Microstructured beta-tricalcium phosphate for alveolar cleft repair: a two-centre study
| Autor: | Nard G. Janssen, H.-C. Sylvester-Jensen, A.P. de Ruiter, Ruud Schreurs, Ron Koole, H. Vindenes, Gert J. Meijer, G. Blindheim |
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| Rok vydání: | 2018 |
| Předmět: |
Calcium Phosphates
medicine.medical_specialty Cone beam computed tomography Cleft Lip 03 medical and health sciences 0302 clinical medicine All institutes and research themes of the Radboud University Medical Center Beta-tricalcium phosphate medicine Alveolar Process Humans In patient Stage (cooking) Bone Transplantation business.industry Alveolar process 030206 dentistry Surgery Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] Cleft Palate medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Oronasal fistula Oral Surgery business Complication Bone volume |
| Zdroj: | International Journal of Oral and Maxillofacial Surgery, 48, 6, pp. 708-711 International Journal of Oral and Maxillofacial Surgery, 48, 708-711 |
| ISSN: | 1399-0020 0901-5027 |
| Popis: | The current standard of care in alveolar cleft repair is timing the procedure in the mixed dentition stage and making use of autologous bone to restore the maxillary defect. Using a synthetic bone substitute bypasses the risk of donor site morbidity and reduces the operation time. In this study, the outcome of alveolar cleft repair using microporous beta-tricalcium phosphate (β-TCP) was investigated in patients with unilateral cleft lip and palate. Twenty patients were enrolled prospectively in this study, divided between two centres. Continuity of the alveolar process, recurrence of oronasal fistulas, and eruption of teeth into the repaired cleft were evaluated at 1year postoperative. Also, cone beam computed tomography scans were analyzed using a volume-based semi-automatic segmentation protocol. No adverse events were reported. The mean residual bone volume in the repaired cleft at 1year postoperative was 65%. There was no recurrence of oronasal fistula. Furthermore, 90% of the teeth adjacent to the cleft erupted spontaneously and all patients showed a continuous alveolar process. Secondary alveolar grafting using microporous β-TCP can safely be used in the clinical situation. Residual calcified tissue, canine eruption, and complication rates at the recipient site are comparable to those with autologous grafts. |
| Databáze: | OpenAIRE |
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