Invasiveness of Tibial Bone Graft Harvesting for Secondary Alveolar Bone Grafting: Can Harvesting Be Performed at the Age of Less Than 10 Years Without Complications?

Abstract

Our findings suggest that tibial bone graft harvesting is safe and requires a shorter recovery period even in patients aged between 8 and 10 years.

Secondary Care of Cleft Lip and Palate: Analysis of Dentofacial Orthopedic and Orthognathic Treatments

“…Finally, in children the presence of cartilage can be troublesome. The tibia can also provide significant bone mass, 12 but again some pain is possible. Craniofacial bone has been little reported in reconstructions of alveolar clefts.…”

“…Moreover, bone grafting is a challenging step of the CLP management with multiple procedures and different donor sites having their own benefit to risk ratio. [11][12][13][14] All these aspects of the CLP management testify of the difficulty to establish a truth in a field as complex as the orthodontics and dentofacial orthopedics in CLP patients. Finally, it is good to remember that in terms of facial clefts it sometimes takes 10 to 15 years before appreciating the consequences of the treatments carried out, which makes evaluation of therapies difficult.…”

“…The scar tissue traction associated with the lip and palate repair are thought to constrict the maxilla in every dimension. Moreover, bone grafting is a challenging step of the CLP management with multiple procedures and different donor sites having their own benefit to risk ratio 11–14 . All these aspects of the CLP management testify of the difficulty to establish a truth in a field as complex as the orthodontics and dentofacial orthopedics in CLP patients.…”

Residents’ Commentary for “Long-Term Postoperative Cone-Beam Computed Tomography Analysis of Secondary Bone Grafting in 79 Patients with Unrepaired Alveolar Clefts”

“…Bone morphogenetic proteins can also be used and provide signaling to induce formation of bone and cartilage. 17,18 Postoperatively, these patients must follow sinus precautions and consume a soft, nonchew diet. The duration of these restrictions varies per surgeon preference.…”