The use of bone grafts in dental practice

Introduction: The aim of this study is to describe, via literature review, the use of bone grafts and the types most commonly used to rebuild following alveolar bone loss. Methodology: This literature review was conducted using the following databases: Pubmed (https://www.ncbi.nlm.nih.gov/pubmed), Scielo (http://www.scielo.org/php/index.php). The keywords for the textual search were: Bone Regeneration; Alveolar Bone Grafting; Dental Research; Dentistry. The inclusion criteria were: Literature that covers the subject under study, Literature of the last five years (from 2014 until 2019), English Language, systematic review, laboratory and clinical studies. The exclusion criteria were: literature review, letter to the editor, opinion article, literature duplicated in databases and literature that did not address the variables under study. Literature Review: 186 articles were found, but according to the inclusion criteria, only 30 were selected for this study. Bone is a specialized, vascularized and dynamic connective tissue that changes over the life of the organism. When injured, it has a unique capacity for regeneration and repair without the presence of scars, but in some situations due to the defect size, the bone tissue does not regenerate completely; thus, it is necessary to perform bone grafting procedures. Conclusion: The use of bone grafts in dentistry is shown to be a very effective and useful resource considering its great applicability in bone reconstructions in various areas of dentistry. However, greater knowledge about the viability and influence of biomaterials, whether associated to autogenous grafts or not, on bone repair is necessary.

Download Full-text

Cancellous Bone Versus Tricalcium Phospate (TCP) For Bone Grafting: A Literature Review And Case Report Of Alveolar Bone Grafting In Cipto Mangunkusumo Hospital

Jurnal Plastik Rekonstruksi ◽

10.14228/jpr.v4i2.233 ◽

2018 ◽

Vol 4 (2) ◽

pp. 124-130

Author(s):

Muhammad Iqbal Maulana ◽

Akmal Primadian ◽

Julieta Pancawati ◽

Kristaninta Bangun

Keyword(s):

Bone Graft ◽

Cancellous Bone ◽

Bone Grafting ◽

English Language ◽

Alveolar Bone ◽

Inclusion Criteria ◽

Hydroxy Apatite ◽

Synthetic Materials ◽

Surgical Methods ◽

Alveolar Bone Grafting

Background: In the last decade, there are various methods of bone grafting in plastic surgery. Cancellous bone is more often used as bone graft than cortical bone due to its high osteoconductivity and osteogenic capability. The synthetic materials for bone graft such as tricalcium phospate (TCP) and hydroxy-apatite can be use as new alternative for bone grafting surgery. Methods: The PubMed® databases were searched using the terms: ‘bone graft OR bone grafting’ AND ‘cancellous bone OR iliac crest OR tibia’ AND ‘tricalcium phospate OR tricalciumphospate OR tri calcium phospate’, restricted to English language, and to a publication period from January 2010 to January 2017. The inclusion criteria were any kind of research paper that compared the utility of TCP synthetic graft and autograft as a bone graft. Results: Out of 139 selected studies, only 8 met the inclusion criteria. In 6 publications TCP graft has similar outcome and in 1 publication have a better result in reducing post operative complication. Conclusion: TCP graft can be used as substitution for autograft in particular clinical conditions and surgical methods.

Download Full-text

The Optimal Timing of Secondary Alveolar Bone Grafting: A Literature Review

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2018.06.099 ◽

2018 ◽

Vol 76 (10) ◽

pp. e40-e42 ◽

Cited By ~ 2

Author(s):

A. Fahradyan ◽

M. Tsuha ◽

E.M. Wolfswinkel ◽

K.A. Mitchel ◽

L.K. Howell ◽

...

Keyword(s):

Literature Review ◽

Bone Grafting ◽

Alveolar Bone ◽

Optimal Timing ◽

Alveolar Bone Grafting ◽

Secondary Alveolar Bone Grafting

Download Full-text

Surgical techniques for maxillary bone grafting - literature review

Revista do Colégio Brasileiro de Cirurgiões ◽

10.1590/s0100-69912014000100012 ◽

2014 ◽

Vol 41 (1) ◽

pp. 61-67 ◽

Cited By ~ 6

Author(s):

Leonardo Perez Faverani ◽

Gabriel Ramalho-Ferreira ◽

Paulo Henrique Dos Santos ◽

Eduardo Passos Rocha ◽

Idelmo Rangel Garcia Júnior ◽

...

Keyword(s):

Literature Review ◽

Bone Grafting ◽

Surgical Techniques ◽

Bone Grafts ◽

Bone Volume ◽

Autogenous Bone ◽

Oral Rehabilitation ◽

Maxillary Bone ◽

The Subject ◽

Autogenous Bone Grafts

For oral rehabilitation with implant-supported prostheses, there are required procedures to create the bone volume needed for installation of the implants. Thus, bone grafts from intraoral or extraoral donor sites represent a very favorable opportunity. This study aimed to review the literature on the subject, seeking to discuss parameters for the indications, advantages and complications of techniques for autogenous bone grafts.

