The Impact of Alveolar Bone Grafting on Cleft Lip and Palate: A literature review

Gillgrass, Toby J.; MacDonald, James; Mossey, Peter; Welbury, Richard

doi:10.5937/sejodr1-15237

Cited by 2 publications

(3 citation statements)

References 28 publications

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“…It is unclear if the frequency of peg laterals is higher in unilateral or in bilateral clefts. Reports have shown that the occurrence of peg laterals may be related to the compromised growth potential seen in patients with cleft lip and palate, or to external factors such as surgical intervention or nutrition 8,13) .…”

Section: Discussionmentioning

confidence: 99%

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Survey on Condition and Orthodontic Treatment of Maxillary Lateral Incisors in Patients with Cleft Lip and Palate

Uchino

Arima

Kobayashi³

et al. 2020

Bull. Tokyo Dent. Coll.

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The aim of this study was to investigate the condition of the maxillary lateral incisors and evaluate the methods used for cleft closure in patients with cleft lip and palate, including the treatment of the maxillary lateral incisors. A total of 214 patients (260 clefts) with alveolar clefts who had started Phase II treatment and entered the maintenance period at the Department of Orthodontics at Tokyo Dental College, Chiba Hospital, between 1975 and 2014 were included. Panoramic, intraoral, and occlusal radiographs, as well as intraoral photographs and medical records, were used to investigate cleft classification, the presence or absence and location of maxillary lateral incisors, and frequency and treatment method for peg lateral incisors in the cleft region. There were more unilateral cleft cases (78.5%) than bilateral cleft cases. The prevalence of congenital absence of the maxillary lateral incisors was similar between unilateral (53.0%) and bilateral cases (53.3%). Peg laterals occurred frequently, with 89.9% occurring in unilateral cases. The maxillary lateral incisors were more commonly found in the secondary than in the primary palate. The number of non-extraction cases was larger than that of extraction cases, regardless of cleft type or the location of the peg laterals. In many cases, the peg laterals were treated with non-extraction and space closure or crown modification. These results suggest that, depending on their condition, the peg laterals should be preserved as much as possible in devising a treatment plan.

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Section: Discussionmentioning

confidence: 99%

“…In this survey, Uchino M et al no cases involving dental implants after extraction of peg laterals were identified. This was most likely because, in Japan, dental implants constitute a marked financial burden for patients, and in many cases, re-bone grafting is required prior to implantation 8) .…”

Section: Discussionmentioning

confidence: 99%

Survey on Condition and Orthodontic Treatment of Maxillary Lateral Incisors in Patients with Cleft Lip and Palate

Uchino

Arima

Kobayashi³

et al. 2020

Bull. Tokyo Dent. Coll.

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“…Secondary alveolar bone grafting for patients with a cleft involving maxillary alveolus was first advocated by Boyne and Sands in 1972 [4]. Secondary Alveolar bone grafting between the ages of 9-11 years is a routine procedure for children with cleft involving the alveolus [19]. The main advantages can be summarised as follows: stabilisation of the maxillary arch, allowing eruption of the canine and sometimes the lateral incisor, providing bony support for adjacent teeth, oroantral fistula closure and raising the alar base [20].…”

Section: Discussionmentioning

confidence: 99%

Alveolar Cleft Reconstruction Using Different Grafting Techniques

Mossaad¹,

El-Badry²,

Abdelrahman³

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: Cleft lip and palate CLP is a frequent congenital malformation that manifests in several varieties including unilateral or bilateral anomalies due to either genetic or acquired causes. Alveolar cleft graft ACG remains controversial as regard timing, grafting materials and surgical techniques. The primary goal of alveolar cleft grafting in ACG patients is to provide an intact bony ridge at the cleft site to allow maxillary continuity for teeth eruption, proper orthodontic treatment for dental arch alignment, oronasal fistula closure and providing alar support for nasal symmetry. AIM: This study aims to compare different grafting techniques to treat the alveolar cleft defect. METHODS: This study included 24 cases divided into three groups of patients: Group A was treated with autogenous iliac crest bone; Group B was treated with nano calcium hydroxyapatite with collagen membrane and Group C was treated with tissue engineering method using bone marrow stem cells extract and PRF membrane. RESULTS: According to clinical and radiographic examination measuring bone density in the CT preoperatively compared to six months postoperatively. Group C with bone marrow stem cells extract showed superior results among all followed by group B, while group A with autogenous iliac crest showed resorption in some cases and gave the least values, in addition to its drawbacks as regard donor site affection with pain & scar formation. CONCLUSION: Bone substitutes as Nano calcium hydroxyapatite and bone marrow stem cells extract showed to be reliable methods for bone grafting than autogenous iliac crest.

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The Impact of Alveolar Bone Grafting on Cleft Lip and Palate: A literature review

Cited by 2 publications

References 28 publications

Survey on Condition and Orthodontic Treatment of Maxillary Lateral Incisors in Patients with Cleft Lip and Palate

Survey on Condition and Orthodontic Treatment of Maxillary Lateral Incisors in Patients with Cleft Lip and Palate

Alveolar Cleft Reconstruction Using Different Grafting Techniques

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