Alveolar bone grafting: results of a national outcome study

Revington, Peter; McNamara, Clare; Mukarram, Shumaila; Perera, Esther H.K.; Shah, Hemendranath V; Deacon, Scott

doi:10.1308/003588410x12699663904790

Cited by 26 publications

(42 citation statements)

References 18 publications

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“…Some studies report higher success for unilateral versus bilateral clefts 29,30 ; however, in our study, cleft type was not related to a risk for revision surgery, which concurs with some recent studies. 26,31 An interesting finding was that orthodontic care was the only factor remaining in significant association with a lower need for revision surgery in multivariate analysis. According to the findings of the relation between orthodontic treatments with bone graft success, we can suggest that orthodontic intervention has an important role in the success of alveolar cleft bone grafts.…”

Section: Discussionmentioning

confidence: 98%

Need for Revision Surgery After Alveolar Cleft Repair

Shirani

Abbasi²,

Mohebbi³

2012

Journal of Craniofacial Surgery

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The study assessed the need for revision surgery and the relating factors in alveolar cleft autogenous bone grafting in patients with complete cleft. It was a retrospective study carried out in 2009. The medical records of the 54 patients with alveolar cleft who underwent autogenous bone grafting in the maxillofacial department in Shariati Hospital from 2005 to 2008 were studied. The patients' age, sex, cleft type, age at palatal and alveolar clefts repair, tooth missing, surgery turn, and presence of orthodontic treatment were assessed. The patients' alveolar bone height was evaluated from their postoperative and follow-up panoramic radiographs. In general, 41% (n = 22) of patients needed revision surgery. Among all patients, 20 (37%) had secondary bone grafting and 34 (63%) had tertiary bone grafting. For 77% of the secondary unilateral clefts and 71% of bilateral ones, the remaining bone was at least three-fourths of the normal. Logistic regression model controlling for grafting time, surgery turn, orthodontic supervision, and age at palatal cleft closure showed that orthodontic treatment is associated with a lower need for revision surgery (odds ratio = 0.3; 95% confidence interval, 0.1-1.0). In conclusion, although alveolar cleft bone grafting is necessary for the reconstruction of the complete clefts, all these patients must be under the supervision of orthodontists to benefit from the surgical treatment.

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Section: Discussionmentioning

confidence: 98%

Need for Revision Surgery After Alveolar Cleft Repair

Shirani

Abbasi²,

Mohebbi³

2012

Journal of Craniofacial Surgery

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“…Other centers have shown similar rates of success, between 85% and 98%, for secondary bone grafting of bilateral clefts, before the eruption of the permanent canine. 11,12,16 In addition, Bergland et al 11 reported successful results in 80% of the cleft sites grafted after the eruption of the permanent canines in patients with bilateral cleft. To our knowledge, no other studies assessing the outcomes of ABG in bilateral patients were published in the literature.…”

Section: Discussionmentioning

confidence: 99%

Increase in Age Is Associated With Worse Outcomes in Alveolar Bone Grafting in Patients With Bilateral Complete Cleft Palate

Calvo¹,

Trindade‐Suedam²,

Filho³

et al. 2014

Journal of Craniofacial Surgery

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This prospective study aimed at evaluating the surgical outcomes of alveolar bone grafting (ABG) in subjects with bilateral cleft lip and palate treated at the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, Brazil, by means of cone-beam computed tomography. Twenty-five patients with bilateral complete cleft lip and palate, resulting in 50 clefts, were analyzed. Subjects were divided into 2 groups according to the dentition status at the time of surgery: (1) SABG group: subjects with mixed dentition operated on before or immediately after eruption of the permanent canine (10Y13 years); (2) TABG group: subjects with permanent dentition (15Y23 years). Cone-beam computed tomography analysis was performed in the buccal, intermediate, and palatal views, 2 and 6 to 12 months postoperatively. In the SABG group, 96% of the grafts were classified as successful, and no failure cases were observed. In the TABG group, successful cases decreased to 65%, and failures were seen in 27% of the cleft sites. In both postoperative periods, significantly better outcomes (lower mean scores) were observed for the SABG group in all the cone-beam computed tomography views (P G 0.05). Results show that the timing of surgery is an important factor in determining the outcomes of ABG in patients with bilateral cleft lip and palate, with increasing age being associated with the worse outcomes.

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“…7 Success rates of alveolar bone grafting in the UK are good, with 85% of cases being successful in a recent UK national study. 8 An orthodontic assessment to determine the future orthodontic requirement is normally undertaken at this stage.…”

Section: November 2014mentioning

confidence: 99%

Management of patients with non-syndromic clefts of the lip and/or palate part 2: from primary surgery to alveolar bone grafting

McIntyre

2014

Dent Update

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Part 1 of this series of articles addressed the care of the child with a cleft of the lip and/or palate from antenatal diagnosis until primary surgery. The second part of this article discusses their care from primary surgery until alveolar bone grafting. Clinical Relevance: Dentists should be aware of the different types of cleft lip and/or palate that occur and the role of the dentist in the overall management of patients who have clefts.

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Alveolar bone grafting: results of a national outcome study

Abstract: Alveolar bone grafting appears to have improved radiographic outcomes when compared with the CSAG report following the re-organisation of surgical services for children with cleft lip and/or palate.

Cited by 26 publications

References 18 publications

Need for Revision Surgery After Alveolar Cleft Repair

Need for Revision Surgery After Alveolar Cleft Repair

Increase in Age Is Associated With Worse Outcomes in Alveolar Bone Grafting in Patients With Bilateral Complete Cleft Palate

Management of patients with non-syndromic clefts of the lip and/or palate part 2: from primary surgery to alveolar bone grafting

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