Skip to main content
Top
Published in: Journal of Maxillofacial and Oral Surgery 1/2013

01-03-2013 | Clinical Study

Radiographic Assessment of Influence of Cleft Width and Canine Position on Alveolar Bone Graft Success: A Retro-Prospective Study

Authors: Varsha H. Upadya, H. Hari Kishore Bhat, K. Gopalkrishnan

Published in: Journal of Maxillofacial and Oral Surgery | Issue 1/2013

Login to get access

Abstract

Purpose

To evaluate the effect of cleft width and the pre-surgical position of the permanent cuspid, on the success of secondary alveolar bone grafts, using preoperative and post-operative radiographs.

Methodology

A total of 20 cases treated with secondary alveolar bone grafting for alveolar clefts were included in the study. Pre-surgical maxillary occlusal radiograph was used to determine the cleft width. Canine position was assessed by marking 6 points on a pre-surgical intra oral periapical radiograph. Alveolar bone contour and the success of bone grafts were determined using 11 points marked on post-operative periapical radiographs taken after a minimum follow-up of 6 months.

Results

Linear regression analysis of pre-operative cleft width and pre-operative position of the permanent cuspid were carried out on the bone graft success which was determined using post-surgical periapical radiographs. P < 0.05 was set. The results obtained had weak correlations and were statistically not significant.

