Early Secondary Alveoloplasty in Cleft Lip and Palate
| Autor: | Paolo Arangio, Tito Matteo Marianetti, Piero Cascone, Valerio Ramieri, Massimiliano Tedaldi |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Cleft Lip growth medicine.medical_treatment bone-grafts maxillary alveolar Dentistry Bone grafting Bone tissue Iliac crest Orthodontics Corrective Tooth Eruption Alveoloplasty alveolar reconstruction gingivoalveoloplasty Alveolar Process Humans Medicine Child defects Dental alveolus cleft palate Bone Transplantation business.industry General Medicine secondary bone grafting alveolar cleft repair residual alveolar Dental arch medicine.anatomical_structure Otorhinolaryngology Maxilla Orthopedic surgery Surgery Implant business Oral Fistula |
| Zdroj: | Journal of Craniofacial Surgery. 19:1364-1369 |
| ISSN: | 1049-2275 |
| DOI: | 10.1097/scs.0b013e31818434c3 |
| Popis: | The aims of this study were to present a personal surgical technique throughout the review of international literature concerning surgical techniques, objectives, and outcomes in early secondary alveoloplasty and to describe our personal surgical techniques in alveolar bone defect repair in cleft lip and palate. Throughout a literature analysis, it is now settled that early secondary alveoloplasty could reestablish the continuity of alveolar bone and prevent upper dental arch collapse after presurgical orthopedic upper maxilla expansion; it also might give a good bone support for teeth facing the cleft and allow the eruption of permanent elements with the bone graft and rebalance the symmetry of dental arch, improve facial aesthetic, guarantee an adequate amount of bone tissue for a further prosthetic reconstruction with implant, and finally close the eventual oronasal fistula. The surgical technique we are presenting permitted a total number of 35 early secondary alveoloplasty on which a long-term follow-up is still taking place. We can assess that early secondary alveoloplasty must be performed before permanent canine eruption. Iliac crest is the suggested donor site for bone grafting; orthopedic and orthodontic treatments must be performed in association with surgery, and if there is the dental element agenesia, an implantation treatment must be considered. |
| Databáze: | OpenAIRE |
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