Effectiveness, Esthetics, and Success Rate of Dental Implants in Bone-Grafted Regions of Cleft Lip and Palate Patients: A Systematic Review and Meta-Analysis

Abstract

Congenital clefts impair function and appearance, thus impacting a patient's social and mental health. A multidisciplinary team that can offer comprehensive treatment from infancy through maturity and beyond can successfully address these abnormalities. Dental rehabilitation is very important for these patients; these abnormalities should be identified and must be treated accordingly. Hence it is of utmost importance to know the success rate and changes in quality of life from patient satisfaction in order to plan future treatment goals when coming across such cases. The aim of this article is to determine success rate, esthetics, and patient satisfaction in implant-based oral rehabilitation in bone-grafted regions of cleft patients. Registration was carried out in PROSPERO (International Prospective Register of Systematic Review) with registration number CRD42022329861 on May 7, 2022. Medical Subject Headings (MeSH) terms such as cleft lip, cleft palate, survival rate, and dental implants were used to handpick articles via an electronic database. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed to compile all the data gathered from an electronic database. According to the collected data, 93.5% of the survival rate with dental implants was noted irrespective of the type of bone grafts used. Also, improvement in quality of life was achieved in these patients. Effectiveness, esthetics, and success rate are very well achievable with implants in cleft patients. Although the aesthetics are not equivalent to that of dental implants in normal patients, patient satisfaction is still satisfactory in patients with dental implants in bone-grafted regions of cleft lip and palate.

Rapid Smile Restoration: Basal Implants for the Edentulous Mandible With Immediate Loading

“…During the follow-up period, the patient showed good functional and aesthetic outcomes, and no problems were noted. These findings highlight the potential of basal implants as a workable and practical remedy for situations involving poor bone health, providing a possible substitute for conventional implant techniques [26][27][28].…”

Revolutionizing Maxillary Rehabilitation: Zygomatic Implants Addressing Severe Alveolar Atrophy

“…Individuals who have prominent buccal concavities on the lateral aspect of the maxillary sinus may be more susceptible to problems, particularly if they undergo non-guided surgery. This technique is clinically challenging due to the anatomical complexity of the structures and the complexities of the zygoma [23][24][25].…”

“…Following a 36-month follow-up, a systematic evaluation of research published between 2000 and 2012 found a 97.86% survival rate. The American College of Prosthodontists recognizes the adaptability of zygomatic implants in a range of therapeutic contexts, emphasizing their contribution to improving patients' quality of life and offering effective and dependable treatment alternatives [25][26][27][28][29][30][31].…”

“…Individuals who have prominent buccal concavities on the lateral aspect of the maxillary sinus may be more susceptible to problems, particularly if they undergo non-guided surgery. This technique is clinically challenging due to the anatomical complexity of the structures and the complexities of the zygoma [ 23 - 25 ]. On the other hand, new developments in technology, like virtual implant planning, cone beam computed tomography (CBCT), and computer-aided design/computer-aided manufacture (CAD/CAM) surgical guide fabrication, have the potential to lower problems and increase placement accuracy.…”