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Clinical Oral Investigations

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Open Access 01-04-2021 | Computed Tomography | Original Article

A novel method for alveolar bone grafting assessment in cleft lip and palate patients: cone-beam computed tomography evaluation

Authors: Marcin Stasiak, Anna Wojtaszek-Słomińska, Bogna Racka-Pilszak

Published in: Clinical Oral Investigations | Issue 4/2021

Abstract

Objectives

This retrospective cross-sectional study aimed to present a new method for secondary alveolar bone grafting (SABG) assessment and to qualitatively evaluate the SABG results in unilateral cleft lip and palate patients.

Materials and methods

Research was conducted according to the STROBE guidelines. The study group consisted of 21 patients with a mean age of 16 years. High-resolution cone-beam computed tomography (CBCT) was performed at least 1 year after grafting. The experimental side was the cleft side, and the contralateral side without a congenital cleft was the control. Measurements were performed at four levels of the maxillary central incisors’ roots according to the new scale with scores from 0 to 3. The sum of the scores provided a general assessment of bone architecture. The Wilcoxon signed-rank test was used for intergroup comparisons, and a Kappa coefficient was used for reproducibility measurements.

Results

High individual variability was found, and the bone architecture was significantly worse on the cleft side than on the noncleft side. The results showed 28.57% failure, 33.33% poor, 19.05% moderate, and 19.05% good results from the surgical procedure. Kappa coefficients produced results from 0.92 to 1.00 for intra-rater and from 0.81 to 1.00 for inter-rater reproducibility.

Conclusions

CBCT provides detailed information about alveolar bone morphology. The new assessment method is useful at every treatment stage and provides excellent repeatability. SABG did not provide good bone morphology, in most cases.

Clinical relevance

This research presents a new universal alternative for the assessment of SABG by utilizing CBCT.

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Title: A novel method for alveolar bone grafting assessment in cleft lip and palate patients: cone-beam computed tomography evaluation
Authors: Marcin Stasiak
Anna Wojtaszek-Słomińska
Bogna Racka-Pilszak
Publication date: 01-04-2021
Publisher: Springer Berlin Heidelberg
Keywords: Computed Tomography
Computed Tomography
Cleft Lip and Palate
Cleft Lip and Palate
Cleft Lip and Palate
Cleft Lip and Palate
Cleft Lip and Palate
Published in: Clinical Oral Investigations / Issue 4/2021
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-020-03505-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

A novel method for alveolar bone grafting assessment in cleft lip and palate patients: cone-beam computed tomography evaluation

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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