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Alveolar cleft

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https://www.readbyqxmd.com/read/29672163/an-unusual-case-of-an-odontogenic-keratocyst-associated-with-an-ungrafted-alveolar-cleft-a-case-report-and-review-of-the-literature
#1
Sapna Radia, Alexander C Cash, Kanwalraj Moar
We describe an unusual case of an odontogenic keratocyst (OKC) associated with an ungrafted left-sided alveolar cleft in a 10-year-old male patient. There is no previous report in the literature of OKC or other dental cysts associated with an alveolar cleft. We discuss the management of the OKC prior to secondary bone grafting and present this case to highlight the difficulty in the management of OKC concurrent with grafting of the alveolar cleft site, the proximity of unerupted permanent teeth, and possible treatment modalities...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29652537/subphenotyping-and-classification-of-cleft-lip-and-alveolus-in-adult-unoperated-patients-a-new-embryological-approach
#2
Christl Vermeij-Keers, Anna M Rozendaal, Antonius J M Luijsterburg, Benny S Latief, Costas Lekkas, Lea Kragt, Edwin M Ongkosuwito
OBJECTIVE: Previously, a new embryological classification was introduced subdividing oral clefts into fusion and/or differentiation defects. This subdivision was used to classify all subphenotypes of cleft lip with or without alveolus (CL±A). Subsequently, it was investigated whether further morphological grading of incomplete CLs is clinically relevant, and which alveolar part is deficient in fusion/differentiation defects. DESIGN: Observational cohort study. SETTING: Three hundred fifty adult unoperated Indonesian cleft patients presented themselves for operation...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29651856/postoperative-fixation-after-repositioning-of-premaxilla-in-a-patient-with-bilateral-cleft-lip-and-palate-case-report
#3
M Koťová, M Dušková, E Leamerová, W Urbanová, K Schwarzmannová, K Novotná, A Sukop
This article presents orthodontic-surgical treatment in an eight-year-old patient with bilateral cleft lip and palate where premaxilla was surgically repositioned in the mixed dentition stage. By cranial and dorsal insertion of the premaxilla were created satisfactory occlusal relationship for ongoing eruption of permanent teeth, together with functional lip closure, improved pronunciation and a positive change in appearance of the centrofacial area. Reposition of premaxilla was associated with bilateral alveolar bone grafting of the cleft defect with cancellous bone from the iliac crest...
2018: Acta Chirurgiae Plasticae
https://www.readbyqxmd.com/read/29649372/autogenous-bone-graft-versus-bovine-bone-graft-in-association-with-platelet-rich-plasma-for-the-reconstruction-of-alveolar-clefts-a-pilot-study
#4
Bruno Torres Bezerra, John Nadson Andrade Pinho, Fabrício Eneas Diniz Figueiredo, José Renato Moraes Carvalho Barreto Brandão, Lucas Celestino Guerzet Ayres, Luiz Carlos Ferreira da Silva
OBJECTIVE: To compare the outcomes of 2 different bone graft materials: autogenous bone grafts from mandibular symphysis and bovine bone grafts associated with platelet-rich plasma (PRP). METHODS: Twenty individuals met the inclusion criteria and accepted to participate in the study. Group A patients underwent alveolar bone grafting using autologous bone and group B patients using a bovine bone graft associated with PRP. Cone beam computed tomography scans were taken and reconstructed 3-dimensionally for all patients preoperatively and 1 year postoperatively...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29618896/cortical-bone-graft-and-gtr-membrane-as-ceiling-effect-in-alveolar-bone-grafting
#5
Philip Mathew, P Varun Menon
Background: In orofacial cleft deformity cases, bone grafting is a very essential step in reconstruction of the residual alveolar cleft defect. Material and Methods: Though various authors have put forth different techniques and graft sources for alveolar bone grafting, at our center, we have used iliac crest as the graft source and cortical bone graft with GTR membrane as "ceiling effect". Results: We have evaluated a series of cases of secondary alveolar bone grafting done with this technique by same surgeon at our center and have found great success...
