Background: Current evidence on factors influencing the outcome of Secondary Alveolar Bone Grafting (SABG) in cleft lip/palate patients is ambiguous and further deliberations are required to provide solid proof on prognostic criteria. Objectives: The objectives of this study were to determine the changes brought about by SABG in cleft depth and alveolar bone support of teeth in the vicinity of the cleft and to elucidate their prognostic value in surgical outcomes. Materials & methods: A prospective study was designed for 17 consecutive cleft lip and palate patients who underwent secondary alveolar bone grafting with anterior iliac crest graft at the AIMS Cleft Lip and Palate Clinic, Amrita Institute of Medical Sciences, Kochi. Maxillary occlusal radiographs taken at two time periods (T1- preoperative within 1month, T2-post-operative, after 6 months) were assessed for medial and lateral bone support of the teeth adjacent to cleft as well as for reduction in alveolar notching. The changes between the two were statistically analyzed using paired t-test and correlation computed with Pearson correlation coefficient. Results: Statistically and clinically significant improvements were achieved by the SABG procedure in terms of bone support and cleft depth. Pre surgical medial alveolar bone support and medial alveolar crest defect were found to have a positive impact on post surgical values. Conclusion: Significant increase in bone support achieved for cleft adjacent teeth and elimination/reduction of alveolar notching proves the beneficial role of SABG in cleft management protocol.
| DOI | 10.11648/j.sjcm.s.2016050401.18 |
| Published in |
Science Journal of Clinical Medicine (Volume 5, Issue 4-1, July 2016)
This article belongs to the Special Issue Clinical Conspectus on Cleft Deformities |
| Page(s) | 41-48 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Cleft Lip & Palate, Alveolar Bone Grafting, Anterior Iliac Crest Graft, SABG Outcome, Graft Take
| [1] | Pravin K Patel. Unilateral Cleft Lip Repair http://emedicine.medscape.com/ article/1279641-overview#showall |
| [2] | Per-Ingvar Branemark. Rehabilitation of Complex Cleft Palate and Craniomaxillofacial Defects The Challenge of Bauru |
| [3] | Boyne PJ, Sands NR. Secondary bone grafting of residual alveolar and palatal clefts. Journal of Oral Surgery. 1972; 30: 87-92. |
| [4] | Aurouze C, Moller KT, Revis RR, Rehem K, Rudney J. The presurgical status of the alveolar cleft and success of secondary bone grafting. Cleft Palate Craniofac J.2000; 37: 179-184. |
| [5] | Bergland O, Semb G, Abyholm FE. Elimination of the residual alveolar cleft by secondary bone grafting and subsequent orthodontic treatment. Cleft Palate J. 1986; 23: 175-205. |
| [6] | Long RE Jr, Spangler BE, Yow M. Cleft width and secondary alveolar bone graft success. Cleft Palate Craniofac J. 1995; 32: 420-427. |
| [7] | Enemark H, Sindent-Pedersen S, Bundgaard M. Long-term Results after Secondary Bone Grafting of Alveolar Clefts. J Oral Maxillocfac Surg. 1987; 45: 913-919 |
| [8] | Witherow H, Cox S, Jones E, Et al. A new scale to assess radiographic success of secondary alveolar bone grafts. Cleft Palate Craniofacial J. 2002; 9: 255-260. |
| [9] | Van der Meij AJ, Baart JA, Prahl-Andersen B, Valk J, Kostense PJ, Tuinzing DB. Bone volume after secondary bone grafting in unilateral and bilateral clefts determined by computed tomography scans. Oral Surg Oral Med OralPathol Oral Radiol Endod. 2001; 92: 136–141. |
| [10] | Lee C, Crepeau RJ, Williams HB, Schwwartz S. Alveolar cleft bone grafts: results and imprecision of the dental Radiograph. Plast Reconstr Surg. 1995; 96: 1534-1538. |
| [11] | Feichtinger M, Mossböck R, Kärcher H. Assessment of bone resorption after secondary alveolar bone grafting using three-dimensional computed tomography: a three-year study. Cleft Palate Craniofac J. 2007 Mar; 44(2): 142-8. |
| [12] | Hynes PJ, Earley MJ. Assessment of secondary alveolar bone grafting using a modification of the Bergland grading system. Br J Plast Surg. 2003; 56: 630–636. |
| [13] | https://www.slu.edu/Documents/cade/thesis/Ruppel.pdfLong-term secondary alveolar bone graft evaluation in complete clefts using a new radiographic scale and determining optimal graft assessment timing |
| [14] | Troxell JB, Fonseca RJ, Osbon DB. A retrospective study of alveolar cleft grafting. J Oral Maxillofac Surg. 1982 Nov; 40(11): 721-5. |
| [15] | Kindelan JD, Nashed RR, Bromige MR. Radiographic assessment of secondary autogenous alveolar bone grafting in cleft lip and palate patients. Cleft Palate Craniofac J 1997; 34: 195-8. |
