Clinical and Radiographic Assessment of Secondary Bone Graft Outcomes in Cleft Lip and Palate Patients

Khalil, Wissem; Musis, Carlo Ralph de; Volpato, Luiz Er; Veiga, Kadyja Assis; Vieira, Evanice Mm; Aranha, Andreza Mf

doi:10.1155/2014/231795

Cited by 11 publications

(9 citation statements)

References 38 publications

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“…It has been suggested that the timing of the SABG is a critical variable affecting its outcome [24][25][26][27][28]. Nonetheless, surprisingly few studies evaluated results of SABG performed earlier than a widely accepted age range of 8-11 years that was assumed to be optimal for clinical success since the 1970s [3,5].…”

Section: Discussionmentioning

confidence: 99%

Alveolar Volume Following Different Timings of Secondary Bone Grafting in Patients with Unilateral Cleft Lip and Palate. A Pilot Study

Brudnicki¹,

Regulski

Sawicka³

et al. 2021

JCM

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This study was intended to evaluate the relationship between secondary alveolar bone grafting (SABG) timing and the alveolar volume in patients with unilateral cleft lip and palate (UCLP). The material consisted of CTs of 35 patients (17 males, 18 females) with UCLP who underwent a one-stage primary cleft repair at a mean age of 8.4 months and SABG at different timings ranges of 1.8–18.8 years. The mean age at CT was 17.2 years. The relative coefficient (Ꞷ) which was independent from factors such as individual maxillary size, gender or age at the CT was introduced in order to compare volumes of the cleft-side in relation to the non-cleft-side alveolus. Pearson correlation coefficient r between Ꞷ coefficient and SABG timing was weak negative (r = −0.34, p = 0.045). The multiple regression analysis implied that the dependent variable-Ꞷ coefficient was associated with independent variables (cleft repair and SABG timings and age at CT) with r2 = 0.228. Only patient’s age at SABG explained the dependent variable (p = 0.003). The study cautiously indicates a tendency to larger alveolar volume following earlier timing of SABG. Nevertheless, the further research on a larger group of patients should be performed before formulating any clinical indications.

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Section: Discussionmentioning

confidence: 99%

Alveolar Volume Following Different Timings of Secondary Bone Grafting in Patients with Unilateral Cleft Lip and Palate. A Pilot Study

Brudnicki¹,

Regulski

Sawicka³

et al. 2021

JCM

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“…A number of criteria for clinical evaluation of grafts have been proposed, including periodontal insertion level, adequate width of attached gingiva in the cleft vicinities, eruption of permanent central and lateral incisors (for early secondary bone grafting) and canine teeth into grafted bone, absence of exposed root structures adjacent to clefts,[ 5 ] aesthetic results conferred by bony support of alar base, closure of any existing palatal fistula,[ 6 ] and stabilisation of premaxilla in conjunction with bilateral clefting. [ 7 8 ]…”

Section: S Ubjects and M Ethodsmentioning

confidence: 99%

Success Rate of Mid-Secondary Alveolar Cleft Reconstruction Using Anterior Iliac Bone Grafts: A Retrospective Study

Tache

Mommaerts²

2022

Annals of Maxillofacial Surgery

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Introduction: Bony reconstruction of the alveolar process and its adjacent platform largely represents the final step in surgical achievement of functionality and aesthetics in cleft patients. Throughout the years, the success of this procedure has been investigated. The aim of this study was to assess the success rate of autogenous mid-secondary alveolar bone grafting in this setting. Methods and Material: A retrospective cohort study was performed. All cleft patients receiving secondary alveolar bone grafts between 1990 and 2020 were reviewed. Criteria for assessing success were long-term preservation of alveolar bone stock, ability of spontaneous or orthodontic-guided eruption and periodontal health of permanent lateral incisors and canine teeth, absence of exposed root structures of neighbouring teeth, absence of fistula and successful placement of implants. Failure of alveolar bone grafts was indicated by radiographically demonstrable total or near-total graft loss requiring reintervention. Results: A number of 124 patients were included and grouped as those primarily operated following our (two-staged palatoplasty) protocol and those receiving cheilorhinoplasty and palatoplasty (one-staged) at other centres. Given the limited cohort size, no complex statistical analysis was performed. In the first group of 64 patients 12 experienced complications (Veau III, eight/36; Veau IV, four/18). In the second group of 60 patients, 12 experienced complications (Veau III, six/37; Veau IV, six/17). Discussion: Our surgical protocol using anterior iliac bone grafts for secondary alveolar reconstruction achieved good results, comparing favourably with previous literature.

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“…In type III, the occlusal position of the alveolar bone is between one half and three fourths of the normal height and finally type IV cases have a lower than half of the normal interdental septum height. 23 Moreover, in all of the included studies, cases with the type I and II Bergland scores were considered to be successful while the type III and IV alveolar evaluations were considered to be failures. In our review, we also compared the mean Bergland scale score between secondary alveolar bone grafts and NAM as a more accurate outcome measure than success rate.…”

Section: Summary Of Evidence and Factors Affecting The Main Outcomementioning

confidence: 99%

Does Presurgical Nasoalveolar Molding Reduce the Need for Future Bone Grafting in Cleft Lip and Palate Patients? A Systematic Review and Meta-Analysis

Jahanbin

Alizadeh

Bardideh

et al. 2022

Journal of Craniofacial Surgery

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Objective: Nasoalveolar molding (NAM) is a technique that is utilized in patients with cleft lip/palate before performing lip surgery. This procedure has been shown to result in a more aesthetic nose with lesser columellar deviation and reduced scaring. The aim of our study was to evaluate the long-term results of NAM and gingivoperiosteoplasty in patients with cleft lip and palate. Methods and Materials: An electronic search of databases (ie, PubMed, ISI Web of Science, EMBASE, Scopus, and Google Scholar) from inception to March 2021 was performed and after selecting the eligible studies, relevant data were collected using piloted extraction forms. The success rate of NAM and gingivoperiosteoplasty, and Bergland score were pooled using random-effects inverse variance meta-analysis. Results: Seven studies were included in this meta-analysis and systematic review. The pooled mean success rate of NAM with gingivoperiosteoplasty (GPP) based on the continuity of alveolar bone structure was 71% (95% confidence interval [CI] = 54–85). This means that in 71% of cases NAM + GPP treatment eliminated the need for future bone grafts. Also, no significant difference between the success rate (risk ratio = 1.00, 95% CI = 0.64–1.58) and mean Bergland score (mean difference = 0.64, 95% CI = −1.04 to 2.31) of NAM + GPP and skeletal bone graft was found. Conclusions: Nasoalveolar molding and gingivoperiosteoplasty was successful in 71% of cases treating patients with cleft lip and palate. This treatment is similar with the secondary alveolar bone graft in both the success rate and the alveolar height that it generates while being less invasive and with lower morbidity.

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Clinical and Radiographic Assessment of Secondary Bone Graft Outcomes in Cleft Lip and Palate Patients

Cited by 11 publications

References 38 publications

Alveolar Volume Following Different Timings of Secondary Bone Grafting in Patients with Unilateral Cleft Lip and Palate. A Pilot Study

Alveolar Volume Following Different Timings of Secondary Bone Grafting in Patients with Unilateral Cleft Lip and Palate. A Pilot Study

Success Rate of Mid-Secondary Alveolar Cleft Reconstruction Using Anterior Iliac Bone Grafts: A Retrospective Study

Does Presurgical Nasoalveolar Molding Reduce the Need for Future Bone Grafting in Cleft Lip and Palate Patients? A Systematic Review and Meta-Analysis

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