Ectomesenchymal Mandibular Symphysis Bone Graft: An Improvement in Alveolar Cleft Grafting?

1994 ◽  
Vol 31 (3) ◽  
pp. 217-223 ◽  
Author(s):  
Ronald Koole
Keyword(s):  
Bone Graft ◽  
Bone Grafting ◽  
Cleft Lip ◽  
Iliac Crest ◽  
Cleft Lip And Palate ◽  
Mandibular Symphysis ◽  
Alveolar Cleft ◽  
Graft Donor

Bone grafting the alveolar cleft in cleft lip and palate (CLP) patients is widely accepted. A traditional graft is the iliac crest. Other bone graft donor sites are briefly discussed. The ratio for an ectomesenchymal bone graft in alveolar cleft repair Is explained. Aspects of the embryology, bone graft physiology, and reports on mandibular symphysis bone grafting are discussed.

Rehabilitation of a Patient with Cleft Lip and Palate with an Extremely Edentulous Atrophied Posterior Maxilla Using Zygomatic Implants: Case Report

2004 ◽  
Vol 41 (5) ◽  
pp. 571-574 ◽  
Author(s):  
Anh Viet Pham ◽  
Marcelo Abarca ◽  
Albert De Mey ◽  
Chantal Malevez
Keyword(s):  
Case Report ◽  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Oral Implants ◽  
Alveolar Cleft ◽  
Dental Prostheses ◽  
Posterior Maxilla ◽  
Zygomatic Implants ◽  
Dental Rehabilitation

Objective This case report describes the clinical and surgical management of a patient with a unilateral alveolar cleft and associated extremely atrophied totally edentulous maxilla. Method Two zygomatic implants and four endosseous oral implants were placed under general anesthesia in a compromised maxilla to rehabilitate a 33-year-old patient with cleft lip and palate. The two specially designed zygomatic implants were utilized to avoid the need for bone grafting in the patient. The final prosthetic rehabilitation was an esthetic and functional maxillary overdenture prosthesis supported by implants. Results Preliminary results have shown how dental prostheses supported by endosseous implants in grafted alveolar cleft are a reliable possibility in the dental rehabilitation of this malformation. Conclusion The use of zygomatic implants may be considered a reliable alternative to more resource-demanding techniques such as bone grafting in patients with cleft palate.

Primary Alveolar Cleft Bone Grafting in Unilateral Cleft Lip and Palate

1999 ◽  
Vol 10 (1) ◽  
pp. 68-72 ◽  
Author(s):  
Ronald R. Hathaway ◽  
Barry L. Eppley ◽  
Charles L. Nelson ◽  
A. Michael Sadove
Keyword(s):  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Cleft

Iliac Crest Donor Site for Children With Cleft Lip and Palate Undergoing Alveolar Bone Grafting

2016 ◽  
Vol 27 (3) ◽  
pp. 598-601 ◽  
Author(s):  
Jonathan Wheeler ◽  
Megan Sanders ◽  
Stanley Loo ◽  
Zac Moaveni ◽  
Glenn Bartlett ◽  
...  
Keyword(s):  
Bone Grafting ◽  
Cleft Lip ◽  
Iliac Crest ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Donor Site ◽  
Alveolar Bone Grafting

Primary Alveolar Cleft Bone Grafting in Unilateral Cleft Lip and Palate

1999 ◽  
Vol 10 (1) ◽  
pp. 58-67 ◽  
Author(s):  
Ronald R. Hathaway ◽  
Barry L. Eppley ◽  
David K. Hennon ◽  
Charles L. Nelson ◽  
A. Michael Sadove
Keyword(s):  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Cleft

scholarly journals Radiological evaluation of secondar y bone grafting results in patients with cleft lip and palate

2021 ◽  
Vol 3 (59) ◽  
pp. 51-55
Author(s):  
Silvia Railean ◽  
◽  
Egor Porosencov ◽  
Keyword(s):  
Bone Graft ◽  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Pearson Correlation ◽  
Type I ◽  
Alveolar Ridge ◽  
Radiological Evaluation ◽  
Equal Distribution ◽  
Care Protocol

Introduction. Bone grafts are a necessary component of the care protocol for patients with cleft lip and palate (CLP). Radiological evaluation is an essential tool in evaluating the integration of the bone graft at the cleft area. Aim: Evaluation of the interdental height of the alveolar ridge in patients with CLP at the pre- and postoperative stages in order to assess the integration of bone graft in the cleft area. Material and methods: Cross-sectional clinical study, which included 34 patients with CLP; with equal distribution by gender, with an average age of 17.6±0.43 years. The study group underwent surgical treatment with bone grafting in the cleft region. The radiological evaluation was performed pre- and postoperatively (over 6 months), according to the scale of assessment proposed by Abyholm et al. Statistical evaluation of the data was performed by the Pearson correlation coefficient. Results: Overall, favorable postoperative results were observed. Initially, according to the radiological evaluation, the patients presented at the preoperative stage type III 29.4% (n = 10) and type IV - 70.6% (n = 24) of the interdental height of the alveolar ridge. Following bone grafting, it was recorded at 52.9% (n = 18) - type I, mainly in female patients (n = 11) and 47.1% (n = 16) - type II of the interdental height of the alveolar ridge , being predominantly registered in male patients (n = 10). Statistically significant differences between the sexes were not recorded (p = 0.132). The successful results obtained by secondary bone grafting in the cleft region allowed to continue the rehabilitation treatment of patients with CLP. Conclusion: Radiological evaluation of secondary bone grafting in the cleft area in terms of assessing the height of the alveolar ridge according to the scale of Abyholm et al. is a valuable diagnostic tool, readily available for assessing the condition of the grafted bone.