| [16] | Collins M, James DR, Mars M. Alveolar bone grafting: a review of 115 patients. Eur J Orthod. 1998; 20: 115–120. |
| [17] | Dempf R, Teltzrow T, Kramer FJ, Hausamen JE. Alveolar bone grafting in patients with complete clefts:a comparative study between secondary and tertiary bone grafting. Cleft Palate Craniofac J. 2002; 39: 18-25 |
| [18] | Trindade IK, Mazzottini R, Silva Filho OG, Trindade IE, Devoni MC. Long-term radiographic assessment of secondary alveolar bone grafting outcomes in patients with alveolar clefts. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 2005: 100: 271–277. |
| [19] | Jia YL, Fu MK, Ma L. Long-term outcome of secondary alveolar bone grafting in patients with various types of cleft.Br J Oral Maxillofac Surg. 2006 Aug; 44(4): 308-12. |
| [20] | Murthy AS, Lehman JA Jr. Secondary alveolar bone grafting: An outcome analysis. Can J PlastSurg2006; 14: 172-4. |
| [21] | Sharma S, DayashankaraRao JK, Majumder K, Jain H. Secondary alveolar bone grafting: Radiographic and clinical evaluation. Ann MaxillofacSurg 2012; 2: 41-5 |
| [22] | Sutthiprapaporn P, Tanimoto K, Nakamoto T, Kongsomboon S, Limmonthol S, Pisek P, Keinprasit C. Evaluation of alveolar bone grafting in unilateral cleft lip and palate patients using a computer-aided diagnosis system. Imaging Sci Dent. 2012 Dec; 42(4): 225-9. |
| [23] | Tan AES, Brogan WF, McComb HK, Henry PJ. Secondary alveolar bone grafting-five-year periodontal and radiographic evaluation in 100 consecutive cases. Cleft Palate Craniofac J. 1996; 33: 513-518. |
| [24] | Kokkinos PP, Ledoux WR, Kinnebrew MC, Weinberg R. Iliac apophyseal cartilage augmentation of the deficient piriform rim and maxilla in alveolar cleft grafting. Am J Orthod Dentofacial Orthop. 1997 Aug; 112(2): 145-53. |
| [25] | Nightingale C, Witherow H, Reid FD, Edler R. Comparative reproducibility of three methods of radiographic assessment of alveolar bone grafting. Eur J Orthod. 2003; 25: 35-41. |
| [26] | Lee C, Nishihara K, Okawachi T, Iwashita Y, Majima HJ, Nakamura N. A quantitative radiological assessment of outcomes of autogenous bone graft combined with platelet-rich plasma in the alveolar cleft. Int J Oral Maxillofac Surg. 2009 Feb; 38(2): 117-25. |
| [27] | Lawson RB, Jones ML. An evaluation of a noninvasive method of assessing bone levels in an experimental model of cleft lip and palate. Cleft Palate Craniofac J. 1997; 35: 1–8. |
| [28] | Rosenstein SW, Long RE Jr, Dado DV, Vinson B, Alder ME. Comparison of 2-D calculations from periapical and occlusal radiographs versus 3-D calculations from CAT scans in etermining bone support for cleft-adjacent teeth following early alveolar bone grafts. Cleft Palate Craniofac J. 1997; 34: 195–198. |
| [29] | Kim KR, Kim S, Baek SH. Change in grafted secondary alveolar bone in patients with UCLP and UCLA. A three-dimensional computed tomography study. Angle Orthod. 2008 Jul; 78(4): 631-40. |
| [30] | Honma K, Kobayashi T, Nakajima T, Hayasi T. Computed tomographic evaluation of bone formation after secondary bone grafting of alveolar clefts. J Oral Maxillofac Surg. 1999; 57: 1209-1213. |
| [31] | De Vos W, Casselman J, Swennen GR. Cone-beam computerized tomography (CBCT) imaging of the oral and maxillofacial region: a systematic review of the literature. Int J Oral Maxillofac Surg. 2009 Jun; 38(6): 609-25. |
| [32] | Silva MA, Wolf U, Heinicke F, Bumann A, Visser H, Hirsch E. Cone-beam computed tomography for routine orthodontic treatment planning: a radiation dose evaluation. Am J Orthod Dentofacial Orthop. 2008 May; 133(5): 640.e1-5. |
| [33] | Lopez LD. Anomalies in Number of Teeth in Patients with Lip and/or Palate Clefts. Braz Dent J (1991) 2 (1); 9-11. |
| [34] | Jordan RE, Kraus BS, Neptune CM. Dental abnormalities associated with cleft lip and/or palate. Cleft Palate J. 1966; 3: 22-55. |
| [35] | Thornton JB, Nimer S, Howard PS. The incidence, classification, etiology, and embryology of oral clefts. Seminars in Orthodontics. 1996; 2: 162-168. |
| [36] | Akcam MO, Evirgen S, Uslu O, Memikoğlu UT. Dental anomalies in individuals with cleft lip and/or palate. European Journal of Orthodontics 32 (2010) 207–213. |
APA Style
Alice Kurian, Ravi V., Sherry Peter, Ushass P., Latha P. Rao. (2016). Alveolar Bone Defect and Secondary Bone Grafting Outcome in Cleft Lip/Palate Patients. Science Journal of Clinical Medicine, 5(4-1), 41-48. https://doi.org/10.11648/j.sjcm.s.2016050401.18
ACS Style
