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Alveolar cleft

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https://www.readbyqxmd.com/read/29215438/mucosal-dehiscence-after-alveolar-bone-graft-in-cleft
#1
Giulia Amodeo, Domenico Scopelliti
Cleft lip and palate patient represent a challenging experience for the surgeon. This kind of patients had to be followed by a multidisciplinary team from the beginning to the end to avoid the deformation sequelae. During the several surgical procedures, the bone graft represents a possible procedure that, through the new procedure, could be avoided. Unfortunately, patient treated following the previous procedure must be submitted to alveolar bone graft to coordinate the arch, to restore the maxillary integrity, to allow the correct dentition...
December 6, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29194721/initial-experiences-with-nam-assisted-primary-repair-of-the-bclp-deformity
#2
Sabarinath Prasad, Sreeja Ravindran, Vasanth Radhakrishnan, P V Hazarey, Amit Vanka, Bhavya Rajan
BACKGROUND: Primary surgical repair of the bilateral cleft lip and palate (BCLP) deformity is challenging. Infant Orthopedic (IO) procedures are often used to assist surgical reconstruction of normal anatomy. Nasoalveolar molding (NAM) is a presurgical infant orthopedic procedure that attempts to reduce the cleft nasal deformity, in addition to the lip and alveolus, leading to an esthetic primary surgical repair. OBJECTIVE: NAM provides the surgical team with a better foundation for an easier and more esthetic single stage repair at the level of nose in addition to the lip and alveolus...
December 1, 2017: Special Care in Dentistry
https://www.readbyqxmd.com/read/29194267/evaluating-of-platelet-rich-fibrin-in-the-treatment-of-alveolar-cleft-with-iliac-bone-graft-by-means-of-volumetric-analysis
#3
Nesrin Saruhan, Umit Ertas
The purpose of this study was to evaluate the efficiency of platelet-rich fibrin usage in the treatment of alveolar cleft with iliac bone graft by means of volumetric analysis. In this study, 22 patients with alveolar clefts-including 13 unilateral and 9 bilateral-were treated with anterior iliac crest bone grafts. Patients were divided into 2 groups as control (group A) and platelet-rich fibrin (group B) groups. Cone beam computed tomography (CBCT) scans were obtained preoperatively and 6 months postoperatively...
November 20, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29175511/speech-evaluation-after-intravelar-veloplasty-how-to-use-borel-maisonny-classification-in-the-international-literature
#4
Natacha Kadlub, Cecile Chapuis Vandenbogaerde, Aline Joly, Cecilia Neiva, Marie-Paule Vazquez, Arnaud Picard
OBJECTIVE: Comparing functional outcomes after velar repair apparead to be difficult because of the absence of intenational standardized scale. Moreover most of the studies evalutating speech after cleft surgery presents multiple biais. The aim of our study was to assess speech outcomes in an homogeneous group of patients, and to define an equivalence table between different speech scales. MATERIALS AND METHODS: Patients with isolated cleft lip and palate (CLP), operated in our unit by the same senior surgeon were included...
November 22, 2017: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29167708/tooth-abnormalities-in-individuals-with-unilateral-alveolar-clefts-a-comparison-between-sides-using-cone-beam-computed-tomography
#5
Bruno-Torres Bezerra, John-Nadson-Andrade Pinho, Luiz-Carlos-Ferreira da Silva
Background: Tooth abnormalities are most often present in individuals with oral clefts than general population, and lead to a long-term impact on facial anatomy and self-esteem. The purpose of this study was to compare the proportion of dental anomalies between the cleft side and non-cleft side in individuals with non-syndromic unilateral alveolar clefts (AC). Material and Methods: Twenty cone beam computed tomography (CBCT) scans were converted into three-dimensional (3D) virtual models...