June 2018: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29618882/techniques-to-improve-reliability-and-predictability-of-the-dorsal-pedicled-tongue-flap-in-closure-of-palatal-defects-and-oronasal-fistulae
#6
Colonel Priya Jeyaraj
Introduction: Despite the improvement in surgical techniques in cleft palate surgery, oronasal fistulas continue to remain a challenge, usually the result of residual palatal and alveolar clefts and post-palatoplasty defects. The tongue flap is an extremely versatile, sturdy, reliable and efficient means of closure of anterior as well as posterior, unilateral and bilateral palatal defects, effectively functionally obliterating the oronasal communication, owing much of its success to its highly vascular structure, good mobility, texture match, central location and low donor site morbidity...
June 2018: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29602346/dentoskeletal-effects-of-facemask-therapy-in-skeletal-class-iii-cleft-patients-with-or-without-bone-graft
#7
Yixin Zhang, Haichao Jia, Zhen Fu, Yiping Huang, Zhizun Wang, Runzhi Guo, Jiaan Shen, Weiran Li
INTRODUCTION: The association between maxillary protraction and bone graft in patients with cleft lip and palate remains unclear. The purpose of this study was to investigate whether a secondary alveolar bone graft influences dentoskeletal effects of facemask therapy in unilateral cleft lip and palate patients with a skeletal Class III relationship. METHODS: In this prospective nonrandomized clinical trial, 61 consecutive boys with unilateral cleft lip and palate and skeletal Class III malocclusion were divided into 3 groups: grafted facemask group (n = 21), ungrafted facemask group (n = 20), and untreated control group (n = 20)...
April 2018: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/29595867/aesthetic-satisfaction-in-lip-and-palate-clefts-a-comparative-study-between-secondary-and-tertiary-bone-grafting
#8
E Brauner, F De Angelis, S Jamshir, S Mezi, R C Tiroli, G Pompa, A Quarato, S Di Carlo
Lip and palate cleft represent one of the most frequently occurring congenital deformity, which includes dental anomalies, such as variation in tooth number and position. In case of hypodontia implant-prosthetic rehabilitation offers significant advantages in terms of function, aesthetics and quality of life and bone graft is usually needed. Secondary bone grafting, generally performed in the mixed dentition phase (years 8-11) seems to be the most successful method to allow for rehabilitation. It's often necessary to perform a tertiary bone grafting in adult age in order to achieve better bone quantity and quality before implant placement...
March 2018: La Clinica Terapeutica
https://www.readbyqxmd.com/read/29570383/segmental-maxillary-distraction-osteogenesis-with-a-hybrid-type-distractor-in-the-management-of-wide-alveolar-cleft
#9
Jianfei Zhang, Wenbin Zhang, Steve Guofang Shen
OBJECTIVE: To investigate segmental maxillary distraction osteogenesis (DO) with hybrid-type distractor in the management of wide alveolar cleft. PATIENTS AND METHODS: Six patients underwent segmental DO with a hybrid-type distractor. After the success of DO and 3-month consolidation period, removal of the distractor was accompanied by alveolar bone graft with iliac bone. Panoramic radiograph and computed tomography scanning were taken preoperatively (T0) and the day after distractor removal (T1)...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29489417/compensations-in-bone-morphology-and-the-dentition-in-patients-with-untreated-unilateral-cleft-lip-and-palate-a-cone-beam-computed-tomographic-analysis
#10
McKenzie E Woods, Cynthia S Beeman, Philip M Westgate, Lucas Cardinal, Sarandeep S Huja
OBJECTIVE: The purpose of this study was to quantitatively assess dentoalveolar and skeletal compensations in patients with untreated unilateral cleft lip and palate (UCLP). We hypothesized that there are significant skeletal and dental adaptations in UCLP cases compared to a comparison maxillary crossbite group. DESIGN: A convenience retrospective sample of 30 patients with UCLP and a comparison group of 30 patients with unilateral posterior crossbite without CLP...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29489414/morphologic-evaluation-for-safe-le-fort-i-osteotomy-in-cleft-lip-and-palate
