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Alveolar cleft

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https://www.readbyqxmd.com/read/29924638/outcomes-of-alveolar-graft-with-rhbmp-2-in-clp-influence-of-cleft-type-and-width-canine-eruption-and-surgeon
#1
Claudia Resende Leal, Roberta Martinelli de Carvalho, Terumi Okada Ozawa, Araci Malagodi de Almeida, Gisele da Silva Dalben, José Carlos da Cunha Bastos, Daniela Gamba Garib Carreira
OBJECTIVE: To evaluate the influence of cleft type and width, canine eruption stage, and surgeon on the outcomes of alveolar graft with rhBMP-2. DESIGN: Cross-sectional. SETTING: Tertiary craniofacial center. PARTICIPANTS: Ninety individuals submitted to alveolar graft in late mixed or early permanent dentition. INTERVENTIONS: The 90 individuals (mean age: 16.8 years) were submitted to alveolar graft with rhBMP-2...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29916970/optimal-timing-of-alveolar-cleft-bone-grafting-for-maxillary-clefts-in-the-cleft-palate-population
#2
Arminder S Kaura, Dhivya R Srinivasa, Steven J Kasten
PURPOSE: Timing of bone grafting for maxillary alveolar clefts is not standardized. Secondary bone grafting is often performed; however, consensus does not exist regarding use of chronologic versus dental age to guide treatment. Several authors suggest an early chronologic age is associated with greater success. Available literature was systematically reviewed for evidence for optimal timing for grafting maxillary alveolar clefts. METHODS: PubMed, MEDLINE, and Cochrane Central Registrar of Controlled Trials databases were queried for manuscripts pertaining to maxillary alveolar cleft bone grafting...
June 18, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29916886/enamel-hypomineralization-in-children-with-clefts-and-the-relationship-to-treatment-a-cross-sectional-retrospective-study
#3
Eman Allam, Ahmed Ghoneima, Sunil S Tholpady, Katherine Kula
OBJECTIVE: The aim of this study was to determine whether molar incisor hypomineralization (MIH) is greater in patients with cleft lip and palate (CLP) who underwent primary alveolar grafting (PAG) as compared with CLP waiting for secondary alveolar grafting (SAG) and with controls. DESIGN: A retrospective analysis of intraoral photographs of 13 CLP patients who underwent a PAG, 28 CLP prior to SAG, and 60 controls without CLP was performed. Mantel-Haenszel χ tests were used to compare the 3 groups for differences in MIH scores, and Wilcoxon rank sum tests were used to compare the groups for differences in average MIH scores...
June 19, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29906221/presurgical-preparation-of-infants-with-unilateral-cleft-lip-and-palate-the-sac-pp-mr-innovative-technique
#4
Ricardo Elizondo, Manuel O Lagravère, Esthela Flores, Nora Letechipía
In this article, we demonstrate an effective, cheap, and fast way to shape the nasal alar cartilage in patients with unilateral cleft lip and palate. This technique straightens the vomer and brings the philtrum, columella, premaxilla, and the maxillary frenum to the midsagittal plane, while the alveolar ridges are shaped and positioned. This reduces the lip and palatal cleft to zero even in a 4-week period.
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29859781/volumetric-comparison-of-autogenous-bone-and-tissue-engineered-bone-replacement-materials-in-alveolar-cleft-repair-a-systematic-review-and-meta-analysis
#5
REVIEW
M Kamal, A H Ziyab, A Bartella, D Mitchell, A Al-Asfour, F Hölzle, P Kessler, B Lethaus
The goal of reconstruction of the alveolar cleft in patients with cleft lip and palate is to improve the quality of tissue, the structural stability, and increase the volume of bone. This study is a systematic review with meta-analysis of volumetric bony filling using autogenous bone and various tissue-engineered bone substitutes. We made an electronic search on MEDLINE, EMBASE, SCOPUS, WEB OF SCIENCE, "grey" publications (materials and research produced by organisations outside traditional channels for commercial or academic publishing and distribution), and relevant cross references according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines...
May 30, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29806390/-application-of-rapid-prototyping-technology-on-nasoalveolar-molding-for-cleft-lip-and-palate
#6
Congcong Shen, Gang Chai
Objective: To apply rapid prototyping (RP) technology on pre-fabricating nasoalveolar molding (NAM) appliances, and compare clinical outcomes and complications with traditional NAM appliances. Methods: Between June 2014 and September 2016, 39 children with unilateral cleft lip and palate were included in study. Seventeen children (test group) had received novel NAM protocol by pre-fabricating NAM appliances using RP technology, and the other 22 children (control group) had received traditional NAM protocol...
December 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29799271/permanent-maxillary-central-incisor-and-first-molar-rotations-in-the-mixed-dentition-in-repaired-complete-unilateral-cleft-lip-and-palate-and-their-relationship-with-absence-of-teeth-in-their-vicinity
#7
Sunjay Suri, Suteeta Disthaporn, Bruce Ross, Bryan Tompson, Diogenes Baena, David Fisher, Wendy Lou
OBJECTIVES: To describe qualitatively and quantitatively the directions and magnitudes of rotations of permanent maxillary central incisors and first molars in the mixed dentition in repaired complete unilateral cleft lip and palate (UCLP) and study their associations with absence of teeth in their vicinity. MATERIALS AND METHODS: Dental casts and orthodontic records taken prior to orthodontic preparation for alveolar bone grafting of 74 children with repaired UCLP (53 male, 21 female; aged 8...