October 2017: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/29135724/alignment-strategy-for-constricted-maxillary-dental-arch-in-patients-with-unilateral-cleft-lip-and-palate-using-fixed-orthodontic-appliance
#6
Yoon-Hee Park, Sumin Park, Seung-Hak Baek
The purpose of this study was to compare the alignment pattern of the constricted maxillary dental arch by fixed orthodontic treatment (FOT) in the well-aligned and constricted arches of unilateral cleft lip and palate (UCLP) patients. 19 UCLP patients were divided into Group 1 (well-aligned arch, n = 9) and Group 2 (constricted arch, n = 10). After the cephalometric and maxillary dental arch variables before (T1) and after FOT (T2) were measured, statistical analysis was performed. There were no significant differences in the surgical timing of cheiloplasty, palatoplasty, and secondary alveolar bone grafting and in the surgical method of cheiloplasty between the 2 groups...
November 9, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29109841/mandibular-reconstruction-with-lateral-tibial-bone-graft-an-excellent-option-for-oral-and-maxillofacial-surgery
#7
Ana Lucia Carpi Miceli, Livia Costa Pereira, Thiago da Silva Torres, Mônica Diuana Calasans-Maia, Rafael Seabra Louro
Autogenous bone grafts are the gold standard for reconstruction of atrophic jaws, pseudoarthroses, alveolar clefts, orthognathic surgery, mandibular discontinuity, and augmentation of sinus maxillary. Bone graft can be harvested from iliac bone, calvarium, tibial bone, rib, and intraoral bone. Proximal tibia is a common donor site with few reported problems compared with other sites. The aim of this study was to evaluate the use of proximal tibia as a donor area for maxillofacial reconstructions, focusing on quantifying the volume of cancellous graft harvested by a lateral approach and to assess the complications of this technique...
December 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/29098246/-clinical-effect-of-modified-alveolar-cleft-repair-with-bone-grafting
#8
Ye Wu, Fu-Ping Xie, Huan-Huan Liu, Niu Gang, Jia-Min Chen, Li-Song Lin
PURPOSE: To evaluate the clinical effect of improved alveolar cleft repair with bone grafting. METHODS: Forty one cases with alveolar cleft treated by modified operation between 2008-2016 were included. The modified techniques were as follow: incision design, preparation of bone graft bed, bone removal and bone grafting, etc. The therapeutic effect was analyzed. RESULTS: The successful rate was 92.8%. After 6-12 months of follow-up, bone graft survived well with no obvious complications...
June 2017: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
https://www.readbyqxmd.com/read/29072649/-algorithm-of-orthodontic-treatment-of-cleft-lip-and-palate-patients-before-and-after-autogenous-bone-grafting
#9
O I Arsenina, E I Malashenkova, S A Pashchenko
The aim of the study was to elaborate the algorithm of orthodontic treatment of cleft lip and palate (CLP) patients. One hundred and twenty-six CLP patients after CLP plasty preparing for alveolar ridge reconstruction were divided into 3 groups according to their age: 47 (37%) patients aged 6 to 11 years; 50 (40%) aged 12 to 17 years; 29 (23%) patients aged 18-27. Eighty-four (66.7%) patients had unilateral CLP and 42 (33.3%) had bilateral CLP. Complex examination revealed typical dental and maxillofacial features for each group...
2017: Stomatologii︠a︡
https://www.readbyqxmd.com/read/29066039/custom-milled-individual-allogeneic-bone-grafts-for-alveolar-cleft-osteoplasty-a-technical-note
#10
Sven Otto, Christin Kleye, Egon Burian, Michael Ehrenfeld, Carl-Peter Cornelius
INTRODUCTION: Bone grafts from the iliac crest are most commonly used for osteoplasties of the cleft alveolus. To preclude undue donoresite morbidity custom-milled allogeneic bone grafts might be an appropriate choice. MATERIAL AND METHODS: This technical note showcases the repair of an alveolar cleft using an individualized allogeneic bone graft in a 36-year old female patient. She was asking for an alternative to the iliac crest bone grafting. Her alveolus was successfully build up by a custom-milled cancellous bone block allograft (maxgraft(®) 80 bonebuilder)...