#11
Miki Watanabe, Akira Watanabe, Nobuo Takano, Chikara Saito, Takahiko Shibahara
OBJECTIVE: The present study aimed to determine the structure and morphology of the maxilla in patients with cleft lip and palate to ensure safe Le Fort I osteotomy. PATIENTS: A total of 34 sides of 17 patients with unilateral cleft lip and palate (nonsyndromic cases) were included in this study. The control group included 10 sides of 5 patients who exhibited skeletal mandibular protrusion without malformation. METHODS: Finite element analysis was performed to examine the distribution of occlusal force over the maxilla, and continuous 3-dimensional measurement was performed at the sites of stress concentration...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29477844/comparison-of-the-bone-regeneration-ability-between-stem-cells-from-human-exfoliated-deciduous-teeth-human-dental-pulp-stem-cells-and-human-bone-marrow-mesenchymal-stem-cells
#12
Kengo Nakajima, Ryo Kunimatsu, Kazuyo Ando, Toshinori Ando, Yoko Hayashi, Takuya Kihara, Tomoka Hiraki, Yuji Tsuka, Takaharu Abe, Masato Kaku, Hiroki Nikawa, Takashi Takata, Kazuo Tanne, Kotaro Tanimoto
Cleft lip and palate is the most common congenital anomaly in the orofacial region. Autogenous iliac bone graft, in general, has been employed for closing the bone defect at the alveolar cleft. However, such iliac bone graft provides patients with substantial surgical and psychological invasions. Consequently, development of a less invasive method has been highly anticipated. Stem cells from human exfoliated deciduous teeth (SHED) are a major candidate for playing a significant role in tissue engineering and regenerative medicine...
February 22, 2018: Biochemical and Biophysical Research Communications
https://www.readbyqxmd.com/read/29476672/block-iliac-bone-grafting-enhances-osseous-healing-of-alveolar-reconstruction-in-older-cleft-patients-a-radiological-and-histological-evaluation
#13
Y Du, W Zhou, Y Pan, Y Tang, L Wan, H Jiang
BACKGROUND: Older alveolar cleft patients (>12 years old) often have wide bone defect as well as teeth loss, resulting in poor osseous healing with conventional alveolar bone grafting (ABG). In this study, we investigated a surgical technique of block iliac bone grafting for the alveolar cleft reconstruction and evaluated the clinical and radiological outcomes of these cleft patients. MATERIAL AND METHODS: Fifteen patients were included in this study. All cases received preoperative cone bean computed tomography (CBCT) scans for the alveolar cleft evaluation...
February 24, 2018: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/29465075/-resorbable-vs-nonresorbable-fixation-in-alveolar-bone-grafting-in-unilateral-cleft-lip-and-palate-patients
#14
A L Ivanov, E I Reshetnyak, N V Starikova, N V Udalova, A G Nadtochy
The aim of the study was to evaluate the resorbable vs nonresorbable fixation efficiency in bone grafting for unilateral cleft lip and palate (UCLP) patients. Thirty eight UCLP patients aged from 7 to 17 years (mean 11.5±3.1 years) were divided in two groups with different types of cortical graft fixation: group 1 ─ titanium screws (22 patients), group 2 ─ resorbable pins (16 patients). The Bergland and Chelsea scales were used to evaluate the outcomes 8 months after surgery. Additional authors' original scales were introduced: bone volume scale and pyriform rim restoration scale...
2018: Stomatologii︠a︡
https://www.readbyqxmd.com/read/29461365/alternatives-to-autologous-bone-graft-in-alveolar-cleft-reconstruction-the-state-of-alveolar-tissue-engineering
#15
Fan Liang, Hyuma Leland, Breanna Jedrzejewski, Allyn Auslander, Seija Maniskas, Jordan Swanson, Mark Urata, Jeffrey Hammoudeh, William Magee
Alveolar cleft reconstruction has historically relied on autologous iliac crest bone grafting (ICBG), but donor site morbidity, pain, and prolonged hospitalization have prompted the search for bone graft substitutes. The authors evaluated bone graft substitutes with the highest levels of evidence, and highlight the products that show promise in alveolar cleft repair and in maxillary augmentation. This comprehensive review guides the craniofacial surgeon toward safe and informed utilization of biomaterials in the alveolar cleft...
