The effect of pre-surgical orthodontics on secondary alveolar bone grafting in the patients with complete cleft lip and palate.
- Author:
Yi-lin JIA
1
;
Min-kui FU
;
Lian MA
Author Information
- Publication Type:Journal Article
- MeSH: Abnormalities, Multiple; surgery; therapy; Adolescent; Adult; Alveolar Process; abnormalities; surgery; Bone Transplantation; Child; Cleft Lip; complications; surgery; Cleft Palate; complications; surgery; Female; Humans; Male; Malocclusion; complications; surgery; therapy; Orthodontic Appliances; Orthodontics, Corrective
- From: Chinese Journal of Stomatology 2004;39(3):236-238
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo examine the effect of pre-surgical orthodontics on the outcome of the secondary alveolar bone grafting in the patients with complete cleft lip and palate.
METHODSSixteen complete cleft lip and palate patients (9 males and 7 females) with collapsed upper arch or severe mal-positioned upper incisors were selected. The cleft was not easily grafted because of the poor access. The total cleft sites were 22 (10 patients with UCLP and 6 patients with BCLP). The age range of the patients was from 8 to 22 years. Pre-surgical orthodontic treatment was mainly to expand the collapsed upper arch and correct the mal-positioned upper incisors. After the secondary alveolar bone grafting, the patients were followed up and anterior occlusal radiograph/intraoral panograph were taken regularly. The observation period was from 6 months to 4 years. Bergland criteria were used to evaluate the interdental septal height.
RESULTSUpper arch expansion and the correction of the mal-positioned upper incisors done by the orthodontic treatment made the bone grafting procedure easier. The clinically successful rate reached 86%.
CONCLUSIONThe severe upper arch collapse and mal-positioned upper incisors in the patients with complete cleft lip and palate should be corrected orthodontically before the secondary alveolar bone grafting.