Alice Kurian; Ravi V.; Sherry Peter; Ushass P.; Latha P. Rao. Alveolar Bone Defect and Secondary Bone Grafting Outcome in Cleft Lip/Palate Patients. Sci. J. Clin. Med. 2016, 5(4-1), 41-48. doi: 10.11648/j.sjcm.s.2016050401.18
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Download@article{10.11648/j.sjcm.s.2016050401.18,
author = {Alice Kurian and Ravi V. and Sherry Peter and Ushass P. and Latha P. Rao},
title = {Alveolar Bone Defect and Secondary Bone Grafting Outcome in Cleft Lip/Palate Patients},
journal = {Science Journal of Clinical Medicine},
volume = {5},
number = {4-1},
pages = {41-48},
doi = {10.11648/j.sjcm.s.2016050401.18},
url = {https://doi.org/10.11648/j.sjcm.s.2016050401.18},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.s.2016050401.18},
abstract = {Background: Current evidence on factors influencing the outcome of Secondary Alveolar Bone Grafting (SABG) in cleft lip/palate patients is ambiguous and further deliberations are required to provide solid proof on prognostic criteria. Objectives: The objectives of this study were to determine the changes brought about by SABG in cleft depth and alveolar bone support of teeth in the vicinity of the cleft and to elucidate their prognostic value in surgical outcomes. Materials & methods: A prospective study was designed for 17 consecutive cleft lip and palate patients who underwent secondary alveolar bone grafting with anterior iliac crest graft at the AIMS Cleft Lip and Palate Clinic, Amrita Institute of Medical Sciences, Kochi. Maxillary occlusal radiographs taken at two time periods (T1- preoperative within 1month, T2-post-operative, after 6 months) were assessed for medial and lateral bone support of the teeth adjacent to cleft as well as for reduction in alveolar notching. The changes between the two were statistically analyzed using paired t-test and correlation computed with Pearson correlation coefficient. Results: Statistically and clinically significant improvements were achieved by the SABG procedure in terms of bone support and cleft depth. Pre surgical medial alveolar bone support and medial alveolar crest defect were found to have a positive impact on post surgical values. Conclusion: Significant increase in bone support achieved for cleft adjacent teeth and elimination/reduction of alveolar notching proves the beneficial role of SABG in cleft management protocol.},
year = {2016}
}
TY - JOUR T1 - Alveolar Bone Defect and Secondary Bone Grafting Outcome in Cleft Lip/Palate Patients AU - Alice Kurian AU - Ravi V. AU - Sherry Peter AU - Ushass P. AU - Latha P. Rao Y1 - 2016/05/19 PY - 2016 N1 - https://doi.org/10.11648/j.sjcm.s.2016050401.18 DO - 10.11648/j.sjcm.s.2016050401.18 T2 - Science Journal of Clinical Medicine JF - Science Journal of Clinical Medicine JO - Science Journal of Clinical Medicine SP - 41 EP - 48 PB - Science Publishing Group SN - 2327-2732 UR - https://doi.org/10.11648/j.sjcm.s.2016050401.18 AB - Background: Current evidence on factors influencing the outcome of Secondary Alveolar Bone Grafting (SABG) in cleft lip/palate patients is ambiguous and further deliberations are required to provide solid proof on prognostic criteria. Objectives: The objectives of this study were to determine the changes brought about by SABG in cleft depth and alveolar bone support of teeth in the vicinity of the cleft and to elucidate their prognostic value in surgical outcomes. Materials & methods: A prospective study was designed for 17 consecutive cleft lip and palate patients who underwent secondary alveolar bone grafting with anterior iliac crest graft at the AIMS Cleft Lip and Palate Clinic, Amrita Institute of Medical Sciences, Kochi. Maxillary occlusal radiographs taken at two time periods (T1- preoperative within 1month, T2-post-operative, after 6 months) were assessed for medial and lateral bone support of the teeth adjacent to cleft as well as for reduction in alveolar notching. The changes between the two were statistically analyzed using paired t-test and correlation computed with Pearson correlation coefficient. Results: Statistically and clinically significant improvements were achieved by the SABG procedure in terms of bone support and cleft depth. Pre surgical medial alveolar bone support and medial alveolar crest defect were found to have a positive impact on post surgical values. Conclusion: Significant increase in bone support achieved for cleft adjacent teeth and elimination/reduction of alveolar notching proves the beneficial role of SABG in cleft management protocol. VL - 5 IS - 4-1 ER -
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