Inter J Stomatol ›› 2017, Vol. 44 ›› Issue (1): 19-23.doi: 10.7518/gjkq.2017.01.003

• ·Original Articles· • Previous Articles     Next Articles

Clinical study on secondary alveolar bone grafting by lip side combined with palate side approach

Lu Yong1, Shi Bing2, Wang Zhiyong1, Li Hao1   

  1. 1. Dept. of Oral and Maxillofacial Surgery, Affiliated Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China;
    2. State Key Laboratory of Oral Diseases, Dept. of Cleft and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2016-04-16 Online:2017-01-01 Published:2017-01-01

Abstract: Objective To assess the clinical effect of secondary alveolar bone grafting(SABG) by lip side combined with palate side approach. Methods The study included 45 cases of alveolar clefts treated with SABG. The experimental group comprised 21 alveolar cleft cases that received SABG by lip side combined with palate side approach(age range 9-13 years, mean age 10.3 years). The control group comprised 24 alveolar cleft cases that received SABG by lip side approach(age range 9-14 years, mean age 11.2 years). Postoperative pain and swelling were recorded and analyzed. After a follow-up period of 1-12 months, the amount of bone in the SABG areas were retrospectively analyzed according to the Bergland scales. Results The occurrence of postoperative pain and swelling in the experimental group was lower than that in control group. A total of 81% of cases in the experimental group were categorized as successful, and 42% of cases in the control group were categorized as successful. Conclusion SABG through lip side combined with palate side approach has a high success rate with a low incidence of complications. This method has satisfactory clinical results with less surgical trauma and postoperative adverse reactions.

Key words: alveolar cleft, alveolar bone graft, repair

CLC Number: 

  • R782.2

[1] Trindade IK, Mazzottini R, Silva Filho OG, et al. Long-term radiographic assessment of secondary alveolar bone grafting outcomes in patients with alveolar clefts[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2005, 100(3):271-277.
[2] 杨超, 石冰, 刘坤, 等. 腭侧入路牙槽突裂植骨术的初步应用与评价[J]. 华西口腔医学杂志, 2013, 31 (1):30-33. Yang C, Shi B, Liu K, et al. Initial study and evalua-tion on alveolar bone graft by palate side approach [J]. West China J Stomatol, 2013, 31(1):30-33.
[3] Turvey TA, Vig K, Moriarty J, et al. Delayed bone grafting in the cleft maxilla and palate: a retrospec-tive multidisciplinary analysis[J]. Am J Orthod, 1984, 86(3):244-256.
[4] 邱蔚六. 口腔颌面外科学[M]. 6版. 北京: 人民卫生出版社, 2011:430. Qiu WL. Oral and maxillofacial surgery[M]. 6th ed. Beijing: People’s Medical Publishing House, 2011: 430.
[5] 王秀荣. 早期持续冷敷应用于牙槽突裂患者术后植骨区的疗效观察[J]. 护理实践与研究, 2013, 10(13):23-24. Wang XR. Observation the effect of early continued cold bone area in patients with split of alveolar pro-cess after surgery[J]. Nurs Pract Res, 2013, 10(13): 23-24.
[6] Toscano D, Baciliero U, Gracco A, et al. Long-term stability of alveolar bone grafts in cleft palate pa-tients[J]. Am J Orthod Dentofacial Orthop, 2012, 142(3):289-299.
[7] Meyer S, Mølsted K. Long-term outcome of secon-dary alveolar bone grafting in cleft lip and palate patients: a 10-year follow-up cohort study[J]. J Plast Surg Hand Surg, 2013, 47(6):503-508.
[8] Feichtinger M, Mossböck R, Kärcher H. Assessment of bone resorption after secondary alveolar bone grafting using three-dimensional computed tomogra-phy: a three-year study[J]. Cleft Palate Craniofac J, 2007, 44(2):142-148.
[9] 张勇, 杨育生, 吴忆来, 等. 牙槽突裂植骨吸收率的测量分析[J]. 上海口腔医学, 2012, 21(3):308-311. Zhang Y, Yang YS, Wu YL, et al. Measurement of the volume absorption of alveolar bone grafting[J]. Shanghai J Stomatol, 2012, 21(3):308-311.
[10] 霍永力, 张雷, 王建华, 等. 脱钙人牙基质材料联合髂骨与单纯髂骨移植修复牙槽突裂的对比性研究[J]. 实用口腔医学杂志, 2009, 25(4):548-552. Huo YL, Zhang L, Wang JH, et al. Comparison of autologous ilium spongy bone combined with human decalcified dentinal matrix in alveolar process cleft bone grafting[J]. J Pract Stomatol, 2009, 25(4):548- 552.
[11] Helms JA, Speidel TM, Denis KL. Effect of timing on long-term clinical success of alveolar cleft bone grafts[J]. Am J Orthod Dentofacial Orthop, 1987, 92 (3):232-240.
[12] Tabrizi R, Zamiri B, Daneste H, et al. Outcome of bone availability after secondary alveolar bone graft in two age groups[J]. J Craniofac Surg, 2013, 24(6):e565-e567.
[13] Upadya VH, Bhat HH, Gopalkrishnan K. Radiogra-phic assessment of influence of cleft width and canine position on alveolar bone graft success: a retro-prospective study[J]. J Maxillofac Oral Surg, 2013, 12(1):68-72.
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[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[7] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 458 -460 .
[8] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 452 -454 .
[9] . [J]. Inter J Stomatol, 2008, 35(S1): .
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