Download Full-text

Long-Term Treatment Outcomes of Primary Alveolar Bone Grafts for Alveolar Clefts: A Qualitative Systematic Review

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665621995047 ◽

2021 ◽

pp. 105566562199504

Author(s):

M. Kristine Carbullido ◽

Riley A. Dean ◽

George N. Kamel ◽

Greta L. Davis ◽

Michael Hornacek ◽

...

Keyword(s):

Systematic Review ◽

Bone Graft ◽

Graft Survival ◽

Bone Grafting ◽

Alveolar Bone ◽

Inclusion Criteria ◽

Long Term Outcomes ◽

Qualitative Systematic Review ◽

Alveolar Bone Grafting

Background: Alveolar bone grafting is utilized to manage alveolar clefts in patients with cleft lip and palate. However, the timing of bone grafting is variable with conflicting evidence supporting the use of primary alveolar bone grafting (PABG) in clinical practice. Primary Aim: To provide a qualitative systematic review analysis of long-term outcomes after PABG. Materials and Methods: A qualitative systematic review was performed following the Cochrane Handbook and reported using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Summative findings were evaluated using Confidence in the Evidence from Reviews of Qualitative research to assess the quality of evidence supporting the findings. Results: After removing duplication, 2182 publications were identified, and 2131 were excluded after screening through titles and abstracts. Inclusion criteria for this study included patients who underwent PABG at 24 months of age or younger and a minimum of 5 year follow-up. Thirty-two publications met the inclusion criteria and were included for qualitative analysis. Primary outcome measures included cephalometric analysis, bone graft survival, occlusal analysis, hypomineralization, tooth eruption, radiograph analysis, and arch relationships. Four assessment themes were characterized from the systematic review: (1) bone graft survival, (2) craniofacial skeletal relationships, (3) occlusion and arch forms, and (4) recommendations for utilizing PABG in practice. Conclusion: The reported systematic review provides evidence that performing PABG leads to poor long-term outcomes related to bone graft survival and maxillary growth restriction despite some reported positive outcomes.

Download Full-text

The Impact of Alveolar Bone Grafting on Cleft Lip and Palate: A literature review

South European Journal of Orthodontics and Dentofacial Research ◽

10.5937/sejodr1-15237 ◽

2017 ◽

Vol 1 (1) ◽

Author(s):

Toby J. Gillgrass ◽

James P. MacDonald ◽

Peter A. Mossey ◽

Richard R. Welbury

Keyword(s):

Literature Review ◽

Bone Grafting ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Alveolar Bone ◽

Alveolar Bone Grafting ◽

The Impact

Download Full-text

The use of 2D radiographs for the assessment of effectiveness of secondary alveolar bone grafting in patients with cleft lip and palate. A literature review

Forum Ortodontyczne ◽

10.5604/01.3001.0012.7221 ◽

2018 ◽

Vol 14 (3) ◽

pp. 199-213

Author(s):

Marcin Stasiak ◽

Anna Wojtaszek-Słomińska ◽

Bogna Racka-Pilszak

Keyword(s):

Literature Review ◽

Bone Grafting ◽

Surgical Procedure ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Alveolar Bone ◽

Treatment Protocol ◽

Assessment Methods ◽

Alveolar Bone Grafting ◽

Secondary Alveolar Bone Grafting

Clefts of the lip and the palate (CLP) represent the most common craniofacial developmental defects. The CLP surgical treatment protocol involves an autogenous secondary alveolar bone grafting (SABG). Aim. The aim of the study was to review the methods for the SABG assessment in CLP patients based on 2D radiographs and the assessment of the effectiveness of the foregoing surgical procedure based on those methods. Material and methods. Papers, published in the years 1981-2018, regarding SABG assessment in CLP patients based on 2D radiographs were reviewed. Nineteen papers in which the material was closely associated with the study assumptions were qualified for the review. Results.major part of the papers under analysis use a single post-operative radiograph. The others are based on two or three radiographic projections. There are seven basic methods and three modified methods used for the assessment of SABG effectiveness. The SABG assessment methods based on 2D radiographs are similar to one another. The main criterion of surgery effectiveness is the position of the alveolar process edge within the cleft with relation to the tooth roots adjacent to the cleft. Said classification results differ in terms of the degree of complexity and the manner of presentation of the surgery outcomes. The Abyholm (Bergland) scale was the most commonly applied assessment method. As demonstrated in all the studies in which 2D radiographs were used, the SABG effectiveness varied from 71% to 95%. Conclusions.1. The SABG assessment methods based on 2D radiographs are a useful manner of surgical procedure assessment. 2. The studies in which the SABG assessment methods based on 2D radiographs are used demonstrate a high effectiveness of the SABG procedure. (Stasiak M, Wojtaszek-Słomińska A, Racka-Pilszak B. The use of 2D radiographs for the assessment of effectiveness of secondary alveolar bone grafting in patients with cleft lip and palate. A literature review. Orthod Forum 2018; 14: 199-213).

Download Full-text