Mandibular Bone Graft Material for Reconstruction of Alveolar Cleft Defects: Long-Term Results

2001 ◽  
Vol 38 (2) ◽  
pp. 155-163 ◽  
Author(s):  
Hans Enemark ◽  
John Jensen ◽  
Carles Bosch
Keyword(s):  
Bone Graft ◽  
Long Term Results ◽  
Graft Material ◽  
Mandibular Bone ◽  
Bone Graft Material ◽  
Alveolar Cleft

Mandibular Bone Graft Material for Reconstruction of Alveolar Cleft Defects: Long-Term Results

2001 ◽  
Vol 38 (2) ◽  
pp. 155-163 ◽  
Author(s):  
Hans Enemark ◽  
John Jensen ◽  
Carles Bosch
Keyword(s):  
Cancellous Bone ◽  
Bone Grafting ◽  
Orthodontic Treatment ◽  
Iliac Crest ◽  
Long Term Results ◽  
Graft Material ◽  
Alveolar Process ◽  
Mandibular Bone ◽  
Bone Level

Objective To analyze the long-term effect of mandibular bone as donor material in bone grafting of the alveolar process defect in patients with unilateral cleft lip and palate (UCLP), compared with iliac crest cancellous bone. Method During a 7-year period, 101 UCLP patients were bone grafted, 57 cases with iliac crest cancellous bone and 44 with mandibular symphyseal bone. The long-term results with an observation time of more than 4 years were analyzed with respect to marginal bone level and dental and gingival condition in the grafted area. Complications were recorded. Results The bone level in the grafted area was satisfactory in both groups. Impaction of cleft-side canines was found in 35% of the patients in both groups. Patients with agenesis of the cleft side lateral incisor had significantly more impacted canines, compared with patients with a cleft-side lateral situated in the lesser maxillary segment, probably due to the fact that the lateral incisors help in guiding the canine down through the grafted area. The number of complications was scarce, although both groups demonstrated some gingival retraction with a longer crown length at the cleft side central incisor. Conclusion The findings of this study have changed our strategy in bone grafting. Timing of orthodontic treatment and bone grafting has been more varied depending on the position and presence of teeth in the cleft area. Bone grafting of the alveolar process is not just a local treatment of a bony defect, but in respect to the burden of treatment, bone grafting of the alveolar process has to be planned in accordance with orthodontic treatment and maxillofacial growth.

scholarly journals Alveolar Cleft Reconstruction Using Chin Bone and Autogenous Tooth Bone Graft Material: Reports of 5 Cases

2013 ◽  
Vol 6 (1) ◽  
pp. 13-21
Author(s):  
Kyung-In Jeong ◽  
Junho Lee ◽  
Kyung-Wook Kim ◽  
In-Woong Um ◽  
Shingo Hara ◽  
...  
Keyword(s):  
Bone Graft ◽  
Graft Material ◽  
Bone Graft Material ◽  
Alveolar Cleft

Alveolar cleft reconstruction using autogenous tooth bone graft material

2013 ◽  
Vol 42 (10) ◽  
pp. 1201
Author(s):  
M. Mitsugi ◽  
Y.K. Kim ◽  
S. Hara ◽  
K.W. Kim ◽  
I.W. Um
Keyword(s):  
Bone Graft ◽  
Graft Material ◽  
Bone Graft Material ◽  
Alveolar Cleft

Assessment of α-calcium sulfate hemihydrate/nanocellulose composite bone graft material for bone healing in a rabbit femoral condyle model

2021 ◽  
Vol 11 (9) ◽  
pp. 1497-1504
Author(s):  
Jinlong Liu ◽  
Yicai Zhang ◽  
Lin Qiu ◽  
Yujuan Zhang ◽  
Bin Gao
Keyword(s):  
Bone Graft ◽  
Calcium Sulfate ◽  
Biological Activities ◽  
Femoral Condyle ◽  
Three Dimensional ◽  
Graft Material ◽  
Bone Graft Material ◽  
Calcium Sulfate Hemihydrate ◽  
Composite Bone

The material properties of nanocellulose (NC) can effectively enhance the structural stability of composite materials. However, the research related to NC/α-calcium sulfate hemihydrate (CSH) composites is largely lacking. In this paper, we explore the combination of these two materials and determine their elaborate biological activities in vivo. Using α-CSH as the matrix, the composite bone graft materials were produced according to different proportions of NC. Then the mechanical strength of the composite bone graft was measured, and the results were analyzed by X-ray diffraction and scanning electron microscopy (SEM). To conduct the material in vivo evaluation, 0% (CN0) and 0.75% (CN0.75) NC/α-CSH composite bone graft materials were implanted into a femoral condyle defect model. The results indicated that NC could significantly enhance the mechanical properties of α-CSH. The SEM analysis indicated that the NC shuttled between the crystal gaps and formed a three-dimensional network structure, which was firmly combined with the crystal structure. Meanwhile, the CN0.75 scaffold remained at 12 weeks postoperation, which provided a long-term framework for new bone formation. Overall, our findings demonstrate that, with a 0.75% NC/α-CSH composite demonstrating good potential as a bone graft material for clinical bone grafting.

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