.Conclusions:Bone graft harvesting from either the OP or the DR led to comparable patient- and evaluator-determined outcomes with low risks of complications. Surgeons can safely use either option.

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Secondary Alveolar Bone Grafting

Cited by 15 publications

References 19 publications

A Survey of Bone Grafting Practice Patterns in North American Cleft Surgeons

A Survey of Bone Grafting Practice Patterns in North American Cleft Surgeons

The repair and regeneration mechanism of platelet-rich fibrin-promoting tissue after alveolar bone defect through the notch pathway

Comparing Morbidities of Bone Graft Harvesting from the Olecranon Process and the Distal Radius

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