Permanent canine eruption into the alveolar cleft region after secondary alveolar bone grafting: Are there prediction factors for impaction?

Holz, Isabella Simões; Carvalho, Roberta Martinelli; Lauris, José Roberto Pereira; Lindauer, Steven J.; Garib, Daniela Gamba

doi:10.1016/j.ajodo.2018.01.016

Cited by 20 publications

(22 citation statements)

References 29 publications

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“…Our results also agree with the study of Simões Holz et al [15] who reported that incidence of canine impaction on the alveolar cleft side was 24% with an increased incidence of lateral incisor absence at the cleft side.…”

Section: Discussionsupporting

confidence: 93%

Early Versus Late Alveolar Cleft Repair Using Cancellous Iliac Bone Grafts in A developing country

Makharita

Sayouh

Amin

2021

International Journal of Medical Arts

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Background: Orofacial clefts are common congenital malformations, with alveolar cleft as the most common [75%] of all anomalies.Many treatment modalities are available. However, our clinical experience with bone graft modality is not well addressed. The aim of the work:To evaluate the effectiveness of early [2 to 12 years; before complete eruption of the cleft canine] versus late [> 12 years; after complete eruption of the cleft canine] cancellous anterior iliac bone grafting for alveolar cleft reconstruction.Patients and Methods: Twenty-three patients with alveolar clefts who were admitted for alveolar cleft reconstruction surgery were included. They were categorized into early and late secondary grafting groups. All patients inquired about their history. Submitted to full clinical examination, laboratory and radiological examinations. The imaging studies include two-dimensional orthopantomogram for all patients, while 3-D fascial computed tomography and cone-beam computed tomography were done for selected patients. Both intraoperative and postoperative data were collected, any complications were registered and patients followed up regularly up to 6 months.Results: Both groups were comparable as regarding patient characteristics except younger age in early group, and there was a statistically significant difference between early and late groups regarding cleft side and cleft permanent canine full eruption. Males represented 69.9%. The cleft was on the left side in 56.4%. Seven patients [30.4%] had maternal risk factor [five in early and two in late group]. Blood loss was less than 80 ml in all patients in both groups. All oronasal fistulas were sealed off successfully in all patients [100%] and all had normal healthy gingival contour with vital teeth adjacent to the cleft. All showed evidence of good bone filling in the alveolar defect after 6 months postoperatively. Only one patient developed hypertrophic scars at each group. Conclusion:Alveolar cleft reconstruction is preferred to perform autologous cancellous bone grafting harvested from the iliac crest bone to repair the cleft with excellent outcome on short-term follow-up.

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Section: Discussionsupporting

confidence: 93%

Early Versus Late Alveolar Cleft Repair Using Cancellous Iliac Bone Grafts in A developing country

Makharita

Sayouh

Amin

2021

International Journal of Medical Arts

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“…In general, congenital absence of maxillary lateral incisors has been reported to occur in 2–16.3% of the general population 18 – 20 , but in cleft lip and palate patients, the percentage of congenital absence of lateral incisors on the cleft side is reportedly higher: 37.6–58.6% 21 – 25 . In patients with cleft lip and palate, congenital absence of lateral incisors was found in 72.2% of cases of canine impaction 7 . In patients with cleft, if the lateral incisor is missing, then no other teeth can guide the canine eruption.…”

Section: Discussionmentioning

confidence: 99%

“…The main purpose of ABG is integration of the alveolar and maxillary to stabilize the width of the maxillary bone, ensure continuity, and contour the alveolar bone, the result is likely to be proper distribution of occlusal stress, resulting in more symmetrical and natural development of the maxilla, one of the goals create an eruption tract for permanent teeth, and to support the roots of erupting permanent teeth 5 , 6 . The rate of canine impaction post-ABG has been reported as 12–35% 7 , which is much higher than the prevalence of canine impaction in non-cleft patients, which is 0.8–3% 7 , 8 . Impacted teeth are defined as teeth in the submucosa of the oral cavity or in the jaw bone without eruption of all or part of the crown after a certain time of eruption 9 .…”

Section: Introductionmentioning

confidence: 92%

“…Abnormalities in tooth germ formation caused by genetic factors have also been reported 10 . Causes of canine eruption failure in patients with cleft lip and palate are reported as insufficient space for canine eruption because of the presence of a cleft and the possibility of canine impaction because of the timing of ABG 7 . To date, most studies have used panoramic radiographs, which are insufficient for detailed evaluation of the canine eruption pathway, the cleft morphology, and the positional relation between the canine and the cleft.…”

