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Alveolar graft in the cleft lip and palate patient: review of 104 cases

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Alveolar graft in the cleft lip and palate patient: review of 104 cases

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dc.contributor.author Luque Martín, Estela es
dc.contributor.author Tobella Camps, Lluïsa M. es
dc.contributor.author Rivera Baró, Alejandro es
dc.date.accessioned 2015-01-08T12:31:51Z
dc.date.available 2015-01-08T12:31:51Z
dc.date.issued 2014 es
dc.identifier.citation Luque Martín, Estela ; Tobella Camps, Lluïsa M. ; Rivera Baró, Alejandro. Alveolar graft in the cleft lip and palate patient: review of 104 cases. En: Medicina oral, patología oral y cirugía bucal. Ed inglesa, 2014, Vol. 19, No. 5: 531-537 es
dc.identifier.uri http://hdl.handle.net/10550/41135
dc.description.abstract Introduction: Alveolar bone grafting is a vital part of the rehabilitation of cleft patients. The factors that have been most frequently associated with the success of the graft are the age at grafting and the pre-grafting orthodontic treatment. Objectives: 1) Describe the cases of alveolar bone grafts performed at the Maxilofacial Unit of Hospital Sant Joan de Déu, Barcelona (HSJD); and 2) Analyze the success/failure of alveolar grafts and related variables. Material and Methods: Descriptive retrospective study using a sample of 104 patients who underwent a secondary alveolar graft at the Craniofacial Unit of HSJD between 1998 and 2012. The graft was done by the same surgeon in all patients using bone from the iliac crest. Results: 70% of the patients underwent the procedure before the age of 15 (median 14.45 years); 70% of the graft patients underwent pre-graft maxillary expansion. A total of 100 cases were recorded as successful (median age of 14.58 years, 68 underwent pre-graft expansion) and only 4 were recorded as failures (median age of 17.62 years, 3 underwent pre-graft expansion). We did not find statistically significant differences in age at the time of grafting or pre-surgical expansion when comparing the success and failure groups. We found the success rate of the graft to be 96.2%. Conclusions: The number of failures was too small to establish a statistically significant conclusion in our sample regarding the age at grafting and pre-grafting expansion. The use of alveolar bone grafting from the iliac crest has a very high success rate with a very low incidence of complications. Existing controversies regarding secondary bone grafting and the wide range of success rates found in the literature suggest that it is necessary to establish a specific treatment protocol that ensures the success of this procedure. en_US
dc.subject Odontología es
dc.subject Ciencias de la salud es
dc.title Alveolar graft in the cleft lip and palate patient: review of 104 cases es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.type.hasVersion VoR es_ES
dc.identifier.url http://www.medicinaoral.com/pubmed/medoralv19_i5_p531.pdf es

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