September 20, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29062005/bone-marrow-mononuclear-cells-combined-with-beta-tricalcium-phosphate-granules-for-alveolar-cleft-repair-a-12-month-clinical-study
#11
Fengzhou Du, Huanhuan Wu, Haidong Li, Lei Cai, Qian Wang, Xia Liu, Ran Xiao, Ningbei Yin, Yilin Cao
Alveolar cleft is the most common congenital bone defect. Autologous iliac crest bone graft (ICBG) is the most widely adopted procedure for alveolar cleft repair, but the condition is associated with door-site morbidities. For the first time, this study used bone marrow mononuclear cells (BMMNCs) combined with beta-tricalcium phosphate (β-TCP) granules to repair alveolar bone defect. The effectiveness of this technique was compared with autologous ICBG after 12 months of follow-up. The bone formation volume was quantitatively evaluated by three-dimensional computed tomography and computer aided engineering technology...
October 23, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29026827/evaluation-of-secondary-and-late-secondary-alveolar-bone-grafting-on-66-unilateral-cleft-lip-and-palate-patients
#12
Ravi Mahajan, Harish Ghildiyal, Ankit Khasgiwala, Gogulnathan Muthukrishnan, Sukhdeep Kahlon
OBJECTIVE: The aim of this retrospective study was to evaluate the outcomes of secondary alveolar bone grafting and late secondary alveolar bone grafting in 66 unilateral cleft lip and palate patients. MATERIALS AND METHODS: The total patients were 66 unilateral cleft lip and palate patients, out of which 19 patients underwent secondary alveolar bone grafting and 47 patients underwent late secondary alveolar bone grafting. Autogenous anterior iliac crest cancellous bone graft was harvested and used for grafting the alveolar clefts...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/28980856/cryogel-scaffolds-from-patient-specific-3d-printed-molds-for-personalized-tissue-engineered-bone-regeneration-in-pediatric-cleft-craniofacial-defects
#13
Katherine R Hixon, Alexa M Melvin, Alexander Y Lin, Andrew F Hall, Scott A Sell
Bone defects are extremely common in children with cleft-craniofacial conditions, especially those with alveolar cleft defects and cranial defects. This study used patient-specific 3D-printed molds derived from computed tomography and cryogel scaffold fabrication as a proof of concept for the creation of site-specific implants for bone reconstruction. Cryogel scaffolds are unique tissue-engineered constructs formed at sub-zero temperatures. When thawed, the resulting structure is macroporous, sponge-like, and mechanically durable...
January 1, 2017: Journal of Biomaterials Applications
https://www.readbyqxmd.com/read/28962735/alveolar-bone-morphology-of-maxillary-central-incisors-near-grafted-alveolar-clefts-after-orthodontic-treatment
#14
Marilia Yatabe, Gabriela Manami Natsumeda, Felicia Miranda, Guilherme Janson, Daniela Garib
INTRODUCTION: The aim of this study was to evaluate the thickness and the height of the maxillary central incisors' alveolar bone near the grafted alveolar cleft area, after comprehensive orthodontic treatment. METHODS: The sample comprised 30 patients with unilateral alveolar cleft with a mean age of 20.5 years (range, 17-25.8 years). High-resolution cone-beam computed tomography images of the maxilla were obtained 6 to 24 months after the comprehensive orthodontic treatment...
October 2017: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/28953729/reinforcing-the-mucoperiosteal-pocket-with-the-scarpa-fascia-graft-in-secondary-alveolar-bone-grafting-a-retrospective-controlled-outcome-study
#15
Daniel Lonic, Kazuaki Yamaguchi, Betty Chien-Jung Pai, Lun-Jou Lo
BACKGROUND: Secondary alveolar bone grafting is the gold standard for the treatment of alveolar clefts in cleft lip and palate patients. The authors present a modified method using a Scarpa fascia graft that is placed deep into the mucoperiosteal pocket for watertight sealing of the bone graft chamber and limiting the graft position to the alveolar region for bony stability and tooth support. The outcome was assessed for clinical success in terms of bone graft stability and infection rate...
