Abstract
Our objective was to find out if the extraction of deciduous teeth at the sites of
clefts 3–8 weeks before alveolar bone grafting (ABG) would reduce the number of postoperative
complications. Chart reviews were reviewed retrospectively of patients who had had
ABG from March 2006 to June 2009. To reduce variables only healthy, non-syndromic,
cooperative patients were included. Eleven patients had had their deciduous teeth
extracted at the cleft sites 3–8 weeks before ABG and 10 patients had had the extractions
done intraoperatively at the same time as ABG. There was a single case of postoperative
infection and no wound dehiscence in the preoperative extraction group, and there
were no delays in postoperative orthodontic treatment. In the intraoperative group
there were 3 cases of local wound infection and 6 cases of minor dehiscence, and orthodontic
treatment was delayed for 3–6 months in all patients with complications. All patients
had successful ABG, eruption of teeth, and orthodontic treatment; but patients who
had their deciduous teeth at the cleft sites extracted preoperatively had fewer wound
complications than patients whose extractions were done at the same time as the ABG.
Keywords
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Article info
Publication history
Published online: January 31, 2011
Accepted:
December 21,
2010
Identification
Copyright
© 2010 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