Facial Symmetry in Unilateral Cleft Lip and Palate following Alar Base Augmentation with Bone Graft: A Three-Dimensional Assessment

2007 ◽  
Vol 44 (4) ◽  
pp. 391-395 ◽  
Author(s):  
Mark F. Devlin ◽  
Arup Ray ◽  
Peter Raine ◽  
Adrian Bowman ◽  
Ashraf F. Ayoub
Keyword(s):  
Bone Graft ◽  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Three Dimensional ◽  
Facial Symmetry ◽  
Alar Base ◽  
Student’S T ◽  
A Prospective Study ◽  
Dimensional Assessment

Objective: The aim of this study was to assess the outcome of bone grafting using a corticocancellous block of iliac crest to reconstruct the support for the deformed, volume-deficient alar base in treated patients with unilateral cleft lip and palate (UCLP). The main outcome being measured was nasal symmetry. Design: This was a prospective study using a noninvasive three-dimensional stereophotogrammetry system (C3D) to assess the position of the alar base. Images were captured immediately preoperatively and at 6 months following the augmentation of the alar base with a block of bone graft. These images were used to calculate facial symmetry scores and were compared using a two sample Student's t test to assess the efficacy of the surgical method in reducing facial/nasal asymmetry. Patients: This investigation was conducted on 18 patients with one patient failing to attend for follow-up. The results for 17 patients are presented. Results: Facial symmetry scores improved significantly following the insertion of the bone graft at the deficient alar base (p = 0.005). Conclusions: 3D stereophotogrammetry is a noninvasive, accurate, and archiveable method of assessing facial form and surgical change. Nasal symmetry can be quantified and measured reliably with this tool. Bone grafting to the alar base region of treated UCLP patients with volume deficiency produces improvement in nasal symmetry.

Alveolar Bone Graft: Clinical Profile and Risk Factors for Complications in Oral Cleft Patients

2017 ◽  
Vol 54 (5) ◽  
pp. 530-534 ◽  
Author(s):  
Macedo Pessoa Erica Alexandra ◽  
Braune Andre ◽  
Ladeira Casado Priscila ◽  
Nivoloni Tannure Patricia
Keyword(s):  
Postoperative Complications ◽  
Bone Graft ◽  
Cleft Lip ◽  
Iliac Crest ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Maxillofacial Surgery ◽  
Clinical Aspects ◽  
Graft Material ◽  
Oral Cleft

Objective The aim of this study was to investigate clinical aspects and predisposing factors for alveolar bone graft complications in persons born with oral clefts. Design A total of 105 patients, aged 7 to 57 years old, who received alveolar bone graft at the Cranio-maxillofacial Surgery Center in the National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro (RJ) from 2009 to 2014 were selected. Data were collected concerning the type of oral cleft, family history of cleft, medical and dental exam, donor area, type of graft material, repaired surgical treatment done, and postoperative follow-up examinations. Results Postoperative complications developed in 31 patients (32.9%). The mean age at grafting was 16.79 years for the group without complications (n = 63) and 20.13 years for the group with postoperative complications (n = 31). There was a positive association between age and type of graft and cases with alveolar bone graft complications. Patients aged 12 years or more had a four times more chance of developing alveolar bone graft complications. Particulate bone graft from iliac crest demonstrated better results compared with block graft or mixed graft. Conclusion Patients with cleft lip and palate who were 12 years or older had a greater chance of developing complications after grafting the alveolar bone. Furthermore, particulate alveolar graft from iliac crest had significantly better outcomes.

scholarly journals A CASE REPORT OF ELIMINATION OF ALVEOLAR DEFECTS BY SECONDARY BONE GRAFTING.

2020 ◽  
Vol 4 (9) ◽  
Author(s):  
Charan Teja Vemagiri ◽  
Damera Srikanth ◽  
Chandrababu V ◽  
Siva Ganesh
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Iliac Bone Graft ◽  
Alveolar Bone Grafting ◽  
Successful Rehabilitation ◽  
Secondary Alveolar Bone Grafting

The secondary alveolar bone grafting is an integral component of contemporary rehabilitation of the patients with cleft lip and palate with alveolar defects. Iliac bone graft is frequent secondary graft used in the correction of alveolar defects. There is successful rehabilitation of osseous component post operatively.

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