October 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28953728/three-dimensional-cone-beam-computed-tomography-volumetric-outcomes-of-rhbmp-2-demineralized-bone-matrix-versus-iliac-crest-bone-graft-for-alveolar-cleft-reconstruction
#16
Fan Liang, Stephen L-K Yen, Thomas Imahiyerobo, Luke Sanborn, Leia Yen, Daniel Yen, Sheila Nazarian, Breanna Jedrzejewski, Mark Urata, Jeffrey Hammoudeh
BACKGROUND: Recent studies indicate that recombinant human bone morphogenetic protein-2 (rhBMP-2) in a demineralized bone matrix scaffold is a comparable alternative to iliac bone autograft in the setting of secondary alveolar cleft repair. Postreconstruction occlusal radiographs demonstrate improved bone stock when rhBMP-2/demineralized bone matrix (DBM) scaffold is used but lack the capacity to evaluate bone growth in three dimensions. This study uses cone beam computed tomography to provide the first clinical evaluation of volumetric and density comparisons between these two treatment modalities...
October 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28946895/an-unusual-foreign-object-mimicking-an-odontoma-in-a-patient-with-cleft-alveolus-a-case-report
#17
Nadeena Sri Swarnagupta Jayasuriya, Pallege Ralalage Chandana Lakmal Karunathilaka, Parakrama Wijekoon
BACKGROUND: The habit of inserting foreign objects into body cavities is seen in children and in adults with intellectual disability. Usually, the foreign objects cause chronic inflammation and local tissue destruction, which give rise to symptoms. Diagnosis at an asymptomatic stage is uncommon when the history is not suggestive. We describe a rare case where a foreign object was misdiagnosed as an odontoma in a patient with an alveolar cleft. CASE PRESENTATION: A radiopaque round mass was noted on the radiograph of a 12-year-old Sinhalese boy who was awaiting an alveolar bone graft...
September 26, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28937909/the-effect-of-dynacleft%C3%A2-on-cleft-width-in-unilateral-cleft-lip-and-palate-patients
#18
LaQuia Vinson
OBJECTIVE: The specific aim of this retrospective cross-sectional study was to assess the efficacy of DynaCleft® as a method of presurgical orthopedics with infants with a unilateral cleft lip and cleft palate who used an oral obturator. STUDY DESIGN: Data was collected from 25 infants all of comparable age diagnosed with a unilateral complete cleft lip and palate. Eight patients used DynaCleft ® and an obturator (Group Alpha) and seventeen patients only had an obturator (Group Beta)...
2017: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/28932054/darier-disease-a-rare-genodermatosis
#19
Hema Suryawanshi, Akshay Dhobley, Aparna Sharma, Pramod Kumar
Darier disease (DD), also known as keratosis follicularis or dyskeratosis follicularis, is a rare autosomal dominant genodermatosis with high penetrance and variable expressivity. It is caused by mutations of ATP2A2 gene which encodes the sarco/endoplasmic reticulum Ca(2+) ATPase isoform 2. It is clinically manifested by hyperkeratotic papules primarily affecting seborrheic areas on the head, neck and thorax, with less frequent involvement of the oral mucosa. When oral manifestations are present, they primarily affect the palatal and alveolar mucosa, are usually asymptomatic and are discovered in routine dental examination...
May 2017: Journal of Oral and Maxillofacial Pathology: JOMFP
https://www.readbyqxmd.com/read/28923271/biological-effects-of-orthodontic-tooth-movement-into-the-grafted-alveolar-cleft
#20
Jian Sun, Xiaoyue Zhang, Renmei Li, Zhengxi Chen, Yuanliang Huang, Zhenqi Chen
PURPOSE: Functional stimulus during orthodontic tooth movement into the grafted bone can lead to better alveolar bone grafting outcomes. The aim of this study was to analyze the biological effects of orthodontic tooth movement into the grafted alveolar cleft area with histologic staining, fluorescence staining, and real-time polymerase chain reaction (PCR). MATERIALS AND METHODS: An animal model of orthodontic tooth movement into the grafted alveolar cleft area was established in 8-week-old Sprague-Dawley rats...
August 24, 2017: Journal of Oral and Maxillofacial Surgery
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