Periodontal approach in the management of alveolar cleft.

Autor:	Kankara VR; Department of Periodontics, Sri Sai College of Dental Surgery, Kotherepally, Vikarabad, Telangana, India., Annavarapu S; Department of Periodontics, Sri Sai College of Dental Surgery, Kotherepally, Vikarabad, Telangana, India., Pathakota KR; Department of Periodontics, Sri Sai College of Dental Surgery, Kotherepally, Vikarabad, Telangana, India., Krishnan P; Department of Periodontics, Sri Sai College of Dental Surgery, Kotherepally, Vikarabad, Telangana, India.
Jazyk:	angličtina
Zdroj:	Journal of Indian Society of Periodontology [J Indian Soc Periodontol] 2020 Sep-Oct; Vol. 24 (5), pp. 481-485. Date of Electronic Publication: 2020 Jun 02.
DOI:	10.4103/jisp.jisp_342_19
Abstrakt:	The alveolar cleft is a bone-related developmental defect in the alveolar process of the maxillae, which is termed as cleft alveolus. The deformity occurs in 75% of the cleft palate and lip patients. Reconstructive surgery can provide both functional and esthetic benefits to such individuals. Conflicting opinions exist on the management of alveolar cleft, and these affect the treatment planning. We present the case of a 19-year-old female patient with a complaint of mobile teeth in the left frontal region of the upper jaw. On clinical examination, unilateral cleft alveolus was observed between the left lateral incisor and the canine region. A multidisciplinary approach was adopted, orthodontic treatment was started, and periodontal regenerative surgery was planned. This report also discusses the substitution of autogenous bone grafts with other materials such as allogenic grafts (demineralized freeze-dried bone allograft), platelet-rich plasma, platelet-rich fibrin membranes, and amnion membranes, which could serve as a new line of treatment for the condition. Competing Interests: There are no conflicts of interest. (Copyright: © 2020 Indian Society of Periodontology.)
Databáze:	MEDLINE
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