Alveolar bone grafting in association with polyostotic fibrous dysplasia and bisphosphonate-induced abnormal bone turnover in a bilateral cleft lip and palate patient: a case report.

Autor: Kodama Y; Division of Oral and Maxillofacial Surgery, Niigata Graduate School of Medical and Dental Sciences, Niigata, Japan. damadama@dent.niigata-u.ac.jp, Ogose A, Oguri Y, Ubaidus S, Iizuka T, Takagi R
Jazyk: angličtina
Zdroj: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [J Oral Maxillofac Surg] 2012 Sep; Vol. 70 (9), pp. e500-8.
DOI: 10.1016/j.joms.2012.05.015
Abstrakt: A case is presented of extensive alveolar bone grafting in a patient with bilateral cleft lip and palate and polyostotic fibrous dysplasia. The patient previously underwent bisphosphonate therapy. Because of an abnormal and often decreased bone turnover caused by the fibrous dysplasia and the bisphosphonate therapy, bone grafting in such a patient poses several potential difficulties. In addition, the histomorphometric analysis of the bone grafts showed markedly decreased bone turnover. However, alveolar bone grafting using the iliac crest was performed successfully. Sufficient occlusion was achieved by postoperative low-loading orthodontic treatment.
(Copyright © 2012 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE