Secondary and Delayed Bone Grafting in Alveolar and Anterior Palatal Clefts

Chowdhury, SK Roy; Menon, P. Suresh; Vasant,; Jayan, B; Dhiman, RK; Karkun, S

doi:10.1016/s0377-1237(06)80007-9

Cited by 3 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The exact timing of SABG in an individual patient relies on the dental criterion that approximately one-fourth to two-thirds of the root of the permanent canine on the cleft side has been already formed (Boyne and Sands 1972; Abyholm et al, 1981). In spite of widespread popularity of this timing, some authors reported that SABG was performed in their centers later than recommended by Boyne and Sands, that is, between 10 and 12 years (Sindet-Pedersen and Enemark, 1985; Helms et al, 1987) or even after 12 years (Jia et al, 1998; Chowdhury et al, 2006), while in some centers it is often performed earlier—around 5 to 7 years (Ozawa et al, 2007; Precious, 2009; Touzet-Roumazeille et al, 2015; Dissaux et al, 2016) or even at 3 to 4 years (Brudnicki et al, 2017). It follows from this review that the timing of SABG as suggested by Boyne and Sands is not universally accepted.…”

Section: Introductionmentioning

confidence: 99%

Effects of Different Timing of Alveolar Bone Graft on Craniofacial Morphology in Unilateral Cleft Lip and Palate

Brudnicki¹,

Sawicka²,

Brudnicka³

et al. 2019

The Cleft Palate-Craniofacial Journal

View full text Add to dashboard Cite

Objective: To evaluate the effect of the timing of secondary alveolar bone graft (SABG) on craniofacial morphology in patients with complete unilateral cleft lip and palate (UCLP). Design: Single-center retrospective assessment of consecutively treated nonsyndromic patients with complete UCLP. Participants: One hundred sixty-seven patients (108 males, 59 females) with complete UCLP in whom the cleft was repaired with 1-stage method at approximately 8 months of age. The age of 128 patients at SABG varied from 1.4 to 11.5 years (SABG group), while 39 patients still awaited SABG at the moment of cephalometric evaluation (no-SABG group). Methods: Craniofacial morphology was assessed on lateral cephalograms taken at 10 years of age (standard deviation = 0.8; range: 7.5-12.3) using linear and angular measurements. T tests and regression models were made to analyze data. Results: Regression models demonstrated that the effect of SABG on the craniofacial morphology was limited—cephalometric variables which were statistically significantly different between SABG and no-SABG groups showed no association with the timing of SABG when (1) age of primary repair of the cleft, (2) age of cephalometric evaluation, (3) cleft side, (4) gender, and (5) operator were controlled for. Only the length of the maxilla (Condylion-point A) was affected—1-year delay of SABG corresponded with an increase in Co-point A distance by 0.52 mm. However, adjusted R 2 of the model was 0.11. Conclusions: Our findings cautiously indicate that SABG performed before 8 years of age can have limited negative effect on craniofacial morphology. Nevertheless, our results should be confirmed by cleft centers practicing alternative surgical repairs of the cleft.

show abstract

Section: Introductionmentioning

confidence: 99%

Effects of Different Timing of Alveolar Bone Graft on Craniofacial Morphology in Unilateral Cleft Lip and Palate

Brudnicki¹,

Sawicka²,

Brudnicka³

et al. 2019

The Cleft Palate-Craniofacial Journal

View full text Add to dashboard Cite

show abstract

Three-dimensional Imaging Methods for Quantitative Analysis of Facial Soft Tissues and Skeletal Morphology in Patients with Orofacial Clefts: A Systematic Review

et al. 2014

View full text Add to dashboard Cite

BackgroundCurrent guidelines for evaluating cleft palate treatments are mostly based on two-dimensional (2D) evaluation, but three-dimensional (3D) imaging methods to assess treatment outcome are steadily rising.ObjectiveTo identify 3D imaging methods for quantitative assessment of soft tissue and skeletal morphology in patients with cleft lip and palate.Data sourcesLiterature was searched using PubMed (1948–2012), EMBASE (1980–2012), Scopus (2004–2012), Web of Science (1945–2012), and the Cochrane Library. The last search was performed September 30, 2012. Reference lists were hand searched for potentially eligible studies. There was no language restriction.Study selectionWe included publications using 3D imaging techniques to assess facial soft tissue or skeletal morphology in patients older than 5 years with a cleft lip with/or without cleft palate. We reviewed studies involving the facial region when at least 10 subjects in the sample size had at least one cleft type. Only primary publications were included.Data extractionIndependent extraction of data and quality assessments were performed by two observers.ResultsFive hundred full text publications were retrieved, 144 met the inclusion criteria, with 63 high quality studies. There were differences in study designs, topics studied, patient characteristics, and success measurements; therefore, only a systematic review could be conducted. Main 3D-techniques that are used in cleft lip and palate patients are CT, CBCT, MRI, stereophotogrammetry, and laser surface scanning. These techniques are mainly used for soft tissue analysis, evaluation of bone grafting, and changes in the craniofacial skeleton. Digital dental casts are used to evaluate treatment and changes over time.ConclusionAvailable evidence implies that 3D imaging methods can be used for documentation of CLP patients. No data are available yet showing that 3D methods are more informative than conventional 2D methods. Further research is warranted to elucidate it.Systematic review registrationInternational Prospective Register of Systematic Reviews, PROSPERO CRD42012002041

show abstract

Bone Graft Materials in Late Secondary and Tertiary Alveolar Bone Grafting: A Review

Mallick¹,

Kale²,

Reddy³

et al. 2021

IJCRR

View full text Add to dashboard Cite

Secondary and Delayed Bone Grafting in Alveolar and Anterior Palatal Clefts

Abstract: Recreating the bony continuity of the maxillary arch followed by orthodontic correction of dental discrepancies achieves a comprehensive orthosurgical correction.

Cited by 3 publications

References 9 publications

Effects of Different Timing of Alveolar Bone Graft on Craniofacial Morphology in Unilateral Cleft Lip and Palate

Effects of Different Timing of Alveolar Bone Graft on Craniofacial Morphology in Unilateral Cleft Lip and Palate

Three-dimensional Imaging Methods for Quantitative Analysis of Facial Soft Tissues and Skeletal Morphology in Patients with Orofacial Clefts: A Systematic Review

Bone Graft Materials in Late Secondary and Tertiary Alveolar Bone Grafting: A Review

Contact Info

Product

Resources

About