February 14, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29457596/evaluation-of-osteoinductive-calcium-phosphate-ceramics-repairing-alveolar-cleft-defects-in-dog-model
#16
Jinfeng Yao, Haodong Chen, Qi Gao, Zhigang Liang
BACKGROUND: Alveolar cleft repair is an important step in the sequence of treatments for cleft lip and palate. Intrinsically osteoinductive materials have been the subject of research interest. OBJECTIVE: The aim of this study was to explore the use of osteoinductive biphasic calcium phosphate (BCP) ceramics to repair alveolar cleft defects in dogs. METHODS: We prepared two kinds of BCP ceramic with different physical characteristics: osteoinductive BCP (OBCP) and non-osteoinductive BCP (NBCP)...
2018: Bio-medical Materials and Engineering
https://www.readbyqxmd.com/read/29437516/ideal-versus-late-secondary-alveolar-bone-graft-surgery-a-bone-thickness-cone-beam-computed-tomographic-assessment
#17
Michele Alves Garcia, Marilia Yatabe, Thais Ustulin Fuzer, Adriana Maria Calvo, Ivy Kiemle Trindade-Suedam
OBJECTIVE: To compare the bone morphology after secondary alveolar bone graft surgery (SABG) performed before and after permanent canine eruption. DESIGN: Cross-sectional study. SETTING: Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, Brazil. PATIENTS: 25 cone-beam computed tomography (CBCT) scans of complete unilateral cleft lip and palate (CLP) individuals who underwent SABG before or after eruption of the permanent canine taken 2 and 6 months (T1 and T2) after SAGB, resulting in 50 CBCT scans...
March 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29436566/effectiveness-of-presurgical-nasoalveolar-molding-therapy-on-unilateral-cleft-lip-nasal-deformity
#18
Nao Kinouchi, Shinya Horiuchi, Akihiro Yasue, Yuko Kuroda, Nobuhiko Kawai, Keiichiro Watanabe, Takashi Izawa, Ichiro Hashimoto, Ali H Hassan, Eiji Tanaka
To evaluate the effectiveness of pre-surgical nasoalveolar molding (PNAM) in patients with unilateral cleft lip nasal deformities. Methods: This was a retrospective study involving 29 patients with unilateral cleft lip and palate defects, of whom 13 were treated with palatal devices with nasal stents (PNAM group) and 16 were treated with palatal devices without nasal stents or surgical tapes (control group). Submental oblique photographs and orthodontic models were longitudinally obtained at the initial visit (T1) and immediately before (T2) and  after cheiloplasty (T3)...
February 2018: Saudi Medical Journal
https://www.readbyqxmd.com/read/29407507/bone-anchored-maxillary-protraction-in-a-patient-with-complete-cleft-lip-and-palate-a-case-report
#19
Daniela Garib, Marília Yatabe, Renato André de Souza Faco, Leonardo Gregório, Lucia Cevidanes, Hugo de Clerck
Sagittal maxillary deficiency is frequently observed in patients with operated unilateral complete cleft of the lip and palate. Treatment for moderate to severe Class III malocclusion usually relies on LeFort I surgery for maxillary advancement after the end of growth. This case report describes bone-anchored maxillary protraction in a 10-year-old white boy with unilateral complete cleft of the lip and palate. His interarch relationship was diagnosed as GOSLON index 5 before treatment with a negative overjet of 3...
February 2018: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/29384973/patient-and-parent-reported-outcome-measures-in-cleft-lip-and-palate-patients-before-and-after-secondary-alveolar-bone-grafting
#20
Chun-Shin Chang, Christopher Glenn Wallace, Yen-Chang Hsiao, Ting-Chen Lu, Sue-Huei Chen, Fuan-Chiang Chan, Philip Kuo-Ting Chen, Jyh-Ping Chen, Chee-Jen Chang, M Samuel Noordhoff
European and Northern American healthcare authorities increasingly encourage the use of Patient Reported Outcome Measures (PROMs) that complement clinical and laboratory assessments to help holistically evaluate reconstructive outcomes. This is the first study to evaluate PROMs in cleft lip/palate patients who have, or have not, undergone secondary alveolar bone grafting (SABG).A PROMs study was conducted; 40 consecutive consenting cleft lip/palate children between 8 and 14 years old were included. Twenty patients did, and 20 patients did not, have SABG...
December 2017: Medicine (Baltimore)
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