Conclusion

We concluded that the success of the alveolar bone graft has minimal or no relation to the pre-operative width of the cleft or the position of the permanent cuspid at the time of grafting.
Literature
1.
go back to reference Long RE Jr, Sprangler BE, Yow M (1995) Cleft width and secondary alveolar bone graft success. Cleft Palate Craniofac J 32:420–427PubMedCrossRef Long RE Jr, Sprangler BE, Yow M (1995) Cleft width and secondary alveolar bone graft success. Cleft Palate Craniofac J 32:420–427PubMedCrossRef
2.
go back to reference Leonard, Bailey DW, Thompson L (1970) Delayed bone grafting in cleft palate patients. Plast Reconstr Surg 46:363–367CrossRef Leonard, Bailey DW, Thompson L (1970) Delayed bone grafting in cleft palate patients. Plast Reconstr Surg 46:363–367CrossRef
3.
go back to reference Witherow H, Cox S, Jones E, Carr R (2002) A new scale to assess radiographic success of secondary alveolar bone grafts. Cleft Palate Craniofac J 39:255–260PubMedCrossRef Witherow H, Cox S, Jones E, Carr R (2002) A new scale to assess radiographic success of secondary alveolar bone grafts. Cleft Palate Craniofac J 39:255–260PubMedCrossRef
4.
go back to reference Helms JA, Speidel MT, Denis KL (1987) Effect of timing on long-term clinical success of alveolar cleft bone grafts. Am J Orthod Dentofac Orthop 92:232–240CrossRef Helms JA, Speidel MT, Denis KL (1987) Effect of timing on long-term clinical success of alveolar cleft bone grafts. Am J Orthod Dentofac Orthop 92:232–240CrossRef
5.
go back to reference Long RE Jr, Paterno M, Vinson B (1996) Effect of cuspid positioning in the cleft at the time of secondary alveolar bone grafting on eventual graft success. Cleft Palate Craniofac J 33:225–230PubMedCrossRef Long RE Jr, Paterno M, Vinson B (1996) Effect of cuspid positioning in the cleft at the time of secondary alveolar bone grafting on eventual graft success. Cleft Palate Craniofac J 33:225–230PubMedCrossRef
6.
go back to reference Lilja J, Kalaaji A, Friede H, Elander A (2000) Combined bone grafting and delayed closure of the hard palate in patients with unilateral cleft lip and palate: facilitation of lateral incisor eruption and evaluation of indicators for timing of the procedure. Cleft Palate Craniofac J 37(1):98–105PubMedCrossRef Lilja J, Kalaaji A, Friede H, Elander A (2000) Combined bone grafting and delayed closure of the hard palate in patients with unilateral cleft lip and palate: facilitation of lateral incisor eruption and evaluation of indicators for timing of the procedure. Cleft Palate Craniofac J 37(1):98–105PubMedCrossRef
7.
go back to reference Hall HD, Posnick JC (1983) Early results of secondary bone grafts in 106 alveolar clefts. J Oral Maxillofac Surg 41:289–294PubMedCrossRef Hall HD, Posnick JC (1983) Early results of secondary bone grafts in 106 alveolar clefts. J Oral Maxillofac Surg 41:289–294PubMedCrossRef
8.
go back to reference Amanat N, Langdon JD (1991) Secondary alveolar bone grafting in clefts of the lip and palate. J Craniomaxillofac Surg 19:7–14PubMedCrossRef Amanat N, Langdon JD (1991) Secondary alveolar bone grafting in clefts of the lip and palate. J Craniomaxillofac Surg 19:7–14PubMedCrossRef
9.
go back to reference Enemark H, Simonsen E, Schramm JE (1985) Secondary bone grafting in unilateral cleft lip palate patients: indications and treatment procedure. Int J Oral Surg 14:2–10PubMedCrossRef Enemark H, Simonsen E, Schramm JE (1985) Secondary bone grafting in unilateral cleft lip palate patients: indications and treatment procedure. Int J Oral Surg 14:2–10PubMedCrossRef
10.
go back to reference Deeb ME, Messer LB, Lehnert MW, Hebda TW, Waite DE (1982) Canine eruption into grafted bone in maxillary alveolar cleft defects. Cleft Palate J 19:9–16PubMed Deeb ME, Messer LB, Lehnert MW, Hebda TW, Waite DE (1982) Canine eruption into grafted bone in maxillary alveolar cleft defects. Cleft Palate J 19:9–16PubMed
11.
go back to reference Bergland O, Semb Gunvor, Abyholm Frank (1986) Elimination of the residual alveolar cleft by secondary bone grafting and subsequent orthodontic treatment. Cleft Palate J 23:175–205PubMed Bergland O, Semb Gunvor, Abyholm Frank (1986) Elimination of the residual alveolar cleft by secondary bone grafting and subsequent orthodontic treatment. Cleft Palate J 23:175–205PubMed
12.
go back to reference Enemark H, Pederson SS, Bundgaard MM (1987) Long term results after secondary bone grafting of alveolar clefts. J Oral Maxillofac Surg 45:914–918CrossRef Enemark H, Pederson SS, Bundgaard MM (1987) Long term results after secondary bone grafting of alveolar clefts. J Oral Maxillofac Surg 45:914–918CrossRef
13.
go back to reference Honma K, Kobayashi T, Nakajima T, Hayasi T (1999) Computed tomographic evaluation of bone formation after secondary bone grafting of alveolar clefts. J Oral Maxillofac Surg 57:1209–1213PubMedCrossRef Honma K, Kobayashi T, Nakajima T, Hayasi T (1999) Computed tomographic evaluation of bone formation after secondary bone grafting of alveolar clefts. J Oral Maxillofac Surg 57:1209–1213PubMedCrossRef
14.
go back to reference Hynes PJ, Earley MJ (2003) Assessment of secondary alveolar bone grafting using a modification of the Bergland grading system. Br J Plast Surg 56:630–636PubMedCrossRef Hynes PJ, Earley MJ (2003) Assessment of secondary alveolar bone grafting using a modification of the Bergland grading system. Br J Plast Surg 56:630–636PubMedCrossRef
15.
go back to reference Aurouze C, Moller KT, Bevis RR, Rehm K, Rudney J (2000) The presurgical status of alveolar cleft and success of secondary bone grafting. Cleft Palate Craniofac J 37:179–184PubMedCrossRef Aurouze C, Moller KT, Bevis RR, Rehm K, Rudney J (2000) The presurgical status of alveolar cleft and success of secondary bone grafting. Cleft Palate Craniofac J 37:179–184PubMedCrossRef
16.
go back to reference El-Deeb ME, Hinrichs JE, Waite DE, Bandt CL, Bevis RR (1986) Repair of alveolar cleft defects with autogenous bone grafting: periodontal evaluation. Cleft Palate J 23:126–136 El-Deeb ME, Hinrichs JE, Waite DE, Bandt CL, Bevis RR (1986) Repair of alveolar cleft defects with autogenous bone grafting: periodontal evaluation. Cleft Palate J 23:126–136
Metadata
Title
Radiographic Assessment of Influence of Cleft Width and Canine Position on Alveolar Bone Graft Success: A Retro-Prospective Study
Authors
Varsha H. Upadya
H. Hari Kishore Bhat
K. Gopalkrishnan
Publication date
01-03-2013
Publisher
Springer-Verlag
Published in
Journal of Maxillofacial and Oral Surgery / Issue 1/2013
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI
https://doi.org/10.1007/s12663-012-0390-6

Other articles of this Issue 1/2013

Journal of Maxillofacial and Oral Surgery 1/2013 Go to the issue