Does Early Secondary Alveolar Bone Grafting Influence Need for Additional Maxillary Advancement Procedures in Cleft Lip and Palate?
| Autor: | Powell KK; School of Dentistry, 83488University of Alabama at Birmingham, Birmingham, AL, USA., Lewis P; School of Dentistry, 83488University of Alabama at Birmingham, Birmingham, AL, USA., Sesanto R; School of Dentistry, 83488University of Alabama at Birmingham, Birmingham, AL, USA., Waite PD; School of Dentistry, 83488University of Alabama at Birmingham, Birmingham, AL, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2022 Oct; Vol. 59 (10), pp. 1279-1285. Date of Electronic Publication: 2021 Sep 13. |
| DOI: | 10.1177/10556656211042789 |
| Abstrakt: | Objective: To determine if secondary alveolar bone grafting (SABG) timing in patients with cleft lip and palate (CLP) influences the future need for additional maxillary advancement procedures, particularly Le Fort I osteotomy with rigid external distraction (RED). Design: Retrospective cohort study. Groups were separated by SABG timing: early mixed dentition (ages 68 years) or late mixed dentition (ages 9-11 years). The criterion for RED was negative overjet ≥8 mm, and sufficient dental development for RED. Setting: Single tertiary care institution. Patients: Patients with CLP that underwent SABG from 2010 to 2015. Exclusion criteria included syndromic conditions, SABG surgery at age >12 years, current age <12 years, and <2 years follow-up. 104 patients were included. Main Outcome Measures: The number of RED candidates and treated patients. Results: There was no statistical difference in the number of RED candidates ( P = .0718) nor treated patients ( P = .2716) based on SABG timing; stratification by laterality was also insignificant. Early SABG is associated with higher odds of being a RED candidate (pooled, unilateral, bilateral) and treated patient (pooled and unilateral); however, there were no statistically significant associations between SABG timing and the number of RED candidates and treated patients as determined by logistic regression models. Conclusion: There is no statistically significant association between SABG timing and the odds of being a RED candidate or treated patient. Future prospective studies are recommended to assess the relationship between SABG timing and maxillary growth in patients with CLP. |
| Databáze: | MEDLINE |
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