Secondary Bone Grafting of Alveolar Clefts: A Densitometric Comparison of Iliac Crest and Tibial Bone Grafts

Abstract

Optical density measurements of bone grafted into alveolar clefts, reported here for the first time, provide a valuable objective assessment of graft progress. Tibial and iliac crest grafts gave similar optical densities at recipient sites over the first 3 months. Iliac crest grafts required significantly longer postoperative stay; an important consideration in selecting donor sites for secondary bone grafting.

Maxillary Sinus Floor Lifting Using Freeze-Dried Homologous Bone And Tibia Autologous Bone: Report On Radiographic And Histological Results

“…[30][31][32] Concerning extraoral donor sites, the tibia provides several advantages over the iliac crest, which is currently the most commonly studied; these advantages include faster recovery time and a less traumatic, manageable postoperative period for the patient. In addition, it can be done under local anesthesia, without reducing the quantity or quality of available bone.…”

“…In addition, it can be done under local anesthesia, without reducing the quantity or quality of available bone. [32][33][34] The use of tibia bone has not been sufficiently documented. Additional studies are required to show that tibia grafts can provide conditions for optimal bone regeneration, with a manageable postoperative period for patients in terms of pain and inabilities.…”

“…hueso autólogo con las mejores características biomecánicas posibles y con el mínimo de riesgos o secuelas posquirúrgicas. [30][31][32] Con respecto a los sitios extraorales para la obtención de hueso, el injerto de tibia presenta varias ventajas frente al de cresta ilíaca, que es actualmente el más estudiado; dentro de dichas ventajas podemos destacar un menor tiempo de recuperación y un postoperatorio menos traumático y manejable para el paciente. Además, ofrece la posibilidad de realizarse bajo anestesia local, sin disminuir la cantidad o la calidad de hueso disponible.…”

“…Además, ofrece la posibilidad de realizarse bajo anestesia local, sin disminuir la cantidad o la calidad de hueso disponible. [32][33][34] En nuestro medio, el uso del hueso de tibia no ha sido documentado. Se requieren estudios que demuestren que su utilización puede brindar condiciones de regeneración ósea óptima, con un postoperatorio manejable para el paciente en términos de dolor e incapacidad.…”

“…This technique has advantages over other types of approaches used frequently, such as the iliac crest. 32,34 These advantages include:…”