Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Journal of Maxillofacial and Oral Surgery
Published in: Journal of Maxillofacial and Oral Surgery 2/2014

01-06-2014 | Comparative Study

Mid Versus Late Secondary Alveolar Cleft Grafting Using Iliac Crest Corticocancellous Bone Graft

Authors: Priya Jeyaraj, N. K. Sahoo, Ashish Chakranarayan

Published in: Journal of Maxillofacial and Oral Surgery | Issue 2/2014

Login to get access

Abstract

Background

Mid-secondary alveolar cleft repair performed at ages 9–12, in the mixed dentition stage, prior to eruption of the permanent canine, is generally accepted as the ideal time for residual alveolar cleft closure in cleft lip and palate cases with a cleft alveolus.

Methods

In our study, four cases of mid-secondary and five cases of late–secondary alveolar cleft grafting were carried out using iliac crest corticocancellous bone graft. Clinical defect closure and radiographic bone fill were compared.

Results

All the nine cases performed in the two different age groups showed excellent results, clinically, with complete closure of the cleft defect and achievement of continuity of the dental arches. One case was planned for a two-stage procedure owing to the large bilateral maxillary defects. Good bone fill was visualized radiographically in all nine cases.

Conclusion

Precise timing for undertaking alveolar cleft repair may not be all that crucial for a successful alveolar cleft grafting procedure.
Literature
1.
Tan AES, Brogan WF, Mc Comb HK, Henry PJ (1996) Secondary alveolar bone grafting—5 years periodontal and radiographic evaluation in 100 consecutive cases. Cleft Palate Craniofac J 33:513PubMedCrossRef
2.
Hynes PJ, Earley MJ (2003) Assessment of secondary alveolar bone grafting using a modification of the Bergland grading system. Br Assoc Plast Surg 56:630–636CrossRef
3.
Horsewell BB, Henderson JM (2003) Secondary osteoplasty of the alveolar cleft defect. Clinical controversies in oral and maxillofacial surgery. J Oral Maxillofac Surg 61:1082–1090CrossRef
4.
Hogan L, Shand JM, Heggie AA, Kilpatrick N (1997) Canine eruption into grafted alveolar clefts. J Oral Maxillofac Surg 55:219–223CrossRef
5.
Rawashdeh MA, Telfah H (2008) Secondary alveolar cleft bone grafting: the dilemma of donor site selection and morbidity. Br J Oral Maxillofac Surg 46:665–670PubMedCrossRef
6.
Liao HT, Chen CH, Bergeron L, Chen PKT, Chen YR (2008) Alveolar bone grafting in the treatment of midline alveolar cleft and diastema in incomplete median cleft lip. Int J Oral Maxillofac Surg 37(Issue 10):886–891PubMedCrossRef
7.
Kindelan J, Roberts Harry D (1999) A 5-year postoperative review of secondary alveolar bone grafting in the Yorkshire region. Br J Orthod 26:211–217PubMedCrossRef
8.
9.
El Deeb M (1989) Surgical management of alveolar cleft defects: when and How. J Oral Maxillofac Surg 47(Issue-8)Suppl 1:42–43
10.
Turvey TA (1987) Donor sites for alveolar cleft bone grafts. J Oral Maxillofac Surg 45(Issu-10):834PubMedCrossRef
11.
Spotlight DP (2002) Bone grafting materials: their uses, advantages and disadvantages. J Am Dental Assoc 133(Issue 8):1125–1126
12.
Merkx MAW, Maltha JC (1995) Tooth eruption through autogenous and xenogenous bone transplants: a histological and radiographic evaluation in beagle dogs. J Cranio-Maxillofac Surg 25:212–219CrossRef
13.
Sadove AM, Eppley BL (1992) Timing of alveolar bone grafting: a surgeon’s viewpoint. Probl Plast Reconstr Surg 2:39
14.
Pickrell K, Quinn G, Massengill R (1968) Primary bone grafting of the maxilla in cleft of the lip and palate. A four year study. Plast Reconstr Surg 41:438PubMedCrossRef
15.
Lino M, Iishi H et al (2005) Comparison of intraoral radiography and computed tomography in evaluation of formation of bone after grafting for repair of residual alveolar defects in patients with cleft and palate. J Plast Surg Hand Surg 1:15–21
16.
Semb G (1988) Effect of alveolar bone grafting on maxillary growth in unilateral cleft lip and palate patients. Cleft Plate J 25:288–295
17.
Kessler P, Thorwarth M et al (2005) Harvesting of bone from the iliac crest: comparison of anterior and posterior sites. BJOMS 43:51–56
18.
Waite PD, White DE (1996) Bone grafting for the alveolar cleft defect. Semin Orthod 2(Issue 3):192–196PubMedCrossRef
19.
Salyer KE (2009) Primary reconstruction of alveolar clefts using recombinant bone morphogenic protein: 2, clinical and radiographic outcomes. J Craniofac Surg 20(Issue-8):1765PubMedCrossRef
20.
Williams Alison, Semb Gunvor, Bearn David (2003) Prediction of outcomes of secondary alveolar bone grafting in children born with unilateral cleft lip and palate. Eur J Orthod 25:205–211PubMedCrossRef
21.
Bergland O, Semb G, Abyholm F (1986) Elimination of the residual alveolar cleft by secondary bone grafting and subsequent orthodontic treatment. Cleft Palate J 23:175–205PubMed
22.
Long RE, Paterno M, Vinson B (1996) Effect of cuspid positioning in the cleft at the time of secondary alveolar bone grafting on eventual success. Cleft Palate Craniofac J 33:225PubMedCrossRef
23.
Boyne PJ, Sands NR (1972) Secondary bone grafting of residual alveolar and palatal clefts. J Oral Surg 30:870
24.
Eppley BL (1996) Alveolar cleft bone grafting: primary bone grafting. Clin Controv Oral Maxillofac Surg 54:74–82CrossRef
25.
Bjork A, Skiller V (1974) Growth in width of the maxilla studied by the implant method. Scand J Plast Recontr Surg 8:23–26
Metadata
Title
Mid Versus Late Secondary Alveolar Cleft Grafting Using Iliac Crest Corticocancellous Bone Graft
Authors
Priya Jeyaraj
N. K. Sahoo
Ashish Chakranarayan
Publication date
01-06-2014
Publisher
Springer India
Published in
Journal of Maxillofacial and Oral Surgery / Issue 2/2014
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI
https://doi.org/10.1007/s12663-013-0509-4

Other articles of this Issue 2/2014

Journal of Maxillofacial and Oral Surgery 2/2014 Go to the issue

Cyst and Tumor

Odontogenic Myxoma

Research Paper

Microbial Isolations from Maxillofacial Operation Theatre and its Correlation to Fumigation in a Teaching Hospital in India

Research Paper

Artefacts Produced by Normal Saline When Used as a Holding Solution for Biopsy Tissues in Transit

Cyst and Tumor

Schwannoma of Tongue

Technical Note

A Simple Method of Preventing Needle Stick Type Injury to the Operator’s Finger While Performing Intermaxillary Fixation

Clinical Paper

Nasoalveolar Moulding for Children with Unilateral Cleft Lip and Palate