May 25, 2018: Angle Orthodontist
https://www.readbyqxmd.com/read/29781248/the-role-of-3d-printing-in-treating-craniomaxillofacial-congenital-anomalies
#8
REVIEW
Christopher D Lopez, Lukasz Witek, Andrea Torroni, Roberto L Flores, David B Demissie, Simon Young, Bruce N Cronstein, Paulo G Coelho
Craniomaxillofacial congenital anomalies comprise approximately one third of all congenital birth defects and include deformities such as alveolar clefts, craniosynostosis, and microtia. Current surgical treatments commonly require the use of autogenous graft material which are difficult to shape, limited in supply, associated with donor site morbidity and cannot grow with a maturing skeleton. Our group has demonstrated that 3D printed bio-ceramic scaffolds can generate vascularized bone within large, critical-sized defects (defects too large to heal spontaneously) of the craniomaxillofacial skeleton...
May 20, 2018: Birth Defects Research
https://www.readbyqxmd.com/read/29742253/the-maxillary-lateral-incisor-in-the-rehabilitation-of-cleft-lip-and-palate
#9
Guida Paola Genovez Tereza, Marcos Antônio Corrêa Dos Santos, Vivian Patricia Saldias Vargas Winckler, Ana Lúcia Pompeia Fraga de Almeida, Gisele da Silva Dalben
Objective This study analyzed the maintenance of lateral incisors in the dental rehabilitation of individuals with cleft lip and palate. Material and Methods The study was conducted on a tertiary craniofacial center and comprised retrospective analysis of panoramic and periapical radiographs of Caucasoid individuals with non-syndromic complete unilateral cleft lip and palate, analyzing all radiographs available on the records of each individual, from the first to the last up to 12 years of age. Overall, 2,826 records were reviewed to achieve a sample of 1,000 individuals...
2018: Journal of Applied Oral Science: Revista FOB
https://www.readbyqxmd.com/read/29738291/evaluation-of-nasal-airway-volume-of-operated-unilateral-cleft-lip-and-palate-patients-compared-with-skeletal-class-iii-individuals
#10
Ümit Ertaş, Mert Ataol
Cleft lip and palate (CLP) patients have various problems with nasal anatomy beyond just oronasal separation. The alar base, concha, and septum are over impressed in these individuals. Additionally, skeletal class III deformity is seen. These conditions may limit nasal function. In our study, 15 unilateral patients with CLP older than 15 years (10 females, 5 males; mean age: 19.13) who had received surgery were included as the study group, and 15 participants with noncleft skeletal class III deformities were included as the control group (10 females, 5 males; mean age: 19...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29728158/three-dimensional-development-of-the-upper-dental-arch-in-unilateral-cleft-lip-and-palate-patients-after-early-neonatal-cheiloplasty
#11
E Hoffmannova, V Moslerová, J Dupej, J Borský, Š Bejdová, J Velemínská
OBJECTIVES: This prospective morphometric study evaluated the growth of the upper dental arch in UCLP patients after early neonatal cheiloplasty and compared the selected dimensions with published data on non-cleft controls and on later operation protocol patients. METHODS: The sample comprised 36 Czech children with nonsyndromic complete UCLP (cUCLP) and 20 Czech children with nonsyndromic incomplete UCLP (UCLP + b). 2-D and 3-D analyses of palatal casts were made at two time points: before neonatal cheiloplasty at the mean age of 3 days (±1 day), and 10 months after surgery at the mean age of 10 months (±1 month)...
June 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29723339/comparing-osteogenic-effects-between-concentrated-growth-factors-and-the-acellular-dermal-matrix
#12
RANDOMIZED CONTROLLED TRIAL
Luo Huang, Rui Zou, Jinquan He, Kexiong Ouyang, Zhengguo Piao
Concentrated growth factor (CGF) is an autogenuous product that contains highly concentrated number of platelets and can be derived from venous blood by selective centrifugation. It has been speculated that local growth factors in human platelets (insulinlike growth factor, IGF; transforming growth factor, TGF-b; platelet derived growth factor, PDGF) would enhance healing of grafts and also counteract resorption. The osteogensis effect of CGF and acellular dermal matrix (ADM) for alveolar cleft defects was evaluated in this study...
2018: Brazilian Oral Research
https://www.readbyqxmd.com/read/29708799/combined-tongue-palate-fusion-with-alveolar-bands-in-a-patient-with-pierre-robin-sequence-and-van-der-woude-syndrome
#13
Alexa Robbins, Yuri A Zarate, Larry D Hartzell
This report describes the presentation of a newborn male with circumferential tongue-palate fusion associated with cleft palate and alveolar bands. After intraoral adhesions lysis, the patient was diagnosed with Pierre Robin sequence. A family history of cleft lip and palate was noted, and interferon regulatory factor 6 ( IRF6) sequencing revealed a heterozygous variant, confirming the diagnosis of van der Woude syndrome. The disruption of IRF6 resulted in abnormal orofacial development including micrognathia and intraoral adhesions as well as tongue-palate fusion, then resulting in glossoptosis with airway obstruction and cleft palate...
January 1, 2018: Cleft Palate-craniofacial Journal
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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