Section: Introductionmentioning

confidence: 99%

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Pilot study of factors contributing to canine impaction after secondary alveolar bone grafting in unilateral cleft lip and palate patients

Tsurumi

Nishimura

Shimizu

et al. 2022

Sci Rep

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Alveolar bone grafting (ABG) is broadly performed for cleft lip and palate patients. The rate of canine impaction post-ABG is much higher than the prevalence of canine impaction in non-cleft patients. This pilot study was designed to investigate factors involved in canine eruption failure after ABG and to predict the possibility of canine impaction in unilateral cleft lip and palate (UCLP) patients. This retrospective observational study examined 45 patients with UCLP (mean age 7.9 years) classified into an impacted group (n = 9) and a spontaneously erupted group (n = 36). From 3D images, we measured lateral incisor presence or absence, lateral incisor position on the cleft side, canine position, movement change, cleft volume, and canine and first premolar overlap-area. Multivariate logistic regression analysis using independent variables indicated significant differences in results, selecting highly relevant items. Multivariate analysis indicated a significant association between the overlap-area between the canine and the first premolar at pre-ABG (p = 0.038) and the distance between the cleft side cusp tips of canine and the lateral cleft margin of pre-ABG (p = 0.005). Results suggest that canine impaction is predictable at an early stage in pre-ABG and show the possibility of comprehensive diagnosis of canine impaction using computed tomography.

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“…Presurgical treatment by transversal expansion of the upper dental arch was performed when the first permanent upper molars and the first permanent upper incisors were erupted. The eruption patterns of the canine were carefully evaluated radiographically (Russell and McLeod, 2008;Simo ¨es et al, 2018). Deciduous, supernumerary, and malformed permanent teeth, in relation to the cleft site, were extracted 6 weeks preoperatively to allow proper healing of the mucosa.…”

Section: Presurgical Planningmentioning

confidence: 99%

Day Care Surgery for Unilateral Alveolar Bone Grafting of Residual Clefts With Mandibular Symphyseal Bone—A Prospective Questionnaire Study

Saaby

Nørholt

Küseler

et al. 2021

The Cleft Palate Craniofacial Journal

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Objective: To evaluate patients’ experiences of shortened hospitalization in relation to bone grafting of unilateral alveolar clefts with mandibular symphyseal bone grafts. Design: Prospective cohort questionnaire study. Setting: Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Denmark. Patients: Thirty-nine (male n = 26, female n = 13) patients with unilateral residual clefts after primary reconstruction, mean age 10.4 years. Interventions: All patients underwent a standardized procedure with closure of the alveolar defect using mandibular symphyseal bone grafts. Patients were discharged within a day after surgery. Within 24 hours after discharge from surgery, patients and their parents filled in a 14-item psychometric questionnaire assessing the quality of their recovery. For all questions, a visual analogue scale (VAS) (0-10) was used. Main Outcome Measure: Patients’ experience of shortened hospitalization in relation to secondary bone grafting of alveolar defects. Factors influencing the overall experience were measured using a VAS scale. Results: A significant correlation between “Information from the hospital” and feeling worried and anxious was found ( P = .04). Additionally, the ability to sleep correlated with pain ( P = .003) and with nausea ( P = .001). Conclusions: Although this study included a limited number of patients, the findings suggest that treatment of alveolar residual cleft with bone grafting from the mandibular symphyseal region in a day care surgery setting is characterized by very high patient satisfaction.

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Permanent canine eruption into the alveolar cleft region after secondary alveolar bone grafting: Are there prediction factors for impaction?

Cited by 20 publications

References 29 publications

Early Versus Late Alveolar Cleft Repair Using Cancellous Iliac Bone Grafts in A developing country

Early Versus Late Alveolar Cleft Repair Using Cancellous Iliac Bone Grafts in A developing country

Pilot study of factors contributing to canine impaction after secondary alveolar bone grafting in unilateral cleft lip and palate patients

Day Care Surgery for Unilateral Alveolar Bone Grafting of Residual Clefts With Mandibular Symphyseal Bone—A Prospective Questionnaire Study

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