British Journal of Oral and Maxillofacial Surgery
Volume 44, Issue 4 , Pages 308-312, August 2006

Long-term outcome of secondary alveolar bone grafting in patients with various types of cleft

  • Y.L. Jia

      Affiliations

    • Department of Orthodontics, School of Stomatology, Peking University, Beijing 100081, China
    • Corresponding Author InformationCorresponding author.
    • ,
  • M.K. Fu

      Affiliations

    • Department of Orthodontics, School of Stomatology, Peking University, Beijing 100081, China
    • ,
  • L. Ma

      Affiliations

    • Department of Maxillofacial Surgery, School of Stomatology, Peking University, Beijing 100081, China

Received 3 June 2005; accepted 3 July 2005.

Abstract 

Objective

To evaluate the results of secondary alveolar bone grafting in patients with various types of cleft.

Design

One hundred and seventy patients were classified as cleft lip and alveolar process alone (CLAP), complete unilateral cleft lip and palate (UCLP), and complete bilateral cleft lip and palate (BCLP). The Bergland criteria were used to assess the long-term outcome of alveolar bone grafting.

Results

In the UCLP and BCLP groups, the success rate was significantly better (P<0.05) when the cleft was grafted before the eruption of canines. When the operation was done after the eruption of canines, there was a significant difference in the success rate between CLAP and BCLP (P<0.05).

Conclusion

The timing of the operation was the critical variable that affected the outcome in patients with complete cleft lip and palate. The severity of the deformity influenced the success rate when alveolar bone grafting was done after the eruption of canines.

Keywords: Alveolar bone graft, Cleft lip and palate, Canine eruption, Interdental alveolar bone

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PII: S0266-4356(05)00221-4

doi:10.1016/j.bjoms.2005.07.003

British Journal of Oral and Maxillofacial Surgery
Volume 44, Issue 4 , Pages 308-312, August 2006

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