Secondary alveolar bone grafting in cleft lip and palate patients

Newlands, L.C.

doi:10.1054/bjom.2000.0300

Cited by 83 publications

(50 citation statements)

References 16 publications

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“…In our study, we observed a cumulative success rate of 76% which is in agreement with the results of secondary bone grafting concerning the height of the interalveolar septum ranging from 67e91% (Lee et al, 1995;Collins et al, 1998;Jia et al, 1998;Da Silva Filho et al, 2000;Lilja et al, 2000;Newlands 2000;Schultze-Mosgau et al, 2003).…”

Section: Discussionsupporting

confidence: 90%

Primary osteoplasty using calvarian bone in patients with cleft lip, alveolus and palate

Eichhorn¹,

Blessmann

Pohlenz

et al. 2009

Journal of Cranio-Maxillofacial Surgery

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Section: Discussionsupporting

confidence: 90%

Primary osteoplasty using calvarian bone in patients with cleft lip, alveolus and palate

Eichhorn¹,

Blessmann

Pohlenz

et al. 2009

Journal of Cranio-Maxillofacial Surgery

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“…32 In a study, 91% of the patients having presurgery palatal expansion were evaluated as successful grafting. 12 In addition, orthodontic intervention may stabilize the premaxilla in bilateral alveolar clefts patients and prevent the graft movement and improve the quality of operation. The orthodontic movement of the roots of the teeth will load the bone and has an osteogenic effect.…”

Section: Discussionmentioning

confidence: 99%

Need for Revision Surgery After Alveolar Cleft Repair

Shirani

Abbasi²,

Mohebbi³

2012

Journal of Craniofacial Surgery

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The study assessed the need for revision surgery and the relating factors in alveolar cleft autogenous bone grafting in patients with complete cleft. It was a retrospective study carried out in 2009. The medical records of the 54 patients with alveolar cleft who underwent autogenous bone grafting in the maxillofacial department in Shariati Hospital from 2005 to 2008 were studied. The patients' age, sex, cleft type, age at palatal and alveolar clefts repair, tooth missing, surgery turn, and presence of orthodontic treatment were assessed. The patients' alveolar bone height was evaluated from their postoperative and follow-up panoramic radiographs. In general, 41% (n = 22) of patients needed revision surgery. Among all patients, 20 (37%) had secondary bone grafting and 34 (63%) had tertiary bone grafting. For 77% of the secondary unilateral clefts and 71% of bilateral ones, the remaining bone was at least three-fourths of the normal. Logistic regression model controlling for grafting time, surgery turn, orthodontic supervision, and age at palatal cleft closure showed that orthodontic treatment is associated with a lower need for revision surgery (odds ratio = 0.3; 95% confidence interval, 0.1-1.0). In conclusion, although alveolar cleft bone grafting is necessary for the reconstruction of the complete clefts, all these patients must be under the supervision of orthodontists to benefit from the surgical treatment.

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“…However, most patients with complete unilateral cleft lip and palate have a missing, ectopic, or deformed lateral incisor, so it is preferable that bone grafting is postponed until they are 10 or 11 years of age (Figure 11). This allows the root development of the cleft-side canine to progress more and may help in better canine eruption [44].…”

Section: Mixed Dentition (6-12 Years)mentioning

confidence: 99%

Cleft Lip and Palate Management from Birth to Adulthood: An Overview

Zreaqat¹,

Hassan²,

Hanoun³

2017

Insights Into Various Aspects of Oral Health

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Cleft lip and palate (CLP) is the most common congenital deformity of the orofacial. Clefts are thought to be of multifactorial etiology due to genetic and environmental factors. Different dental abnormalities are usually seen in cleft patients, including midface deficiency, collapsed dental arches, malformation of teeth, hypodontia, and supernumerary teeth. Moreover, feeding and speech are major functional dilemmas for those patients. The goal of treatment is to restore esthetics and functional impairments associated with clefts. The nature and the extent of medical and dental problems among CLP patients dictate the need toward multidisciplinary approach where different medical and dental specialists are involved in the treatment. The purpose of this section is to codify and synthesize a literature about management of cleft lip and palate deformity from birth until adulthood so that general concepts, principles, and axioms can be formulated. In this regard, feeding plates, nasoalveolar molding (NAM), lip and palate repair, palatal expansion, alveolar bone grafting, rhinoplasty, orthodontic treatment, and orthognathic surgery will be discussed. Furthermore, the question of proper timing for each therapeutic procedure is scrutinized in this chapter. Suggested clinical tips and changes of treatment modalities are summarized and illustrated as well.

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Secondary alveolar bone grafting in cleft lip and palate patients

Cited by 83 publications

References 16 publications

Primary osteoplasty using calvarian bone in patients with cleft lip, alveolus and palate

Primary osteoplasty using calvarian bone in patients with cleft lip, alveolus and palate

Need for Revision Surgery After Alveolar Cleft Repair

Cleft Lip and Palate Management from Birth to Adulthood: An Overview

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