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Evaluation of secondary alveolar bone grafting outcomes performed after canine eruption in complete unilateral cleft lip and palate

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Abstract

Objectives

Evaluate the results of secondary alveolar bone grafting (SABG) in patients with complete unilateral cleft lip and palate (UCLP), operated after permanent canine eruption (CE).

Materials and methods

Seventy-four periapical radiographs from patients with complete UCLP (mean age 14 years) submitted to SABG were retrospectively analyzed for the amount of bone in the cleft site through the Bergland and Chelsea scales.

Results

Of the cases, 47.3 % was classified as Bergland type I and Chelsea type A, 35.2 % as type II/C, 6.7 % as type III/D, and 10.8 % as type IV/failure. When the canine was moved into the grafted area, the success rate (type I/A) was 56.8 %; for cases in which the space was maintained for an implant or prosthetic finishing, the index was 45.8 %; however, this difference was not statistically significant.

Conclusion

Even in advanced ages, after permanent canine eruption, SABG can be considered a highly successful procedure.

Clinical relevance

This research shows good results of secondary alveolar bone grafting performed in patients with unilateral complete cleft lip and palate, even when it was performed after eruption of the permanent canine in the cleft area.

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Authors and Affiliations

  1. Department of Orthodontics, Bauru Dental School, University of São Paulo, Alameda Octávio Pinheiro Brisolla, 9-75, Bauru, São Paulo, 17012-901, Brazil

    Diego Coelho Lorenzoni, Guilherme Janson & José Fernando Castanha Henriques

  2. Department of Orthodontics, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Alameda Octávio Pinheiro Brisolla, 9-75, Bauru, São Paulo, 17012-901, Brazil

    Juliana Cunha Bastos, Rita de Cássia Moura Carvalho Lauris & Terumi Okada Ozawa

  3. Department of Oral and Maxillofacial Surgery, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Alameda Octávio Pinheiro Brisolla, 9-75, Bauru, São Paulo, 17012-901, Brazil

    Roberta Martinelli Carvalho & José Carlos Bastos Jr

Authors
  1. Diego Coelho Lorenzoni
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  2. Guilherme Janson
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  3. Juliana Cunha Bastos
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  4. Roberta Martinelli Carvalho
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  5. José Carlos Bastos Jr
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  6. Rita de Cássia Moura Carvalho Lauris
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  7. José Fernando Castanha Henriques
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  8. Terumi Okada Ozawa
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Corresponding author

Correspondence to Diego Coelho Lorenzoni.

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Conflict of interest

Author Diego Coelho Lorenzoni declares that he has no conflict of interest. Author Guilherme Janson declares that he has no conflict of interest. Author Juliana da Cunha Bastos declares that she has no conflict of interest. Author Roberta Martinelli Carvalho declares that she has no conflict of interest. Author José Carlos Bastos Jr. declares that he has no conflict of interest. Author Rita de Cássia Carvalho Lauris declares that she has no conflict of interest. Author José Fernando Castanha Henriques declares that he has no conflict of interest. Author Terumi Okada Ozawa declares that she has no conflict of interest.

Funding

The work was supported by the Department of Oral and Maxillofacial Surgery and Orthodontics of Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, Brazil.

Ethical approval

This study was approved by the Ethics in Research Committee of Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, Brazil (144/2008-SVAPEPE-CEP) and it is in compliance with the Helsinki Declaration.

Informed consent

For this type of study, formal consent is not required.

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Lorenzoni, D.C., Janson, G., Bastos, J.C. et al. Evaluation of secondary alveolar bone grafting outcomes performed after canine eruption in complete unilateral cleft lip and palate. Clin Oral Invest 21, 267–273 (2017). https://doi.org/10.1007/s00784-016-1786-3

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  • DOI: https://doi.org/10.1007/s00784-016-1786-3

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